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What Does My ECG Test Report Indicate?
Question: Hello, I'm 53-year old woman, considered obese, but working on it. Had frightening chest, back, arm tightness last night. Better today, but went to urgent care anyway. Did an EKG, which doc wasn't concerned about, although it did show "borderline" results. Values are as follows:
PR: 148/174 ms; QRS: 100 ms; QT/QTc: 410/433 ms; P/QRS/T axis 6/-18/-9 deg. Heart rate: 67. Normal sinus rhythm. Intra-atrial conduction delay; slight inferior repolarization disturbance. It also mentioned consider ischemia, LV overload or a specific changes. I have cardiologist appt on 2/4/16, but is this something I should be worried about enough to try to move up appt? Thank you, XXXXXXX
PR: 148/174 ms; QRS: 100 ms; QT/QTc: 410/433 ms; P/QRS/T axis 6/-18/-9 deg. Heart rate: 67. Normal sinus rhythm. Intra-atrial conduction delay; slight inferior repolarization disturbance. It also mentioned consider ischemia, LV overload or a specific changes. I have cardiologist appt on 2/4/16, but is this something I should be worried about enough to try to move up appt? Thank you, XXXXXXX
Brief Answer:
I would explain as follows:
Detailed Answer:
Hello XXXXXXX
I understand your concern, and would like to explain that your ECG parameters are generally within normal ranges. As far as PR interval in normal there is no concern about any intra-atrial conduction delay.
Also that "slight inferior repolarization disturbance" is a nonspecific finding and should be carefully reviewed considering possible hypertension, any pulmonary disturbances, even cardiac ischemia.
Coming to this point, I recommend you performing some additional tests:
- cardiac ultrasound (ECHO),
- chest X ray study,
- cardiac enzymes (CK-MB, Troponin),
- cardiac stress test (especially if possible coronary risk factors are present, such as hypertension, cigarette use, dyslipidemia, glucose metabolism disorder or diabetes, heredity for coronary disease, etc).
My personal opinion is to discuss with your attending physician and possibly anticipate your cardiologist appt.
Though your ECG doesn't reveal any obvious specific risk, it is important to promptly diagnose any possible responsible cause of your clinical scenario.
In case all the above mentioned tests result normal, then certain alternatives seem to be likely: a backbone degenerative disorder, an esophageal spasm, any musculoskeletal chest disorder, etc.
At that point, a discussion with an internist for guiding a careful differential diagnosis would be necessary.
Hope to have been helpful to you!
In case of any further uncertainties, do not hesitate to ask me again.
Kind regards,
Dr. Iliri
I would explain as follows:
Detailed Answer:
Hello XXXXXXX
I understand your concern, and would like to explain that your ECG parameters are generally within normal ranges. As far as PR interval in normal there is no concern about any intra-atrial conduction delay.
Also that "slight inferior repolarization disturbance" is a nonspecific finding and should be carefully reviewed considering possible hypertension, any pulmonary disturbances, even cardiac ischemia.
Coming to this point, I recommend you performing some additional tests:
- cardiac ultrasound (ECHO),
- chest X ray study,
- cardiac enzymes (CK-MB, Troponin),
- cardiac stress test (especially if possible coronary risk factors are present, such as hypertension, cigarette use, dyslipidemia, glucose metabolism disorder or diabetes, heredity for coronary disease, etc).
My personal opinion is to discuss with your attending physician and possibly anticipate your cardiologist appt.
Though your ECG doesn't reveal any obvious specific risk, it is important to promptly diagnose any possible responsible cause of your clinical scenario.
In case all the above mentioned tests result normal, then certain alternatives seem to be likely: a backbone degenerative disorder, an esophageal spasm, any musculoskeletal chest disorder, etc.
At that point, a discussion with an internist for guiding a careful differential diagnosis would be necessary.
Hope to have been helpful to you!
In case of any further uncertainties, do not hesitate to ask me again.
Kind regards,
Dr. Iliri
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thank you Doctor. I do have some issues with blood pressure, which is mostly controlled and also currently am suffering from the after-effects of a virus and newly diagnosed bronchitis. I appreciate your opinions and feedback. Have a great evening.
Brief Answer:
You are welcome!
Detailed Answer:
Hello again!
Thank you for the additional information!
Coming to this point, the newly diagnosed bronchitis and the after effects of the virus, could be related to your symptomatology.
I am glad to have been helpful!
Please feel free to ask me directly at any time if you have any other uncertainties in the link below:
http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=69765
Best wishes,
Dr. Iliri
You are welcome!
Detailed Answer:
Hello again!
Thank you for the additional information!
Coming to this point, the newly diagnosed bronchitis and the after effects of the virus, could be related to your symptomatology.
I am glad to have been helpful!
Please feel free to ask me directly at any time if you have any other uncertainties in the link below:
http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=69765
Best wishes,
Dr. Iliri
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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