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Doctor insights on: Er Chest Pain

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What EKG is mainly used for. Often by the time you get to er, chest pain is gone. Could you get abnormal result after the chest pain is gone.

What EKG is mainly used for. Often by the time you get to er, chest pain is gone. Could you get abnormal result after the chest pain is gone.

Screening only: Ecg is a low tech screening tool. It can be abnormal with or without chest pain. The whole history and physical need to be taken into account. A risk score has been developed to risk stratify pts and includes several items and ECG is just one of them. ...Read more

Dr. Gutti Rao
3,174 Doctors shared insights

Chest Pain (Definition)

The chest resides between the neck & abdomen. Chest pain refers to ...Read more


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In ER with chest pain this 18 time?

In ER with chest pain this 18 time?

Chest Pain -See Doc?: When to see a doctor?

How do you know when you need medical help for chest pain? It's not always easy to tell. Helpful simple quiz:

http://edition. Cnn. Com/HEALTH/help. At.home/chest. Pain/content. Html ...Read more

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In ER with chest pain e c g looks good I assure u they will lend me home if blod work comes normal?

In ER with chest pain e c g looks good I assure u they will lend me home if blod work comes normal?

Maybe: If your ekg is normal or unchanged from previous tracings and your blood work shows no heart damage, you will either be sent home for held over for a stress test. The final decision will depend on your description of the chest pain and the doctor's judgement as to how suspicious it is for cardiac pain (versus another source of pain). ...Read more

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Why did they do that to me now i, m having nightmares is not normal for dome to go to ER for chest pain and and up psycoword?

For Calming: I'm sorry this happened and do not know why. If you were screaming a lot, or if you were thrashing and fighting with the er staff, they may have decided that the best place for you was the psychiatry unit. This is because the psychiatry unit is where the staff are trained to help people to calm down. I do hope that you were able to become calm and that your chest pain went away. ...Read more

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A patient presented to the ER with chest pain and has a ventricular pacemaker. Probable causes?

Heart disease: The pacemaker is likely not the cause or contributor to the chest pain--it is likely heart disease (which the pacemaker is a marker of). ...Read more

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Can you tell me if a patient presented to the ER with chest pain and a ventricular pacemaker, what they will do?

Can you tell me if a patient presented to the ER with chest pain and a ventricular pacemaker, what they will do?

Usual: Usually starts with history taking and physical examination, chest x-ray, ekg. Depending on findings and clinical impression, further testing may be done. ...Read more

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Today I was at the ER cause chest pain. EKG normal, Troponine negative, CKMB normal but CK total was high (260U/L).They send me home. What means CK high?

It's hard to know: CK is an enzyme that is commonly found in different types of muscle cells. It can be found in skeletal muscle cells - think your biceps - but also your heart muscle cells. The CK-MB allows doctors to better determine if muscle damage is heart in origin -reassuring that was normal for you. You may naturally have high serum levels of CK or some minor damage to the some skeletal muscle (s). ...Read more

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At the er for chest pain hospital monitor says couplet pvcs amd sv rhythm. What does sv rhythm mean? And are couplet pvcs dangerous?

At the er for chest pain hospital monitor says couplet pvcs amd sv rhythm. What does sv rhythm mean? And are couplet pvcs dangerous?

Not necessarily: SV="supraventricular rhythm" which is normal.
PVCs are "extra beats" that sometimes lead to the feeling of a thump or irregular heart beat.
By themselves, extra PVCs or couplets of PVCs are not dangerous. Some people get them when they drink caffeine or smoke cigarettes. They aren't an indicator of a heart attack, but if they happen during a heart attack, they can be a sign of impending problem ...Read more

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After many trips to the er for chest pain n heart n tests were fine they finally diagnosed me with costochondritis. How do I cope? Cant take nsaids

After many trips to the er for chest pain n heart n tests were fine they finally diagnosed me with costochondritis. How do I cope? Cant take nsaids

See a doctor: costochondritis could be painful.
you can take long acting non narcotics medication, like celebrex (celecoxib).
you can see a pain management physician, that can perform a rib block, that will make the pain disappear for a while
you can change you bra to a soft one and avoid the one with hard metal to it.
stay with your doctor and follow their advice. ...Read more

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I went to ER with chest pain and they tested all my hearth enzymes my d dimer was slightly elevated like 1.5. Or something the did a CT and it usuals?

I went to ER with chest pain and they tested all my hearth enzymes my d dimer was slightly elevated like 1.5. Or something the did a CT and it usuals?

Please clarify,,: It would be informative to know what your heart enzymes showed, as that can help pinpoint the cause of your chest pain. Your d-diner test would be used to rule out pulmonary embolism or some other clotting related disorder. It is high and that likely means that there is evidence that a thrombus is there or had occurred. It would be wise to check with your doctor and find out your results. ...Read more

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Went to ER with chest pain&vomiting. CBC was done (said it was abnormal but didn't expand), but no ekg. Sent home still in pain. Possible heartattack?

Went to ER with chest pain&vomiting. CBC was done (said it was abnormal but didn't expand), but no ekg. Sent home still in pain. Possible heartattack?

Back to ER: You should call your own doctor now or go back to the ER. You need an explanation of what is wrong and what is abnormal on your CBC. It also sounds like you should have a Chest Xray and possibly EKG. ...Read more

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Went to ER with chest pain, tests done (ekg, chest xray, blood) all normal, said I have costochonditris, I still feel pain and just ill and weak?

Went to ER with chest pain, tests done (ekg, chest xray, blood) all normal, said I have costochonditris, I still feel pain and just ill and weak?

Not unusual: Costochondritis usually results in generalized chest wall inflammation. There is likely to be associated fatigue and lassitude as might be the case with any activation of the immune system. It typically improves with nonsteroidal antiinflammatory drugs ...Read more

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Been to er for chest pain, ecg, blood's, xray all fine, still having chest and middle back pain. Any idea what could cause my on going chest pain? .

Of course your heart: Is the most critical concern however there are many other issues that can cause "chest pain" Without a thorough history, physical examination and additional testing this is not a problem that will be diagnosable over the internet. See a health care provider for a thorough evaluation. ...Read more

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Went to ER had chest pain EKG was ischemic from one 2 years ago eco was fine no heart attack no damage need to see a cardio I am freaked out m 41?

Went to ER had chest pain EKG was ischemic from one 2 years ago eco was fine no heart attack no damage need to see a cardio I am freaked out m 41?

Ischemia: Cardiac ischemia usually suggests coronary artery blockages. An echocardiogram does not detect coronary artery problems but can detect heart muscle damage, weakness or enlargement. An echocardiogram can be perfectly normal even when there is significant coronary artery disease. I recommend that you consult a cardiologist for further diagnosis, stress testing and advice. ...Read more

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