You can indeed have a “heart attack” (used to mean an interruption in blood flow) without an actual blockage, due to coronary artery spasm, and can even result in damage if it lasts long enough; otherwise, it can result in temporary ECG changes.
Status update: Yeah, I’m gonna die.
But then, we all are. In my case, it’ll have nothing to do with any EKGs done 6+ years ago. I saw the doc today for a routine followup for something else, showed him the EKG in question. He said something about spotting one Q-wave on one lead (III, I think - which is NOT one of the ones the report cited). He used the phrase “this is essentially a normal EKG”. And I believe he said “bullshit” about the comments on the report (or maybe it was about insurance reviewers in general).
So the bottom line is, I didn’t die 6 years ago ;). He’ll redo the EKG in a few months when I go in for a full physical, but saw absolutely nothing alarming on the old ones.
So now, I wonder: do I try to have that note expunged from my MIB record? It’ll age off in about 18 months anyway, I think.