Can a negative troponin result rule out heart issues?

Question

Hello doctor,

I am a 44-year-old woman. I experience random chest pain on either the left or right side, which is painful to the touch. There are times when it feels as if my chest is going to collapse, but this sensation lasts only a second or two, almost like a lightning bolt shocking me. At other times, it feels like something is pinching or pressing on the left or right side of my chest. I have been diagnosed with costochondritis and GERD, and have been prescribed anti-inflammatory medication as well as Omeprazole. I also have high blood pressure and high cholesterol, for which I take Losartan 25 mg, Hydrochlorothiazide 25 mg, and Fenofibrate 145 mg once daily.

I had an EKG done, which came back normal. However, two weeks ago, I went to the clinic due to pain in the middle of my chest that lasted less than a minute. I had another EKG, which came back abnormal. My blood pressure was elevated at 130/100 mmHg, and I was having an anxiety attack at the time. Although the EKG was abnormal, my blood tests were normal, and my Troponin levels were negative. I am really concerned. The doctor says I am fine but recommends seeing a cardiologist to rule out any heart issues. I am worried because several months ago, my EKG was normal, but now it is abnormal.

Please help.

Answer 1

Hello,

Welcome to icliniq.com.

I understand your concern.

Your troponin levels were normal, which is good because it means you did not have a heart attack. Regarding your ECG (electrocardiogram), I am not sure what the abnormality was. I would like to see your ECG results in order to guide you more accurately. One thing I must emphasize is the importance of losing weight, as obesity is a major factor in many unwanted diseases. It is particularly associated with the development of cardiac conditions. Losing weight will likely help alleviate many of your symptoms and concerns. As for your chest pain, it seems atypical and does not appear to be related to the heart. You can take painkillers when you experience the pain.

I hope this helps you.

Thank you.