Chest discomfort- ecg? Troponine?

Question

Asked for Male, 22 Years

Since start of week have chest discomfort radiating to left arm + back. First ekg on sat n next on Mon.. - both normal! Had echo n tmt 1 month ago- fine.. Pain decreased from Tues n fine for 2-3 days but today I.e Friday night again very bad- this time concentrated in jaw n throat - feels so tight n heavy. Cudnt sleep whole night After 4-5 hours it wud be morning! Just wanted to know whether an ecg wud be enough or do I need troponine also? Can ecg done after 8-9 hours of pain wud be enoug? Plz plz suggest me as ecg will cost only 200 n easy to get it done but troponine 1k so can't spent that much money n will have to go big hospital

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Dr. Ajeya N. Ukadgaonkar Cardiologist 8 yrs exp Aurangabad · Accepted Answer

Dr. Ajeya N. Ukadgaonkar

Cardiologist 8 yrs exp Aurangabad

Since your tmt is normal its not heart related. No need to do ecg and troponin. Consult a physician

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