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Heart Disease (Expert Forum)
Did I have a heart attack? Or pneumothorax cause false reading?
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Did I have a heart attack? Or pneumothorax cause false reading?
by Sara, Jun 17, 2000 12:00AM
Dec, 1999, I suffered a 90% (R) collapsed lung. This wasn't due to illness. I was very active - 7mi/day walking. (a PA accidentally pierced while doing an upper back trigger point injection.)
I was in hospital for 7 days and records show 2 abnormal EKGS (compared to previous EKGS): "Left Atrial Enlargement, (ossible) Inferior Infarct; also nonspecific T wave abnormality; normal sinus rhythm with sinus arrhythmia." Third EKG was normal.
I am 54 years old, 5' 0", 119 lbs., semi-athletic - presently do treadmill 5 days/week: walk (15 minutes at 4 mph)then jog (30 mins. at 5.2+ mph), yoga 1 or 2 hrs week, weight lifting up to 15# dumbbell and 30# barbell 2 to 3 hr/week. My resting pulse is 58 to 63; have to jog to get it up above 125. I occassionally feel that my heart "flips" once or twice when I'm exercising.
My (HMO) primary care physician balks at me having cardiac testing as he says the abnormal EKG is result of lung shadowing heart. Can this be true? Is this a normal occurence with a 90% collapsed lung? I worry since father, mother, niece have/had heart problems.
When this happend, I didn't go into ER until about 10 hrs later. I delayed going because I thought the pain was from injection, and when it subsided and I had trouble breathing - I could NOT believe I could be sick.
Sorry for the length of this. I thought you needed these facts. Thanks.
I was in hospital for 7 days and records show 2 abnormal EKGS (compared to previous EKGS): "Left Atrial Enlargement, (ossible) Inferior Infarct; also nonspecific T wave abnormality; normal sinus rhythm with sinus arrhythmia." Third EKG was normal.
I am 54 years old, 5' 0", 119 lbs., semi-athletic - presently do treadmill 5 days/week: walk (15 minutes at 4 mph)then jog (30 mins. at 5.2+ mph), yoga 1 or 2 hrs week, weight lifting up to 15# dumbbell and 30# barbell 2 to 3 hr/week. My resting pulse is 58 to 63; have to jog to get it up above 125. I occassionally feel that my heart "flips" once or twice when I'm exercising.
My (HMO) primary care physician balks at me having cardiac testing as he says the abnormal EKG is result of lung shadowing heart. Can this be true? Is this a normal occurence with a 90% collapsed lung? I worry since father, mother, niece have/had heart problems.
When this happend, I didn't go into ER until about 10 hrs later. I delayed going because I thought the pain was from injection, and when it subsided and I had trouble breathing - I could NOT believe I could be sick.
Sorry for the length of this. I thought you needed these facts. Thanks.
Doctor's Answer
by CCF CARDIO MD - DLB, Jun 18, 2000 12:00AM
A collapsed lung, especially to that degree, can cause temporary EKG abnormalities. In and of itself, the 2 abnormal EKGs, with a subsequent normal one, would not be an indication for further cardiac testing.
