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inferior infarct showing on my EKG
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inferior infarct showing on my EKG

I recently had an episode where I felt lightheadedness and dizziness for an extended period accompanied with chest pressure and some mild pain. I checked my BP at a pharmacy (I was out of town) and it was up to 170/100 with a pulse of 105. Upon a visit to the Dr. (next morning) in regards to this I was given a EKG which showed an inferior infarct. My stats are age 36, male, 6', 280lbs, nonsmoker(quit 6 yrs ago), and mild high blood pressure(prinivil 5mg/pd) with a family history of heart trouble (all paternal). I have had EKGs in the past that were all perfectly normal. I also was given a nuclear stress test in respone to my recent EKG and it showed nothing obvious (muscle damage).
The Dr. put me immediately on 25mg atenolol and since the stress test has removed me from it. They have requested my records from my previous Dr. (I moved) and he plans on comparing it to my current ones. My previous Dr. says the ones he has sent are perfectly normal .. What could cause this if it were not a heart attack, and should I be highly concerned as to the entire situation.

Thanks,

teh

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Dear Todd,
I would have to see the ECGs to make an evaluation.  Some individuals (young men in particular) can have normal findings on ECG that can be mistaken for an inferior infarct.  In the setting of a normal nuclear stress test I would be less concerned but would still probably see a cardiologist for his/her opinion on the ECG changes and to see if there is any indication for a heart cath.

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