Brief Answer:
I would explain as follows:

Detailed Answer:

Hello!

Thank you for asking on HCM!

I reviewed your uploaded records, and would like to explain that there isn't any specific evidences of any cardiac disorders displayed on resting ECG.

That nonspecific T wave abnormality is quite common on women ECGs, and signifies nothing in the absence of clinical correlates.

Regarding to that "prolonged QT" interval, facing you are a black female (which are more prone of having longer QT compared to males and whites), I would classify those QT values as in the upper borderline limits. So, don't panic!

The most important issue when judging an ECG recording is to make an appropriate correlation of your ECG findings with the underlying clinical symptomatology, and coronary risk factors present as well.

If you have clinical symptoms and signs suggestive of cardiac ischemia episodes, and coronary risk factors as well, then further diagnostic investigations (facing also a relative prolongation of QT interval) regarding this issue.

A cardiac ultrasound and cardiac ECG stress testing are necessary for an optimal heart screening.

Meanwhile, I would strongly encourage you to build an effective strategy for prevention and treatment of potential coronary risk factors.

Life-style modifications, a healthy diet, avoidance of close smoking contacts, treatment of dyslipidemia and possible hypertension, controlling body weight, etc are necessary to minimize future coronary events.

You should discuss with your attending doctor about the above mentioned issues.

Hope to have been helpful!

Feel free to ask me whenever you need! Greetings! Dr. Iliri

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