Helped Over 500,000 patients with 98%+ satisfaction.

Connect & Get Personalized 1-to-1 Answers from Expert Doctors

DoctorSpring > Question Home

Chest pain with ATRIAL FIBRILLATION after ablations in heart.

Resolved Question:

Hi Doctor, I am a 35 year old male with a history of Atrial fibrillation. I have done 2 ablations and since have had runs of AF no longer than 20 seconds.

I frequently get chest pains. I have had a stress test, stress echo, CT Angiogram and Calcium Score done and all were fine (I had a calcium score of 0). I also did a test to check for inflamed arteries and that was negative. I do not have cholesterol or high blood pressure.

I recently went and did an ECG (please find attached) as I had chest pains. The doctor who first reviewed it said I may be in AF, than said it isnt AF but the reading in line II is a but funny as it a bit "bumpy" and maybe an issue in my atrium. He than said it seemed within normal limits but didnt seem quite sure.

I took it to another doctor who said it was normal, and all is ok. But I just wanted another opinion. Can you please review and advise if all is ok? I had to scan it over 2 pages.

Thank you.

Category: Cardiologist

Ask Your Own Question

Category: Internal Medicine Specialist
 30 Doctors Online

Hello,
Thank you for your query at DoctorSpring.com
I have gone through your case history and the EKG and it doesn't seem to be related and also your stress test were all normal.
To give a brief information about the characteristic features of angina

  • Chest pain or discomfort
  • Pain in your arms, neck, jaw, shoulder or back accompanying chest pain
  • Nausea
  • Fatigue
  • Shortness of breath
  • Sweating
  • Dizziness
The chest pain and discomfort common with angina may be described as pressure, squeezing, fullness or pain in the center of your chest. Some people with angina symptoms describe angina as feeling like a vise is squeezing their chest or feeling like a heavy weight has been placed on their chest. For others, it may feel like indigestion.
The severity, duration and type of angina can vary. It's important to recognize if you have new or changing chest discomfort. New or different symptoms may signal a more dangerous form of angina (unstable angina) or a heart attack.
ECG is normal and in case A Fib it should be seen in all leads rather then one lead.
Occasional chest pain may be muscular or due to Acid Peptic Disease which can be aggravated by Anti -Platelets which are given as a prophylaxis in A Fib to prevent Embolic episodes .
Regards
Dr Satish


Patient replied :

Thank you Doctor. I also had Atrial Flutter ablated on my second ablation. If it is atrial flutter would it also show on more than one lead? Or more than just lead II? is there any indication it could be atrial flutter by looking at my ecg? I understand you look at lead II and aVF?


Dear Doctor, By looking at your EKG there is no evidence of Atrial flutter. It's in Sinus Rhythm that is a normal EKG.
Sometimes you have palpitations and you doubt about it , you can do Holter Monitoring so that chances of finding abnormal rhythm is more.

Regards
Dr Satish


Patient replied :

By looking at your EKG there is no evidence of Atrial flutter. It's in Sinus Rhythm that is a normal EKG.
Sometimes you have palpitations and you doubt about it , you can do Holter Monitoring so that chances of finding abnormal rhythm is more.

Regards
Dr Satish


Any patients who have A Fib are at risk of embolism which may be transient because most of the time you may not be feeling the palpitations especially when a patient is on beta blockers when the rate may be controlled, so it's beneficial to be on anti platelets when you don't have any other risk factors
, but when patients are having multiple risk factors the patient should be on anti coagulants.

Regards
Dr Satish


Dr. E. Satish Kumar
Category: Internal Medicine Specialist
Experience: 
Fellowship, Cardiology - Tamil Nadu Doctor M.G.R. Medical University - DNB, Cardiology, 2002 – 2005Training in Germany in Complicated AngioplastiesMedical School - Maharaja Krushna Chandra Gajapati Medical college, MBBBS MD, Int Medicine, 1989 – 1999.
Trained in Rota Abalation for treating Calcific coronary artery disease in Japan
Dr. E. Satish Kumar and 4 other Medical Specialists are ready to help you

Users who read this, also read:

Make informed and better medical decisions.

Join the 500,000 people who found a smarter, quicker way to get Answers, Recommendations & Expert Opinions.

Expert Doctors at fingertips

Recommendation on next step. Second-opinion.Multi-specialty.

Save Time

Average time for answers: 6 hours.

Save Money

$35 for typical specialist consult vs. $120 for a local appointment.

Free Follow-ups

Clarify, ask further questions for free in private conversation.

100% Satisfaction

Money back guarantee for the 1st reply. MEDNET Quality Board.

Start My Consultation

CHAT NOW

About DoctorSpring.com

Doctor Spring is a novel online Doctor consultation platform where you can get your medical questions answered by leading Doctors. Just Submit your question and rest assured that you will consult a Doctor easily. Once you submit the question, the Doctor from the concerned specialty will reply within hours. You can always ask more questions or add details with follow-up question options and make it an online doctor chat. You may use this service to consult a specialty or for getting medical second opinion. All paid services come with a MEDNET quality assurance and 100% money back guarantee.

DoctorSpring in news