Can you have a look at this EKG for me? I've been having a really tough time with chest discomfort that spreads to my left arm, back, and abdomen. Went to the ER and they did an EKG; the heart doctor said it was normal. They sent me home with meds for acidity and anxiety, but Im feeling even worse now, like it might be a heart attack. So I went to another hospital where they did another ECG, but no cardiologist checked it. Im having body shivers and tremors but no chills. My stomach's also upset, with loose motions a lot because of IBS and GERD, and I ate chocolates today which are the worst for GERD. Should I get a troponin test done? Its really expensivecan I skip it? Any advice would be helpful.

Based on your symptoms and medical history, it is important to rule out a heart attack as a cause of your chest discomfort. Given the persistent symptoms and the radiating pain to your left arm, back, and abdomen, along with the shivering and tremors, it would be advisable to go ahead with the Troponin test to assess for any cardiac damage. This test can help determine if there has been any injury to the heart muscles. It is a crucial test in cases of suspected heart attack. In the meantime, continue taking the acidity and anxiety medications prescribed to you. Additionally, avoid trigger foods like chocolates that can exacerbate your GERD symptoms. If the symptoms persist or worsen, seek medical attention promptly