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Q: Possible mild heart attack ?
asked by: essabel on May 28th, 2009
New User
Results from Ecg show non specific ST and T wave abnormalities,slightly wide Qrs complex poor R wave progression.I have now had an echo which shows mild to moderate systolic impairment.RWMA no significant valvular damage.I have also had a Myocardial perfusion scan which has come back as normal.I have high blood pressure now controlled with meds an erratic pulse bpm 60-190 and suffer sob.I believe the Doc wants an angio now,I cant walk too far and suffer with chest pains.Have i got heart probs as my Doc believes
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MandMs
replied on May 29th, 2009
Extremely eHealthy
It is very possible that you have certain heart problems.
Getting chest pains, like an uncomfortable pressure, fullness, squeezing or pain in the center of the chest, is known as angina pectoris.
It is a symptoms of heart disease, or more precisely it is a result from lack of blood supply to heart muscle.
This usually happens because one or more of the heart's arteries (coronary blood vessels that supply blood to the heart muscle) is narrowed or blocked.
In rare circumstances, other heart conditions can lead to chest pains, like heart valves diseases, enlarged heart muscle, or uncontrolled high blood pressure.

The same underlying condition (blocked or narrowed arteries) is responsible for your inability to walk too far.
Acctually, people with peripheral artery disease (blocked or narrowed) need frequent breaks to continue walking, just because of lack of blood supply to the leg muscles (manifested with leg pains).

About your results... mild to moderate systolic impairment, this means that the systolic function has decreased due to increased coronary atherosclerosis (blocked or narrowed blood vessels that supply the heart muscle with blood) or because of enlarged heart muscle (hypertrophic cardiomyopathy).
Enlarged heart muscle, as I said before can be manifested with chest pains and can result from long-standing uncontrolled blood pressure.
Nonspecific ST-T wave abnormalities are very common, may be seen in people with cardiomyopathy and other condition, but can be seen in healthy individuals, too.
Poor R-wave progression can be associated with a history of infarct, tachycardia, or enlarged heart.
It can result from faulty ECG recording technique, too.


Best wishes!
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essabel
replied on May 29th, 2009
New User
Thanks for your reply,very helpfull.Im still puzzled as Perfusion scan was normal and i thought this would have shown previous MI and any blockages.I guess im hoping this has been a big mistake and im healthy lol,i know there is something wrong I feel so dreadfull.Nice to talk with you.
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essabel
replied on July 22nd, 2009
New User
follow up from clinic yesterday..as perfusion scan.showed normal on all aspects cardioligist suggests treatment should be primary prevention lines with continuing treatment for hypertension.Previous echcardiogram has shown mild to moderarate lv systolic dysfunction which probably relates to both to tachycardia at the time of scan and longstanding hypertension. No further investigation or follow up as result of perfusion scan.Im so confused and feel let down as scan done in may and i have been treated for heart failure because of this.Now i get this letter changing the whole diagnoses and writing me off altogether lol.Ihope i have not confused you but i am not feeling well and my mental state is awry because of this.Hope to hear from you soon
Essabel
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Sarahpearsall
replied on July 22nd, 2009
New User
Hey my sister is a great doctor and she said these are the mild heart attack-Angina Symptoms:
You may feel like having tight band over the chest
Pain over the left side or central part of chest.

Most people feel tightness in the chest.
Pain may radiate to neck, jaw or upper back.
Discomfort of the left hand often felt.
Difficulty in breathing may be a prominent feature.
Some persons may have burning sensation in the middle part of the chest.
Excessive Sweating.
Nausea(Sensation of vomiting)
Chocking sensation in the throat.
Heaviness in the upper abdomen.
Weakness and easy fatigues.

She said here are the causes of Angina:
Physical exertion
Exposure to cold,
Lying flat(Democritus angina),
Heavy meals
Intense emotion.
Hope these information help you.
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essabel
replied on July 22nd, 2009
New User
Hi and thanks, was this a reply to my last post....
I recognise most of the symptoms you have listed..at the moment i am so breathless and nausous my life isnt happy..
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