Patient's question:
I have recently been experiencing a feeling of stuffiness in my chest, with occasional pain that seems to move around. It's the kind of pain that feels piercing and unbearable. The local hospital conducted a thorough examination and said it was a myocardial infarction, with the report indicating abnormal ST segment. Hello, is an abnormal ST segment indicative of myocardial ischemia?Doctor's answer:
A feeling of chest tightness accompanied by ST segment abnormalities should first be considered as a change due to myocardial ischemia. However, this condition cannot be directly diagnosed as a myocardial infarction. It is generally recommended to perform a thorough myocardial enzyme test and a coronary CT scan. If the myocardial enzyme test shows no significant myocardial damage and the coronary CT scan indicates mild to moderate coronary stenosis, it is generally considered to be angina pectoris due to coronary heart disease, and stable myocardial blood supply treatment can be administered.