Doctor insights on:
Er Chest Pain
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.
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
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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At the er for chest pain and the alarm for pair pvcs came on. Should I be worried? What does it mean?
Arrythmia....and usually BENIGN!
Not to worry! DR Z ...Read more
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
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
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
At the er for chest pain hospital monitor says couplet pvcs amd sv rhythm. What does sv rhythm mean? And are couplet pvcs dangerous?
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
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
3 days ago I went to ER bec. Chest pain and a little Bradychard. EKG, enzimes and Echo ok. Since yesterday tachychardia (at rest 104-115).What could be?
Tachycardia: Persistent unxplained tachycardia is abnormal and needs full reassessment ...Read more
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
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, tests done (ekg, chest xray, blood) all normal, said I have costochonditris, I still feel pain and just ill and weak?
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
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
Just left ER fit chest pain under the left breast did a chest xray was fine said it was probably costochdroitis and got a shot of toradol will it help?
Went to ER with chest pain, had ecg, chest x-ray, stress test and tronopin draw. Everything normal except tronopin was detected in a very small amount. Was told I was normal anyway. Should I worry?
Tests: With all those normal tests, you should not be worried. No test is perfect, however. You should always ask your doctors to explain if you don't understand what they are telling you. ...Read more