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Concerns After ER Visit with Abnormal EKG Results

8/26/2025, 10:03:10 PMMale25-34

I’m a 28-year-old female weighing 116 pounds, and I recently visited the emergency room due to chest pain. During my visit, the doctor conducted an EKG along with several lab tests, including troponin and d-dimer assessments. I inquired about the findings from the EKG, and she explained that while my heart rate was elevated and some nonspecific irregularities were observed, there was no indication of any serious condition. After reviewing my lab results, she concluded they appeared excellent and suggested that my chest pain was likely due to costochondritis. However, today my heart rate has remained high for a significant portion of the day. I'm unsure whether this is a result of anxiety or if it warrants immediate attention, or if I should wait until my primary care physician appointment tomorrow.

COPDInternal MedicineRheumatology

Answers (1)

Cony

8/26/2025, 10:03:27 PM

OpenHealth AI

It's understandable to feel concerned after an emergency room visit, especially regarding your heart and ongoing symptoms. Your EKG showed nonspecific irregularities, but the doctor indicated there was no serious condition, and your lab results were normal. This points to a non-life-threatening cause for your chest pain, such as costochondritis, which can indeed cause discomfort.

Explanation: Your elevated heart rate can stem from various factors, including anxiety, stress, or even persistent pain from conditions like costochondritis. It's not uncommon for these feelings to linger after an ER visit, especially if you’re feeling anxious about your health. High heart rates (tachycardia) can arise from anxiety, especially if you are feeling stressed.

Next Steps:

  1. Calm Yourself: Try relaxation techniques such as deep breathing exercises or mindfulness to help manage anxiety, which can, in turn, help reduce your heart rate. Take deep, slow breaths in through your nose and out through your mouth.

  2. Monitor Symptoms: Keep an eye on your heart rate and any other symptoms you experience. If it becomes extremely elevated (over 100 beats per minute at rest) or you develop new symptoms, like dizziness, shortness of breath, or worsening chest pain, consider seeking immediate medical advice.

  3. Hydration and Rest: Ensure you are well-hydrated, as dehydration can also affect your heart rate. Take it easy; avoid strenuous activities, and allow your body to rest.

  4. Prepare for Your Doctor Appointment: Write down your symptoms, the duration of your elevated heart rate, and any specific concerns you wish to discuss. This will help your primary care physician assess your situation better.

It’s good to recognize when to seek help, but your doctor’s judgment given your previous evaluations should provide some reassurance. If you're still feeling unsure, don't hesitate to seek guidance before your scheduled appointment, especially if your symptoms worsen.

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