Doctor insights on:
Does Heart Attack Pain Come In Waves Or Is It Constant
Inverted T-waves: Yes, seek help at an ER ASAP. ...Read more
Myocardial Infarction means some of the heart muscle dies because of insufficient oxygen supply. Most often this occurs because the coronary artery is blocked by plaque & clot. Other causes include tears in the artery wall, extremely high oxygen demand (eg, rapid arrhythmia, heart valve disorder, or severe systemic illness.) Prompt treatment can minimize heart damage & ...Read more
Ecg: Q waves mean either electrical force going away from the lead axis being examined or lack of force in the direction of the lead. This is often due to heart muscle damage but not always. ...Read more
EKG finding: A Q wave is a finding on the electrocardiogram seen after a completed myocardial infarction (heart attack). In some patients with heart attack, the electrocardiogram will demonstrated q-wave. In other patients, a Q wave will not develop. In general, Q wave myocardial infarctions are larger and associated with st elevation in the early phase of the heart attack. ...Read more
Q wave= full thickness myocardial necrosis
non q wave= partial thickness or subendocardial necrosis
subendocardial infarcts more common. Full thickness can result in myocardial rupture or an acute ventricular septal defect. Rupture- tamponade-death sequence. 50% of people still die on their first heart attack mostly because of not calling 911 or reaching er within minutes of the infarct. ...Read more
Micro card heart attack after three times what diseases will be? To my dad three times he has a heart attack in there constantly coughing please answe
Fear of Heart Attack: It is true that more men and women die of a heart attack than anything else. It isn't generally at age 35, though. I'm wondering what your family history is for cardiovascular disease, if you are obese, if you exercise or are sedentary, and what caused you to have this fear. Without knowing more, I can't say how grounded I think your fear is. ...Read more
Probably not: It's unlikely that you will have a heart attack becauwse of these surges, but they should be treated. See you primary care physician and ask for a referral to an endocrinologist. ...Read more
Since last evening having pain (not constant) in upper left chest mostly when taking breath.no heart attack "signs", should I be worried?
Yes: You need a routine CXR to start and probably CT of chest ...Read more
Q wave: There are patterns in old heart attack waves on ekg. Often several specific leads will show the scar on particular, specific walls of the heart. Review this with your doctor. ...Read more
Abnormal: Several causes, but need evaluation of damage or enlarged chambers. ...Read more
How does a previous heart attack represent itself on an ecg? Which wave and the form of the wave?
Q wave: Many, but not all old heart attacks show up as a q wave which is an initial significant downward deflection but this can also be seen in some normal variants. Reading ecgs can be tricky and significant training is needed to read them well. ...Read more
Is it possible to have a heart attack with completely normal ekg? What changes are looked for besides s-t segment & t wave?
How does a 12-second EKG show a prior heart attack? Like, what shows on the waves that represents the heart attack? Curious, not urgent
Changes: An ekg shows changes in electrical conduction. That is how it demonstrates heart attacks. ...Read more
Does poor r wave progressive and nonspecific st&t adnormal waves mean you had a heart attack. The findings were from a nuclear stress test.
Poor R wave: Poor R wave progression could be seen in old anterior myocardial infarction (old heart attack), in lead misplacement of precordial leads by inexperienced ekg technician, also can be seen pulmonary diseases, WPW syndrome, and dextrocardia. Dextrocardia is very rare. Wpw will be seen in much young age. If you have old heart attack you should see it in nuclear stress test. ...Read more
What's causing me to feel constant sharp pain in the center of my chest but mostly to the left side? (Could it be mild heart attack) I hope not.
Not likely: It is impossible to rule out as heart being involved in your symptoms, but the character of the pain is not suggestive of cardiac origin. A simple test to determine the origin would be to gently push over the involved area. If your pain is worsened, it is chest wall related, specifically sternocostal joints or chest muscles. If that is not the case you may need a follow up with your doc. ...Read more
How to calm down from a panic attack I constantly have them and feel like I'm having a heart attack, and it freaks me out a lot they last hours atimes
My t waves in my EKG were upside down in one part. But the rest of it looked fine, does that mean heart attack?
T and sympathy: T waves alone do not mean heart attack. You need to see the whole ECG. T waves absent other abnormalities are quite nonspecific. ...Read more
It depends: It depends on the location and size of the Q waves in relation to the other parts of the qrs complex. Ask your doctor to look at the ECG and let you know. ...Read more
So worried about constant adrenaline surges. They make my chest tight. Is heart attack likely from these surges?
Surges: Well, those surges definitely aren't helping to prevent you from getting a heart attack. What are your other co-morbities? Are you diabetic? Do you have high cholesterol? Do you smoke? Does heart disease run in your family? Do you already have coronary artery disease? If you answer yes to all of these, I would definitely say yes. ...Read more
When I laugh the chest pain gets worse. But otherwise it's a constant pain. Does this mean I am on my way to having a heart attack?
No: You should be able to tell when your pain began. It may be due to minor trauma, or some type of muscular or skeletal issue. You should see your physician for a complete checkup. ...Read more
I am having esophageal spasms in waves. I know I am not having a heart attack. I take hyocyamine for colon spasms. What else can I do?
See a G I doc: Go see a gastroenterologist or a primary care doctor. ...Read more
27 years old, st and t wave abnormality in ecg, 61 kg, smoking, no family history. What risk for heart attack?
Quit Smoking: While ST and T wave abnormalities on ECG may often be nonspecific, smoking causes heart attacks, strokes, amputations of the legs, lung disease and cancer. You're a young man — it's time for you to quit smoking! I can't quit for you but you can! Other than rapidly opening blocked arteries in an acute heart attack the only intervention to save more hearts is quitting smoking!! Do it today!! ...Read more
I constantly fear a heart attack, I have anxiety and always get little pains and aches which my doctor says is nothing, what should I do?
What is the best medicine for anxiety? I'm on celexa (citalopram) and it doesn't work. I have a constant fear of having a heart attack like my father.
Caution: Be cautious with anxiolytics. They can help, but are best used short-term as they can be very addictive. Perhaps a better long term strategy would be to understand why you are so afraid the same thing will happen to you as happened to your father. Your risk factors may be entirely different and you may really not be at risk. Also, consider an increase in the Celexa (citalopram) if you are under 20 g a day. ...Read more
31 yr old female having constant heart flutters, tired, dizzy when standing up, very scared of dying or having a heart attack. Was diagnosed with GAD?
Keep doing right: You were diagnosed — that was a good start. Now seek CBT therapy to manage anxiety — if needed, they'll refer for Rx. But the learning is the important part. You'll discover how to evaluate yourself and how to relax your body's chemical reactions. It's a definite help for millions and millions! ...Read more