Heart Attack or something else?

[Christine]

Hi, I hope you can help clear somethng up.  I just recently changed doctors.  When I went to this new doctor, a cardiologist, I was allowed to see my previous doctor reports.  Something my other doctor would not allow.  I found one EKG from 3 years ago, that said that I may have had an heart attack, to do a follow up, however, I was never given any indication that anything had showed up, even though I complained of chest pain.  Over the last few years, I have wore an mointer that showed SVE, (no idea what it is!), and another 3 ekgs came back abnormal.  Another EKG showed Short PO, and sinus arrythmia, another runs of pac, Abnormal O and one 12 lead EKG showed q waves in lead 3 and AVF. What could have caused these results?   SO I am hoping that you  can tell me what all these results mean. This usually happen at rest. Since then, I have had a stress test and echo all negative.  So why does my heart race and my EKGs come back abnormal?  Also are PACS the same as SVE or the same as sinus arrythmia?  Thank you so very much.  One last question, Can panic attacks give abnormal EKGs?  As far as I know I don't have them, just wondered...Thanks!

[CCF CARDIO MD - DLB]

Panic attacks can cause a fast heart rate, but do not cause EKG abnormalities per se. The EKG may indicate a prior heart attack, but with a normal stress test and a normal echo, I would not put much weight in the EKG findings. PACs and SVE refer to the same thing. Sinus arrythmia is usually just a normal variation in the heart beat. Thus, there is nothing in the EKG information that should prompt any specific action on your doctor's part.

[stevan]

A related discussion, have had almost every heart test was started.

[CCF CARDIO MD - DLB]

The echo is more definitive than an EKG; if it is normal, you did not have a major heart attack. THus, your EKG contains no significant abnormality. PACs are just extra heart beats and sinus arrhythmia is a common finding in young people.

[Christine]

Thanks! Just a question, what can cause abnormals EKGS like the ones listed earlier.  And Since the stress and echo are okay, did I really have a heart attack?  Okay that"s two questions....Thanks