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EKG done after fainting episode. Found normal sinus rhythm, nonspecific st abnormality. Advice?

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Yes. I have an ekg from an ED after a near fainting (hypotension) episode.
I'm showing
normal sinus rhythm
nonspecific st abnormality
abnormal ecg
vent rate 69 bpm
pr interval 162 ms
qrs duration 104 ms
qt/qtc 434/465 ms
prt axes 57 85 43

Posted Sun, 31 Mar 2013 in Hypertension and Heart Disease
Answered by Dr. Anantharamakrishnan 30 minutes later
Hi friend,
Welcome to Health Care Magic

ST-T abnormality may have several causes – like electrolyte disturbances, long-standing hypertension, ventricular enlargement, ischemic heart disease, cardiomyopathy and so on.
It is specific for ischemia – if it is downsloping / 1 mm or more in depression / 80 millisecond after J point and so on.
A nonspecific abnormality may not be significant and has to be correlated with rest of the clinical picture.
The EKG is otherwise normal.

HOLTER (24 to 48 hour ambulatory monitoring) / ECHOcardiogram / TMT (Treadmill exercise ECG) / LABORATORY work-up – may all be necessary for further assessment and assistance.

The treating doctor may suggest them depending on need, based on his assessment of the situation.

If there are no clues, you may have to be seen up by a neurologist – to investigate the near-syncope. MRI / MRA (MRI angiography) may be necessary

Take care
Wishing speedy recovery
God bless
Good luck
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