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What Does My ECG Report Indicate?
Question: having palpitations can you please tell me about my ecg report.
Brief Answer:
Could you please upload your ECG report?
Detailed Answer:
Hello!
Thank you for asking on HCM!
I would be happy to review your ECG report! Can you please upload it as attached to this question?
Palpitations at your age could be related to different disorders:
- anemia
- electrolyte imbalance
- thyroid dysfunction
- anxiety.
Have you performed any blood lab tests to exclude the above possible causes (complete blood count, blood electrolytes, thyroid hormone levels)?
Let me know about everything!
Kind regards,
Dr. Iliri
Could you please upload your ECG report?
Detailed Answer:
Hello!
Thank you for asking on HCM!
I would be happy to review your ECG report! Can you please upload it as attached to this question?
Palpitations at your age could be related to different disorders:
- anemia
- electrolyte imbalance
- thyroid dysfunction
- anxiety.
Have you performed any blood lab tests to exclude the above possible causes (complete blood count, blood electrolytes, thyroid hormone levels)?
Let me know about everything!
Kind regards,
Dr. Iliri
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
this is my report
Brief Answer:
I would recommend as follows:
Detailed Answer:
Hello again!
After carefully reviewing your uploaded ECG, I would conclude that it shows some isolated ectopic heart beats (also called atrial extrasystoles).
They could be indicative of different disorders:
- anemia
- electrolyte imbalance
- thyroid dysfunction
- a heart disease (like cardiomyopathy), etc.
But, many times they are related to physical activity or anxiety and occur in every normal person.
Anyway, I would recommend performing further tests to investigate for the possible underlying cause:
- a cardiac ultrasound
- complete blood count for anemia
- blood electrolytes for possible imbalance
- thyroid hormone levels for possible dysfunction.
An ambulatory 24-48 hours ECG monitoring (Holter) would examine your heart rhythm trends during a prolonged period of time, compared to resting ECG and would give more information on a possible cardiac arrhythmia.
But, if all these tests result normal, you should consider anxiety as the main cause of these troubles.
You should discuss with your doctor on the above issues.
Hope to have been helpful!
Kind regards,
Dr. Iliri
I would recommend as follows:
Detailed Answer:
Hello again!
After carefully reviewing your uploaded ECG, I would conclude that it shows some isolated ectopic heart beats (also called atrial extrasystoles).
They could be indicative of different disorders:
- anemia
- electrolyte imbalance
- thyroid dysfunction
- a heart disease (like cardiomyopathy), etc.
But, many times they are related to physical activity or anxiety and occur in every normal person.
Anyway, I would recommend performing further tests to investigate for the possible underlying cause:
- a cardiac ultrasound
- complete blood count for anemia
- blood electrolytes for possible imbalance
- thyroid hormone levels for possible dysfunction.
An ambulatory 24-48 hours ECG monitoring (Holter) would examine your heart rhythm trends during a prolonged period of time, compared to resting ECG and would give more information on a possible cardiac arrhythmia.
But, if all these tests result normal, you should consider anxiety as the main cause of these troubles.
You should discuss with your doctor on the above issues.
Hope to have been helpful!
Kind regards,
Dr. Iliri
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
hi wore a 48 hour heart monitor before and had a echo 2 years ago.
Brief Answer:
My opinion as follows:
Detailed Answer:
Hello again!
Why did you perform those tests two years ago?
Did you have the same troubles as now?
If you had the same troubles and your echo and heart monitor showed nothing abnormal, they will probably result the same even this time.
I would just recommend checking the above mentioned blood lab tests (complete blood count, thyroid hormone levels, blood electrolytes).
If these tests result normal, then you should consider anxiety as an important factor on your troubles.
I would also recommend avoiding caffeine and alcohol intake.
Hope you will find this answer helpful!
Wishing good health,
Dr. Iliri
My opinion as follows:
Detailed Answer:
Hello again!
Why did you perform those tests two years ago?
Did you have the same troubles as now?
If you had the same troubles and your echo and heart monitor showed nothing abnormal, they will probably result the same even this time.
I would just recommend checking the above mentioned blood lab tests (complete blood count, thyroid hormone levels, blood electrolytes).
If these tests result normal, then you should consider anxiety as an important factor on your troubles.
I would also recommend avoiding caffeine and alcohol intake.
Hope you will find this answer helpful!
Wishing good health,
Dr. Iliri
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
also had thyroid checked was normal and full blood count. what do you think of beta blockers
Brief Answer:
I would explain:
Detailed Answer:
Hi,
If thyroid hormones level and complete blood count are performed recently, then you could defer these routine checkup tests.
Regarding beta blockers, my opinion doesn't go in favor for their use at least for the moment, because:
- they may may impair the overall physical performance, especially in physically active young adults as in your case,
- first it is necessary to really conclude that no secondary causes of these intermittent occurring premature atrial contractions are present.
Could you upload here for a direct review your cardiac ultrasound and Holter reports.
In is necessary to exactly evaluate the quantitative importance of those PACs for properly judging if any medication is really indicated.
Regards,
Dr. Iliri
I would explain:
Detailed Answer:
Hi,
If thyroid hormones level and complete blood count are performed recently, then you could defer these routine checkup tests.
Regarding beta blockers, my opinion doesn't go in favor for their use at least for the moment, because:
- they may may impair the overall physical performance, especially in physically active young adults as in your case,
- first it is necessary to really conclude that no secondary causes of these intermittent occurring premature atrial contractions are present.
Could you upload here for a direct review your cardiac ultrasound and Holter reports.
In is necessary to exactly evaluate the quantitative importance of those PACs for properly judging if any medication is really indicated.
Regards,
Dr. Iliri
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
hi my doctor looked at all my results and said its anxiety causing it. last time i had an 48 hour monitor the cardiolgist said benign pvcs and pacs due to adrenaline
Brief Answer:
I would recommend as follows:
Detailed Answer:
Hello again!
Thank you for the additional information.
In such case, before staring a beta-blocker, I would recommend trying some other remedies:
- avoid caffeine and alcohol intake
- try taking 0.25mg alprazolam two times daily or just during those episodes of palpitations. This drug should not be taken for a long time (more than a couple of weeks). But if your symptoms are improved by this drug, I would recommend consulting with a psychiatrist or psychotherapist to help you manage anxiety.
If these remedies do not help improve your situation, the next step would be starting a beta-blocker in low dose. You should start it gradually and increase slowly the dose. The same is done when these drugs are stopped.
You should discuss with your doctor on the above issues.
Let me know about everything!
Best wishes,
Dr. Iliri
I would recommend as follows:
Detailed Answer:
Hello again!
Thank you for the additional information.
In such case, before staring a beta-blocker, I would recommend trying some other remedies:
- avoid caffeine and alcohol intake
- try taking 0.25mg alprazolam two times daily or just during those episodes of palpitations. This drug should not be taken for a long time (more than a couple of weeks). But if your symptoms are improved by this drug, I would recommend consulting with a psychiatrist or psychotherapist to help you manage anxiety.
If these remedies do not help improve your situation, the next step would be starting a beta-blocker in low dose. You should start it gradually and increase slowly the dose. The same is done when these drugs are stopped.
You should discuss with your doctor on the above issues.
Let me know about everything!
Best wishes,
Dr. Iliri
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
my doctor has prescribed me 1.25mg of bisoprolol. my heart scan was perfect and my 48 hour monitor showed benign ectopics. i am just very scared to take them. the thing with my palps i csn go weeks without any. i worry i have every heart condition
Brief Answer:
I would explain as follows:
Detailed Answer:
Hello again!
I agree with your doctor that low dose betablockers (like this dose of bisoprolol) would help reduce palpitations, if they were frequent during the day.
But, considering the fact that they do not occur most of the time, I would recommend follow the above tips :
- use alprazolam 0.25mg during palpitations
- avoid caffeine and alcohol intake.
If these tips improve your situation, there is no need to take betablockers. Besides, you should know that these drugs can lower your physical performance and cause chronic fatigue and a low heart rate. That is why they should not be used unless necessary.
Hope you will find this answer helpful!
Wishing all the best,
Dr. Iliri
I would explain as follows:
Detailed Answer:
Hello again!
I agree with your doctor that low dose betablockers (like this dose of bisoprolol) would help reduce palpitations, if they were frequent during the day.
But, considering the fact that they do not occur most of the time, I would recommend follow the above tips :
- use alprazolam 0.25mg during palpitations
- avoid caffeine and alcohol intake.
If these tips improve your situation, there is no need to take betablockers. Besides, you should know that these drugs can lower your physical performance and cause chronic fatigue and a low heart rate. That is why they should not be used unless necessary.
Hope you will find this answer helpful!
Wishing all the best,
Dr. Iliri
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
i am terrified. my palpitations can be all day sometimes. other times i dont get any for days or weeks. but when i get them bad they can last all day. i cant stop worrying that i have a serious heart condition. my doctor also gave me a small dose of diazapam which has calmed me down so much.
Brief Answer:
Opinion as follows::
Detailed Answer:
Dear Victoria!
I would like to assure you that those palpitations are not dangerous or life-threatening.
Premature atrial contractions occur more frequently triggered by an extra-cardiac cause; most commonly stress.
You have performed all the necessary medical tests and they don't conclude on any pathological cardiac issues.
So, you shouldn't worry about!
Just try to optimize your daily life style; increase the daily physical activity; try to follow a healthy diet profile; avoid those well known triggering factors (smoking contacts; caffeinated beverages); improve your sleeping regimen and try to relax!
In case additional measures are needed; an anxiolytic drug could be tried under your attending doctor prescription.
Once you improve your psychological well being and are in harmony with your everyday activities, those palpitations will not be so obvious any more.
Wishing you are having a pleasant weekend!
Do not hesitate to discuss with me in case of further uncertainties!
I remain at your disposal in case you need me to review any available medical tests.
Regards,
Dr. Iliri
Opinion as follows::
Detailed Answer:
Dear Victoria!
I would like to assure you that those palpitations are not dangerous or life-threatening.
Premature atrial contractions occur more frequently triggered by an extra-cardiac cause; most commonly stress.
You have performed all the necessary medical tests and they don't conclude on any pathological cardiac issues.
So, you shouldn't worry about!
Just try to optimize your daily life style; increase the daily physical activity; try to follow a healthy diet profile; avoid those well known triggering factors (smoking contacts; caffeinated beverages); improve your sleeping regimen and try to relax!
In case additional measures are needed; an anxiolytic drug could be tried under your attending doctor prescription.
Once you improve your psychological well being and are in harmony with your everyday activities, those palpitations will not be so obvious any more.
Wishing you are having a pleasant weekend!
Do not hesitate to discuss with me in case of further uncertainties!
I remain at your disposal in case you need me to review any available medical tests.
Regards,
Dr. Iliri
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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