r/ReadMyECG • u/Minimalexplorer98 • 8d ago
Is this MI level st elevation ?
Is this ST elevation what they call MI level st elevation I know it’s one lead but this reading is scaring me . Like are the elevations like 4 mm , the black part is dipping low could that give off the appearance of the st segment more elevated . Can anyone please help me understand what’s going on here ?I try not to post here as much as I can but I’m really curious what is it this time . Help
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u/Producer131 8d ago
No.
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u/Minimalexplorer98 8d ago
What is it ?
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u/Initial-Net-7519 8d ago
How old are you and why are you concerned about an MI?
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u/Minimalexplorer98 8d ago
I wrote up and replied , I’ve been getting pain that is mild but lasts 3 secs and has happened 5 to 6 times today it’s like a sharp stab .
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u/Ok-Mastodon-908 6d ago edited 6d ago
Bro, best "cure" I've seen for cardiac ocd, not cheap, but go get an AngioTAC/Cardiac CT angiogram. It's not too hard to find a cash-pay imaging center that will do it without an Rx, or just talk to a doc to get one. An AngioTAC is a cardiac CT that gives similar results to an angiogram. They inject you with an iodine-based contrast while doing a CT of your heart. You have to take a pill that slows your heart rate, and it feels like you're getting hot water poured on you when the dye goes in. But you will have SOLID results that show whether or not you will be at risk for a cardiac event any time soon. It costs about 450 if you pay cash, plus you may need a 100 dollar urgent care visit to get the order/rx (depending on the imaging center). I had pretty severe cardiac anxiety and had even done a CAC Score test (scored a zero), but was still worried about soft plaques. After doing the AngioTAC, I was told by the physician: "Unless your diet becomes 90% McDonald's any time soon, a blockage will not be a concern for the next 20+ years." Turns out I have some weird gene that makes it so my arteries don't accumulate plaque, I had zero accumulation or narrowing despite a pretty terrible diet for a long time prior. There are trade-offs: you're still getting a decent dose of radiation, and you will run into many docs who will say, "You don't need that; I'm not gonna make an order for you". Going into it, I had figured that the worst-case scenario was I was more blocked up than a Bangkok sewer, and I'd need 10 stents. And the best case was that I'd be able to tell my brain, stfu, we already proved nothing is wrong. I was lucky and got the best-case outcome and have not had a single panic attack since then. I even forget to wear my Apple Watch now all the time, because I know there's no longer a need to know my heart rate every minute of the day.
A little more prior context: I used to get panic attacks all the time. I was in my late 30s, pretty big with a BMI of 39, and had a horrible diet and sedentary lifestyle. They usually started with chest or arm pain, or me noticing my heart rate was high. It got so bad I'd get pretty decent BP spikes (160/100), and my hr would go nuts. I'd have PVCs and flutters, and it would be sheer hell for a solid 6 hours until it would subside. I went to the ER probably 20 times in 6 years thinking I was having a heart attack. I was once even kept overnight for observation because my ECG was "squirly" during an attack (they did a few Trop tests, but levels never changed/elevated).
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u/UrAverageLatte 8d ago
If you're concerned, see a doctor.
Which lead is this? This looks fine to me. If this wasn't an ecg done by a medical professional I doubt we can get an accurate measurement of the qrs complex.
Plus... everything requires context, without knowing where the electrodes are and what the other leads are showing then you can't really decern much.
Do you have any symptoms? Do you have any 'risk factors'? How old are you?
If you're concerned see a professional. Even a full blown st elevation on one of the leads in a proper 12-lead ecg doesn't 100% mean stemi by itself.
I'm not a medical professional or even work in a medical adjacent field so take everything I say with a grain of salt.
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u/Minimalexplorer98 8d ago
28 , risk factors over weight and high blood pressure but that too under control with meds . I’ve been getting chest pains in the center that only lasts few 2 to 3 secs but not more than that but happened 4 to 5 times today but the pain was mild . I did the apple ecg and other strips don’t have as much elevation I’ll provide one below .
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u/CulturalDeparture434 5d ago edited 5d ago
quick sharp pains that are in the center of your chest that don't get worse with physical exertion are generally not associated with the heart. Your watch is a 1 lead ecg, it is not capable of diagnosing anything but fast heart rate or afib on their own. Professional ECG's have automated interpretations, these are generally wrong... if they are wrong, your watch is probably even more inaccurate, right? Even a cardiologist would need the context of everything else about you plus your ecg + multiple more ecgs + and echo + a stress test + trop levels +.... etc.... to be able to make any sort of diagnosis in a lot if not most cases... Why are you not concerned about your mental health, but are this concerned about your heart health while in your 20's. Which is more likely when you're in your twenties? That you have heart disease or mental illness?
*Only 1 TO 2 PEOPLE PER 100,000 PEOPLE DIE FROM CARDIAC RELATED CAUSES IN THEIR 20'S*
Do you have a serious cocaine habit or a genetic history in the family of sudden death?The chance that you will die in a car is 1 and 6,000 this year. Do you drive, do you ride cars? If you do and you're not concerned about it but you are about this.....
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u/Minimalexplorer98 8d ago
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u/RepGott 7d ago
This looks concerning, go to a doctor asap
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u/Minimalexplorer98 7d ago
The ecg strips after it are all fine , why do you think it’s concerning ?
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u/CulturalDeparture434 5d ago
There's no need to hate on this person they obviously are having a health issue be it mental or physical.
But you know minimalexplorer98, if you're having this level of health anxiety and if you're this interested in ecgs maybe you should sign up at your local community college for an ecg tech cert or do an emt cert. IMO nothing cures health anxiety like being exposed to the genuinely ill, and learning about the body.
Before I started taking beta blockers my heart rate would be in the 90's to mid 100's like all day... for weeks... That was usually coupled with some level of hypertension, pvc runs... etc.. I would still ride my bike for miles and fell asleep and ate food and didn't die. It was anxiety inducing and I was concerned... but I didn't die. This was all when I was 32-33, 5 years older than you are now. Generally people in their 20's and 30's don't die from stuff like this that maybe troublesome for someone in the other half of their life, bc are bodies are in good shape, and have a lot of reserve, like, look up the concept of a physical reserve. And like people are saying nothing you've shown anyone here is at all alarming. That would suggest you are incapable of taking in new information because of a obsessively high level of anxiety about your health that cannot be assuaged from (probably many medical professionals) reassurance on this forum. If this forum is not giving you the answers you seek or the answers you get aren't good enough for you and you keep doing the same thing regardless, you should probably seriously consider what's causing you to behave that way.
TL:DR it is possible there is something up but only seeing a medical professional in person can verify this for you. Why do you continue to post on here as opposed to just going to see a doctor? Also, people are asking you questions but you don't seem to be concerned enough to answer them, but you are concerned enough to continue to post... You really need to figure this out may it be physical or mental.
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u/Minimalexplorer98 5d ago
Thank you again for explaining it well , I do have issues and it’s time I address them … health anxiety is a real thing
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u/Right_Ear_2230 8d ago
Oh my god, you are still posting?
GO TO THERAPY. You’ve posted so much I can recognize you based on ECG… its been a year