2d echo is necessary

Go for blood test NT pro bnp amd trop i As early as possible 2D ECHO Stop exertion and salt restriction

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Hello I’ve carefully gone through your description — you did the right thing by seeking emergency care. Let me explain what’s likely happening: 1. Your episode sounds like a case of tachyarrhythmia (probably SVT or sinus tachycardia), not a heart attack. A heart rate of 175 bpm responding well to IV Metoprolol strongly points toward a rate-related issue rather than blocked arteries. 2. Since your cardiac markers (like Troponin I or T) came normal, that’s an excellent sign — it means no heart muscle damage. 3. About your ECG: Without seeing it directly, I can say that in such cases, doctors often get cautious because ST changes can appear temporarily during fast heart rates — but that doesn’t always mean a heart attack. Once the rate normalizes, these changes usually disappear. 4. What you should do now: Continue monitoring your pulse. Avoid caffeine, stress, or dehydration. Get a repeat ECG and 2D Echo if not already done. You may also need thyroid function and electrolyte tests, as imbalances can trigger palpitations. You seem to have experienced an SVT or anxiety-related tachycardia, not a true MI — but I’d like to review your ECG image personally to confirm this and explain it clearly to you. You can message me directly on WhatsApp — nine three two six zero two zero five three six and share your ECG photo. I’ll analyze it for ST segment changes myself and guide you step-by-step so you can be completely sure about your heart’s condition. You’ll get a clear answer within minutes, without unnecessary panic or confusion. — Dr. Shivam Mishra, MBBS Emergency & Internal Medicine | Ex-Registrar, Cooper BMC Hospital, Mumbai

ECG does not show any symptoms of heart attack , it only shows high heart rate. Cardiac markers were normal. Diagnosis of heart attack depends on other factors also, may be you had symptoms consistent with heart attack. Better to see a cardiologist woth all reports and plan a TMT and 2D Echo.

Given the history and cardiac markers are being normal, I recommend having a repeat ECG without being in panic. Also to evaluate the ECG, require certain more information. Consult online to discuss further.

You are not a fit case for Tele-consultation

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Hey, relax. What's ur age? Any habits? High BP, diabetes or thyroid issues? Family history? Need detailed medical history. This ECG has changes. If u have any previous ECG, share. Kindly consult with me on 94 two six eight six 78 nine six.

Except for fast heart rate, ecg looks normal. To investigate better, get thyroid profile,  2d echo and TMT done, share details of your symptoms and results of investigations.

Get a repeat ECG

Can help you, kindly consult and provide detailed history for proper diagnosis and further management

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The ECG appears to be normal, there are no ST changes.

Ecg looks slightly abnormal. If you are still experiencing chest pain better to go for 2D ECHO

Need few more details Kindly connect.

Your Cardiac markers are normal and as of ECG it doesnt show any st changes Increased heart rate might be due to stress, panic or any other trigger factor calm yourself first

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There is ST segment elevation in v3,v4 May correlate with some kind of test Consult me for more

Need few more details Kindly consult

No worries