Anxiety strain on the right side of the heart

The doctor today at the ER said it is not a sign of a heart problem it is possibly lung breathing related he referred me to a pulmonologist today he didn't know I had been to a lung doctor last week and got a breathing test done the lung doctor wasn't overly concerned but he said nothing about strain on the right side of my heart the specialist didn't say that a ER doctor said that but I was having a panic attack at the time of my ekg so I don't know what to think I'm very worried I am going to die. I was Soo depressed today after going to the ER

Asthma doesn't cause you to feel short if breath every minute of every hour of the day though does it

I beg to differ I was 35  when I was diagnosed with angina, had my first hear attack at the age of 45, always  reasonably fit and always very active. I have known several people at the age of 23 drop dead of a cardiac arrest, fortunately they were able to be back but with consequences, they now need pacemakers. Yes you are correct about heart problems being hereditary but most cases it can jump a generation or 2, not always but generally, I know a 2 brothers in a situation like that, from memory the first brother was only 40 and they found him dead on the couch early one morning, his brother concerned about his well being had himself checked out and was found to have the same hereditary condition as his brother, he was told he could prevent it from progressing any further if he made lifestyle changes, that he most certainly did, he dropped dead at the age of 42 from memory, he got 2 extra years more than his brother.

Well geez what a great message to wake up to my doctor yesterday said I showed no signs of a heart problem he said it was possibly lung related and that I needed to get a pulmonary function test done and if it was a normal pulmonary test it could mean it's nothing

Doctor said I do not have any signs of a blood clot

Ive had tons of ekg the past 5 years due to anxiety and panic and they have been good one time one showed a right blundle branch block and I went to my family got and got another ekg done and it didn't show she said it was a bad test so yes they do mess up

Depends on how old the emergency departments equipment is, ECG's do not lie, a bundle branch block will not always show up, same as a heart attack they don't always show up either, they are called NSTEMI's, I've had 2 NSTEMI's myself, with normal ECG, the heart attacks were picked up on the troponin blood test.

There's a difference between a doctor saying you don't have a blood clot and actually being tested for blood clots, were you actually tested for a blood clot ? This is a dangerous practice for a doctor to get into as pulmonary embolisms are life threatening, if the doctor even remotely suspects a PE then tests should be performed.

They did a d dimer test for blood clots as well as looked at 100% oxygen levels and and chest and lung x-rays and they think very very highly it is not a blood clot they think that Soo much that they have no suspicion of a blood clot what so ever I even went to a lung specialist and he does not think I have blood clots either so there you go

Had a pulmonary function test done and a spirometry test done no suspicion of blood clots I have zero chest pains I have zero pain when breathing in I have no cough what so ever no swelling in the leg no fluid in the heart or lungs a completely normal d dimer test I've had a doctor completely rule out blood clots with no need to do a CT scan been to the ER many times and family doctors never one time was any if he doctors suspicious of blood clots I was the one who mentioned it out of fear AKA health anxiety if it's not a blood clot it's heart failure or heart disease or cancer or lime disease or parasites or this or that... That is how my mind works that is how I think

And u say a blundle branch block will not always show up well I've been to the ER 50 times in the past 2-3 years ecg done every time which equals 50 ecgs and right blundle branch block shows up twice while every other time I'm told perfectly young healthy heart you tell me

But thanks I'm now having severe anxiety thinking that I do infact have a blood clot and I am going to die even though my d dimer and everything else except a CT scan suggested otherwise I mean if a doctor suspected blood clots they would test for them I've seen tons of doctors never been mentioned but yeah I'm thinking the worst now awesome just awesome life

A right blundle branch block is not a nstemi

Pulse oximetry in hyperventilation syndrome shows oxygen saturation at or close to 100%. Chest x-ray is normal. ECG is done to detect cardiac ischemia, although hyperventilation syndrome itself can cause ST-segment depressions, T-wave inversions, and prolonged QT intervals. From a medical doctors website actual quotes

No kidding you obviously missed my point. Just because someone is hyperventilating does not mean they will have a SPoZ of 100%, I have yet to see any ischemic changes in an ECG with panic/anxiety, but then again I'm not a doctor, just a sufferer of panic/anxiety for 28 years, I am also a sufferer of heart disease and was diagnosed with a rare type of angina, so for me, if any, this is where my ECG changes come from, a very good doctor can tell by your vitals if you are in panic mode, there's lots of tell tale signs. 

You also mention bundle branch blocks again, I have had thousands probably more and bundle branch blocks do not always show up in mine, same with dynamic T wave changes and prolonged QTs, don't ask me why but they are never always there.

Then you go on about pulmonary embolisms, got some news for you there too, the only symptom I had was severe breathlessness and my angina pain, I did not have the typical PE pain, fluid and what ever other symptoms you reeled off in a previous post … so go figure !

I think you need to leave Dr Google along champ , these forums are filled with people with various conditions that do not meet text book symptom lists, hence why they are hear asking others of their experiences.

Sounds like u want me to believe something is wrong with me well I hate to tell u the bad news blood clots have been ruled out I've had many doctors including specialist rule that out they don't even think that's a possibility I've also been to a cardiologist and heart failure etc heart problems ruled out as well id rather listen to a doctor who studied for many many years to get a degree than your judgement so as far as heart disease and blood clots it's not that

I would think if I've been to a cardiologist and heart wasn't in trouble a,pulmonologist who wasn't overly concerned except for mild abnormalities aka asthma like readings ..been diagnosed with a anxiety disorder go to a therapist for my anxiety disorder ...went to my family doctor she looked at the hospital ekg that showed a blundle branch block then performed a ekg at her office that didn't show a blundle branch block a 20+ year professional in her work feild says it didn't show up on her test so it's not a concern of hers would be kindly credible i would think...and u say the only symptom u had was short of breath well u had a d dimer and it was off the charts abnormal compared to my normal d dimer I do not believe my situation is blood clot related and I think sometimes me talking about what I experience on here makes my situation worse.... These forums aren't doctors if a person diagnosed himself or herself based off the opinion of someone in a forum well I believe alot of people would be in trouble... But I don't wish Illness or a bad life on anybody so regardless of how u feel about my situation as far as your situation I wish you the best in your journey through life and most importantly God Bless CHAMP!!

https://www.coagulationconversation.com/medical/d-dimer-dos-and-donts-have-you-had-this-test/ God bless you man good luck

A D-Dimer test is a blood test that may be done when a doctor suspects a blood clot. The problem is that it doesn’t give a clear, yes or no, answer as to whether or not you have a clot. This makes it quite complicated to understand, and once you start adding the correct jargon like ‘specificity’ and sensitivity’ you end up with the kind of jumble that makes for excellent exam questions for medical students!

Understanding the results of a D-dimer test

Widnes Vikings v Wigan Warriors 11th March 2012. Lloyd White touches down for the fourth try for the Vikings.

I prefer to use a rugby analogy; I’ve chosen this not because of my rugby knowledge (those of you who know me are probably falling around laughing by now) but because we live in New Zealand, where rugby is a national obsession and because I’m trying to repair the damage Paul did by suggesting rugby may be a bad choice of sport if you’re taking anticoagulants!

Anyway, suppose you wanted to find out who was in a school’s first fifteen rugby team. You might go to a school assembly (all pupils are there, nobody sick) and ask “Who plays rugby for the school?” Those who say they don’t are definitely not in the first 15, but for those who said yes you don’t know if they are in the first fifteen, the second fifteen, the blue team, the yellow team or whatever (NZ schools have lots of sports teams!). You have reduced the number of possible players, but not precisely identified the first 15. You have used this question to exclude people who don’t play rugby for the school.

The d-dimer test is used in a similar way as an exclusion test. You do the test on somebody with a suspected blood clot, if the result is negative you know that that person doesn’t have a clot. But if a person has a positive test they may have a blood clot or there may be some other explanation for the positive result. The d-dimer test can be positive in infections, inflammation, after trauma and many other medical conditions.

It’s possible that some pupils decide to trick you and say they don’t play rugby for the school when actually they’re in the first fifteen: in the same way, rarely, a negative D-dimer test can occur even though someone has a clot. This is called a false negative.

Why would a doctor do a D-Dimer test?

Doctors listen to a patients’ stories, examine them and possibly complete a scoring system such as the WELLS score. This gives them a good idea of the likelihood of a blood clot.

If it seems very likely that someone has a blood clot, then doctors should proceeded immediately to tests that can give a definite diagnosis, like CTPA of the lungs looking for PE or an ultrasound scan of the leg looking for a DVT. A D-dimer test doesn’t need to be done as a negative result would be ignored anyway in case it was a false negative.

A D-dimer test is of most use when a doctor is pretty sure the person doesn’t have a clot but just wants an extra safeguard. It’s a much cheaper and easier procedure than a CTPA or leg ultrasound. If the result is negative, the patient is spared further tests. If it’s positive the doctor can investigate further.

Any real-life stories?

Paul’s pulmonary embolism was diagnosed because a cautious GP decided not to trust Paul’s word as a hematologist that the pain he was getting was not likely to be a PE. Paul had his D-dimer blood test done and returned to work in the hospital. He was sitting at his microscope when the phone call came, telling him the test result was very high and he should get himself downstairs to the emergency department for a CTPA!

More information please

If you’d like more intense information in the form of a quiz, try this post from ‘Life in the Fast Lane” a blog aimed at emergency department doctors.

Did you have a D-Dimer test as part of your investigations? Did it help with the diagnosis?

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I'm NOT telling you have a PE, I merely suggested it as it is often overlooked and if you care to look around on these forums everyone's symptoms are very different in some cases to text book PE symptoms, or the way they present.

Case in point, emergency department showed a bundle branch block, your GP's ECG didn't. so therefore as I said they do not always show up, you say they do ? that's how you wrote your post. 

So you have never seen a false negative D-dimer ?  where the person has actually got a blood clot somewhere in their lung(s), heart or brain. Yes you are right, they aren't a precise blood test, hence why a Contrast CT Scan should be performed to be 100%

Just because my D-dimer was off the charts and because of the inaccuracy of this test, it could of been a false positive ? but the emergency doctor didn't want to take any chances so ordered the other test, the contrast scan to see for sure. the doctor said to me, just because it's off the charts (D-dimer) he still wasn't convinced it was a pulmonary embolism as my symptoms didn't match, they matched my normal angina attacks. there are many others in the same boat, doctors refusing to entertain the idea that perhaps one does have an embolis , all because the symptoms do not match the text book symptoms.

Yeah I don't have that... Multiple not 1 not 2 not 3 but multiple doctors have ruled that out sorry man but I here you DOC I'll keep that in mind maybe get a CT scan god bless

Oh and by the way it is extremely rare for a d diner test to throw a false negau very rare

Man I say they alway show up when did I say that I actually said I've had tons of ekg and it only showed up twice I never said that they always show up your logic seems to be off but none the less you are entitled to your own opinion as confusing as it is... u seen to be putting words in my mouth and ignoring the facts I'm spewing out fact #1 a d-dimer false negative is extremely rare #2 a d-dimer false positive is wayyyy more common than a false negative #fact3 I'm 26 my risk of blood clots are low #4 these doctors are trained educated medical professionals #5 you are not #6 I never said blundle branch blocks always show up in fact I said the opposite #7 my d-dimer was negative hence no concern of a clot due to the very very low prevalence of a false negative #8 your d-dimer was off the charts which warranted further testing due to the severity and high prevalence of a false positive #9 I have no chest pain what's so ever #10 u suffered from increased chest pain due to the clot.m I can continue stating facts but I'm not gonna entertain any longer I appreciate the opinion doctor it really means alot.. I wish you the best on your wonderful journey throughout life as well as your health battles now or in the future I hope you make it to 200 because I don't wish Illness on anyone GOD bless you have a WONDERFUL day

No it's not

You have been seriously misguided, I think you need to sit down and have an extremely in depth conversation with your GP or specialists to get a grasp on your situation, hope they find out what's wrong with you sooner rather than later.