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What Do Nonspecific ST-segment And T-wave Changes On A Resting EKG Indicate?

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Posted on Tue, 29 May 2018
Question: What does non specific st and t wave changes on resting EKG
mean? I had a stress echo and they said I had no abnormal st changes with exercise but didn't know what the nonspecific means. It was a cardiologist that wrote the report. And does the stress test only look at the left ventricle?
doctor
Answered by Dr. Bhanu Partap (1 hour later)
Brief Answer:
Please refer to the detailed answer below

Detailed Answer:
Hello Ma'am

I have gone through the medical details provided by you carefully and would like to tell you that non specific means it's not related to any clinical condition and is harmless.

Some female individuals do have these non specific ecg changes specially in the precordial leads. As you have a normal stress test so there is nothing to worry for as this rules out any underlying cardiac pathology.

I hope this information will relieve your worries .

Kind regards
Dr Bhanu partap
Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
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Follow up: Dr. Bhanu Partap (12 hours later)
What causes the changes then?
doctor
Answered by Dr. Bhanu Partap (5 minutes later)
Brief Answer:
Hello Again

Detailed Answer:
The common causes of such ST T changes includes

1. Hyperventilation

2. Anxiety

3. Drinking Hot and Cold Beverages

4. Positional changes

5. Low Potassium levels

I hope this information will answer your query.

Kind Regards
Dr Bhanu partap
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Bhanu Partap (1 hour later)
What if the patient had episodes of arm heaviness, pain or chest discomfort?
doctor
Answered by Dr. Bhanu Partap (13 minutes later)
Brief Answer:
Hello again

Detailed Answer:
If a patient comes with chest pain or arm discomfort along with these changes direct us further to do a stress test in the form of a TMT or stress echocardiogram to see whether these changes are specific to cardiac issues or not.

In your particular case as stress echo came out to be normal which rules out the possibility of having any cardiac issue.

But if you still wants a 100 % evidence of not having any sort of coronary artery disease then the only test for that is an Angiogram.

Hope to have been helpful.

Kind Regards
Dr Bhanu Partap
Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Prasad
doctor
Answered by
Dr.
Dr. Bhanu Partap

Cardiologist

Practicing since :2010

Answered : 4758 Questions

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What Do Nonspecific ST-segment And T-wave Changes On A Resting EKG Indicate?

Brief Answer: Please refer to the detailed answer below Detailed Answer: Hello Ma'am I have gone through the medical details provided by you carefully and would like to tell you that non specific means it's not related to any clinical condition and is harmless. Some female individuals do have these non specific ecg changes specially in the precordial leads. As you have a normal stress test so there is nothing to worry for as this rules out any underlying cardiac pathology. I hope this information will relieve your worries . Kind regards Dr Bhanu partap