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Autonomic nerve caused heart-attack like symptoms?
jvail2011 posted:
2 months ago I thought I had a heart attack. I had an appointment with a cardiologist this past Tuesday (April 8, 2014). An EKG and an electrocardiogram came back normal. The cardiologist said it was probably caused by the autonomic nerve caving under stress. Another doctor has said that it could have been caused by pulmonary embolism or aortic dissection. How possible is this with a normal EKG and electrocardiogram? I am making an appointment with a neurologist today.
cardiostarusa1 responded:

"An EKG and an electrocardiogram came back normal."

That's the same thing.

"Another doctor has said that it could have been caused by pulmonary embolism or aortic dissection."

If so, either of those are a quite serious matter/condition.

"How possible is this with a normal EKG and electrocardiogram?"

Anything medical is seemingly possible today.

Noteworthy, a routine resting electrocardiogram (ECG/EKG) is an "inexact science", a relatively low-sensitivity 2D recording of a dynamic 3D process, offering limited diagnostics, and sometimes yields inconclusive or erroneous results.



It is important to remember that EKGs are not 100% accurate. Normal recordings can be obtained in patients with significant heart disease , or some "abnormalities" may exist in the presence of a normal heart.

Best of luck down the road of life.

Take care,


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jvail2011 responded:
Oops . Sorry I had an echo ultrasound done as well as the EKG,
cardiostarusa1 replied to jvail2011's response:
I figured you had meant an echocardiogram.

Echocardiography is very versatile in confirming or ruling out various structural (such as valves, chambers) problems/abnormalities.

Also, as appicable to the individual, sometimes, a stress echocardiogram is necessary to reveal problems that are "hidden" at rest.

Take good care,


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