Hello -
I have recently had fatigue for a week, then chest pressure accompanied by irregular heartbeat. I went to an outpatient clinic where an EKG was ordered. It said "Vent. rate 80, PR interval 136 ms, QRS duration 96 ms, QT/QTc 382/441 ms, and P-R-T axes 56 79 - 28, normal sinus rhythm. ST & T wave abnormality, consider inferior ischemia, ST & T wave abnormality, consider anterior ischemia. Abnormal ECG." I was sent directly to the ER, where a repeat EKG showed the same findings. After blood gas, cardiac enzymes, and about an hour or so on a pulse-ox/respirations/heart rhythm monitor, a few hours later I was sent home from the ER. The nurse told me the doctor said that he thought it was a panic attack. Should I follow up with my primary care physician and have an echocardiogram/Cardiolite stress test/stress echo/etc. done or just accept the diagnosis of anxiety. I do not have a high-stress life at all. No financial trouble, no family trouble, no source of worry whatsoever. I am especially worried because two grandparents have had stents placed, another has had a quadruple bypass 10 years after a double bypass done before, and I have two parents and four grandparents with high blood pressure and high cholesterol. I"m only 30 years old but I am still somewhat apprehensive about this. Should I let it go or follow up on it? Thanks for your time :)