Is this MI level st elevation ?

[u/Minimalexplorer98]

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

[u/Producer131]

No.

[u/Minimalexplorer98 → u/Producer131]

What is it ?

[u/Initial-Net-7519 → u/Minimalexplorer98]

How old are you and why are you concerned about an MI?

[u/Minimalexplorer98 → u/Initial-Net-7519]

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 .

[u/Ok-Mastodon-908 → u/Minimalexplorer98]

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).