I am a Male age 42, with type 2 diabetes currently on insulin treatment(Humulin U500) In 2008 I was diagnosed with Cor Pulmonale after an extended period of untreated sleep apnea. Since then I have been experiencing the following symptoms:
Intermittent chest pain
Dyspnea (on even light exertion and lying down)
Nagging cough, Sore, raw feeling lungs, pain on taking a full deep breath
Edema in the feet, legs, hands, arms, torso
Skeletal muscle pains after a short time of use, i.e. walking/standing/reaching up for something/holding a tablet/book etc
Generalized Cramps in skeletal muscles
Recently, I switched healthcare providers and had an ECG done(picture attached). My doctor at the time said it was fine but later I was sent to a cardiologist who ordered a Dobutamine stress test, and he said everything looked ok, and he didn't *think* I had Cor Pulmonale, but he didn't seem 100% sure. He said he could go ahead and order more invasive tests like a Cardiac catheterization, but he didn't think it was worth it.
What bothers me is this ECG which was taken a couple of months before the stress test. My PCP says it doesn't look quite right to her.
Also, My CK-MB showed:
Total CK 154
CK-MB 9.9 ng/mL
Relative Index 6%
I understand the CK-MB can be elevated from normal muscle damage, but my Troponin level was never checked to rule that out.
So I guess I'm asking, how abnormal does this ECG seem?