Brief Answer:
Lets work for together for a better tomorrow

Detailed Answer:
Hello ma'am and welcome.

Thank you for writing to us.

I have gone through your query with diligence and would like you to know that I am here to help. After reading your EKG report, I should report on the main point mentioned in the report around which all the other observations lie. This observation is 'septal infarct' .

I am very sorry to inform you about the same, but I shall try my best to explain everything in a manner best understood by you ma'am. The septum is a muscular wall that separates the heart chambers; and an infarct is dead or dying tissue which has almost directly resulted from poor oxygen and blood supply to the region. In short, a septal infarct indicates dead or dying tissue in the septal region (i.e. muscular wall of the heart that separates the hearts chambers) which has unfortunately resulted due to a heart attack.

A hear attack can again be caused due to various issues and in your case I suspect any one of the following:

-Poorly controlled blood pressure
-Extreme stress faced over a long period of time
-Poor diet and health due resulting in a poorly controlled lipid profile

I would recommend checking your:
-Blood coagulation profile
-2D echo of your heart to better visualise the interior of your heart
-Lipid profile
-Blood glucose

I would also suggest initiation of the following:

+Blood thinners (eg. aspirin 75 mg)
+Statins (to help control cholesterol levels)
+Anti-hypertensive medication (if blood pressure is found to be poorly controlled)
+Diabetic medication (if required)
+TLC diet
+Reduce levels of stress

Please discuss the same with your doctor ma'am, and please do not hesitate to write back to me for any further clarifications, I would be more than happy to help you.
Please do not take the above report as a setback, but only as a warning to change your lifestyle and live a more healthy and safe life for your family and yourself.

Best wishes XXXXXXX

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Brief Answer:
Two possible scenarios ma'am

Detailed Answer:
Hello once again ma'am.

It has occurred in my practise that a patient with a well diagnosed heart condition has returned a normal EKG, but when I was reported with such an EKG I ordered a repeat EKG to be conducted by an experienced nurse to see if it would be different and in 99% of cases, it has reported a different and more accurate EKG. For this reason, a doctor who knows the patients history should always be involved. With the many patients I have treated through my online consultations, I really feel the medical system in your country is flawed. Patients who cannot afford medical insurance usually face serious symptoms at home and some suffer serious consequences as well, and some who need consultation with a specialist have to wait for weeks on, and in the meantime get from bad to worse.

As is in your case, the doctor did not feel the need to check your previous medical records or history, and ruled your EKG to be normal without a repeat EKG.

There are two possible scenarios here ma'am:

1. The EKG conducted was inaccurate and reported a wrong result when in reality there could have been a cardiac event

2. The EKG could have been accurate as you are on medication to prevent further damage of the heart tissue by improving blood circulation, and this may have caused a recovery of your heart tissue, thus not leaving any abnormalities detectable through an EKG. And the cause for your presentation was actually anxiety.

As you understand ma'am, I cannot really comment on the more probable cause without being there myself and conducting an EKG or 2D echocardiography myself. I hope you find my response both helpful and informative. Please feel free to write back to me for any further clarifications, I would be more than happy to help.

Best wishes.

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