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Is my EKG report normal? - Online Doctor Chats

Date : 27-Feb-2014
User rating for this question
Very Good Posted in: X-ray, Lab tests and Scans
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
User:MY EKG CMA BACK SAYING NORMAL SINUS RHYTHM, NON SPECIFIC T WAVE ABNORMALITY, ABNORMAL ECG. THIS WAS MAY OF 2004. IN 2012, I HAD THE SAME RESULTS ON AN EKG AND IT WAS LEARNED THAT I HAVE CHF WITH DILATED CARDIOMYOPATHY, ALONG WITH MANY OTHER HEALTH ILLNESSES. I WANT TO KNOW IF SINUS RHYTHM, NON SPECIFIC T WAVE ABNORMALITY, ABNORMAL ECG IS SAYING THE SAME THING THAT WAS DISCOVERED IN 2012
Doctor:Hi
User:HELLO
Doctor:Give me a minute to read the post.
User:MY NAME IS XXXXXXX HAVE YOU RECEIVED THE EKG I SENT?
Doctor:I have impression that you typed here but not the EKG
Doctor:Based on the result, my impression is that both these could be the same finding.
User:I UPLOADED IT
Doctor:Do you mean you posted a question on Ask A Doctor with EKG uploaded?
User:YES SIR
User:I AM TRYING TO COPY AND PASTE IT INTO OUR CORRESPONDENCE AS WELL AND THE SITE IS NOT ALLOWING ME TO
User:DO YOU HAVE AN EMAIL ADDRESS I CAN FORWARD IT TO?
Doctor:Please send it as an email to YYYY@YYYY
Doctor:Please send scanned copies of both EKG
User:OK GIVE ME A SEC
Doctor:Let me know if you are unable to forward the mail within the stipulated time frame; I shall try an extend the chat duration.
User:I JUST SENT IT FROM MY DROP BOX ACCOUNT. I AM INQUIRING IF THE RESULTS FROM THIS EKG READING ARE RELATED TO HEART ATTACK, ISCHEMIA, OR ANYTHING THAT SAYS THIS PARTICULAR EKG IS RELATED TO HEART DAMAGE
Doctor:Give me few minutes while I look at it; Do not worry if the chat time ends. I shall get you another chat appointment sent to your email id.
User:I FEEL THIS PARTICULAR EKG MIGHT RELATE TO A LOT OF THE HEALTH ISSUES I AM CURRENTLY SUFFERING FROM. I DO NOT HAVE A COPY OF THE NEWER EKG , BUT I DO HAVE THE RESULTS, WHICH I CAN POST SHOURTLY
Doctor:Sure/
User:OK THANK YOU, I APPRECIATE IT.
Doctor:Thanks for patience.
Doctor:I received the file you sent.
Doctor:The EKG that you sent here looks unremarkable.
User:This is the most recent findings;
User:RADIOLOGY REPORT Report: ADENOSINE/REST - STRESS WITH GATED SPECT There is no prior MPI scan on CPRS for comparison. Medication reconciliation was done at the time of consult approval. Rest Myoview scintigraphy: The heart was imaged tomographically following the intravenous injection of 10.9 mCi technetium 99m Myoview at rest. Adenosine Myoview scintigraphy: 0.14 mg /KG per minute of Adenosine 71.5 mg was infused intravenously over four minutes under the supervision of cardiology NP. Heart rate and blood pressure were recorded during the infusion, and throughout the recovery phase. Details of patient's tolerance to stress and electrocardiographic findings will follow in a report from cardiology. Adenosine Myoview scintigraphy: 36.8 Millicuries technetium 99m Myoview was injected intravenously and the heart was imaged tomographically. Images were reformatted into short axis, horizontal and vertical long axis views.Polar maps are reviewed. The image quality is technically good. The left ventricle shows severe dilatation in size at stress and rest. The stress SPECT images show a slight decrease in the perfusion in the anteroapical and anteroseptal wall. The resting images as compared with post stress images show minimal reversibility. Gated images demonstrate normal myocardial thickening and moderate to severe global hypokinesis. The calculated left ventricular ejection fraction is 29 % at post stress and 24% at rest. EDV is 339ml, ESV 241ml. Impression: 1.A small, mild anteroapical/anteroseptal subendocardial infarct with peri-infarct ischemia. 2.Significantly reduced Left ventricle ejection fraction 29 % at post stress and 24% at rest. 3.Severe left ventricular dilatation with global hypokinesis. 4. By preliminary report the stress EKG is negative for ischemia. Please see the stress test results reported separately by cardiology. ______________________________________
Doctor:It doesn't have any evidence of ischemia, heart attack or dilated cardiomyopathy.
User:what does the reading non specific t sinus rhythm and abnormal ecg refer to?
Doctor:I guess this was a computer generated impression.
Doctor:EKG machine records unclear T wave as nonspecific.
User:yes, its in my records.
Doctor:It is left to the cardiologist to interpret those waves and understand its significance.
Doctor:As I see on the EKG, I did not find any significant T wave abnormality
Doctor:Neither was I able to visualise other wave abnormality.
User:yes that particular ekg reading I emailed you is from 2004. no further testing was performed from that reading. this is why I am seeking alternate opinion
Doctor:My inference is that this EKG is unremarkable.
User:ok
User:so those readings are normal?
Doctor:However the stress test finding detected abnormalities with ejection fraction.
Doctor:I believe the doctors diagnosed you with CHF and dilated cardiomyopathy based on those features.
Doctor:EKG wasn't significant though.
User:right, i understand. What I am trying to find out is if the EKG I sent you has any correlation to the radiology report I posted here
Doctor:Let me clarify, i don't think the radiology report you sent me later
Doctor:was based on this EKG.
User:that is correct
Doctor:You there?
User:the radiology report is from 2012, the ekg from 2004. I am asking if there is anything on the ekg that can relate to anything
User:i am currently diagnosed with
Doctor:Let me clarify again to you.
User:I am just wondering if there is any negligence from no further examination due to the abnormalities specified on the particular ekg reading
Doctor:The EKG report that you sent here was unremarkable.
Doctor:The SPECT scan you have had also has documented that EKG was unremarkable.
User:alright. I guess thats all I needed to hear
User:I appreciate your time
Doctor:Let me post that finding here: By preliminary report the stress EKG is negative for ischemia.
User:and patience
Doctor:It seems you have moved away from chat window.
Doctor:You can login again if you have any medical query.
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