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ECG Shows Non Specific T Wave Abnormalities. Have Shortness Of Breath, Blackout, Chest Pain. Concerned
I have repeated "Non Specific Twave Abnormalities" found on my ECGs. The first time i found out was when i done my ECG with the GP after experiencing shortness of breath, transcient blackout with and without exertion, awareness of my own heartbeat and chest pain which made worst if i try to breath but the pain goes away by itself. Sometimes my friends and family will tell me that i am sound like i am panting when i am talking to them without doing anything strenous. I was referred to Heart Centre and again, results shows "Non-specific T wave abnormalities, Abnormal ECG". The doctor at the National Heart Centre ordered a threadmill stress test and echo. The results was interpreted by a different doctor at Heart Centre and he said my stress test was normal without telling me why i have all these symptoms and even with an abnormal ECG. After that, i ignored all the symptoms even though they come on and off.
The transcient black out happened again on 18/7 and i almost fall. I remembered having chest pain that lasted for a few seconds the day before the blackout. I went to have another ECG done on 19/7 and again results show "Non specific T wave abnormalities, Borderline ECG."
The results are a follow from the recent ECG:
Vent Rate: 79bpm
PR Int: 140ms
QRS dur: 92ms
QT/QTc int: 388/423ms
P/QRS/T axis: 50/73/12
RV5/SV1 amp: 1.680/ 0.385mV
RV5+SV amp: 2.065mV
Should i be concerned again with the ECG results accompanied with the symptoms i have as i read online that most cardiologist dismissed "Non Specific T wave abnormalities" as "Normal"?
The transcient black out happened again on 18/7 and i almost fall. I remembered having chest pain that lasted for a few seconds the day before the blackout. I went to have another ECG done on 19/7 and again results show "Non specific T wave abnormalities, Borderline ECG."
The results are a follow from the recent ECG:
Vent Rate: 79bpm
PR Int: 140ms
QRS dur: 92ms
QT/QTc int: 388/423ms
P/QRS/T axis: 50/73/12
RV5/SV1 amp: 1.680/ 0.385mV
RV5+SV amp: 2.065mV
Should i be concerned again with the ECG results accompanied with the symptoms i have as i read online that most cardiologist dismissed "Non Specific T wave abnormalities" as "Normal"?
Thu, 25 Jul 2013
Hi,
Thanks for using Healthcaremagic,
I have gone through available details, Nonspecific T wave changes needs to be correlated with other clinical or other findings.
Your Treadmill test and 2 D echocardiography is normal so it is unlikely to be any significant cardiac cause.
If you have symptoms of chest pain, breathing difficulty and Syncope, you should see your Physician for proper assessment and find out cause of your symptoms.
Angina pectoris is clinical diagnosis and investigations may be normal.
If ECG abnormalities are thoroughly investigated and nothing significant is found then only they can be dismissed.Hope this information is useful to you.
Take care.
Good Luck.
Dr.Akhilesh Dubey M.D.
Thanks for using Healthcaremagic,
I have gone through available details, Nonspecific T wave changes needs to be correlated with other clinical or other findings.
Your Treadmill test and 2 D echocardiography is normal so it is unlikely to be any significant cardiac cause.
If you have symptoms of chest pain, breathing difficulty and Syncope, you should see your Physician for proper assessment and find out cause of your symptoms.
Angina pectoris is clinical diagnosis and investigations may be normal.
If ECG abnormalities are thoroughly investigated and nothing significant is found then only they can be dismissed.Hope this information is useful to you.
Take care.
Good Luck.
Dr.Akhilesh Dubey M.D.
I find this answer helpful
Hi,
Causes for syncope are many and cardiac is one of them.Reduced cardiac output can lead to reduced blood supply to brain and eventual syncope.The reduction in cardiac output can be due to insufficient blood supply.But,this has already been evaluated in your case by means of TMT and ECHO and hence ruled out. This also means that your ECG changes are insignificant and you need not be concerned about it.But, some other causes may need to be evaluated.Amongst them arrythmias carry high probability considering your symptom presentation.This can be further evaluated by holter monitoring etc.Other causes include taking in too little food and fluids, low blood pressure, hypoglycemia, high g-force, emotional distress, and lack of sleep.The Tilt table test is performed to elicit orthostatic syncope secondary to autonomic dysfunction (neurogenic).
Causes for syncope are many and cardiac is one of them.Reduced cardiac output can lead to reduced blood supply to brain and eventual syncope.The reduction in cardiac output can be due to insufficient blood supply.But,this has already been evaluated in your case by means of TMT and ECHO and hence ruled out. This also means that your ECG changes are insignificant and you need not be concerned about it.But, some other causes may need to be evaluated.Amongst them arrythmias carry high probability considering your symptom presentation.This can be further evaluated by holter monitoring etc.Other causes include taking in too little food and fluids, low blood pressure, hypoglycemia, high g-force, emotional distress, and lack of sleep.The Tilt table test is performed to elicit orthostatic syncope secondary to autonomic dysfunction (neurogenic).
I find this answer helpful
Hi,
you have not mentioned your age, if you are female in forties then non specific T wave changes are acceptable in leads V1-V4,
however if you are 50+ , then i will suspect coronary artery disease , which is unlikely as TMT-2D echo is normal.
.
as per desciption , if i assume that you dont have any significant memory disturbance around that event, Cardiac arrhythmia may the the cause.
As you are getting black out , it meand mt must be causing fall in your BP at that moment, this may be because of more serious NSVT or comparatively less serious PSVT or Atrial fibrillation, you must find out the correct reason, as treatment for each is quite different. I suggest you 24 HRS HOLTER monitoring.
Said this , the info given here is not sufficient to come to a pin point conclusion and your symptoms may be even due to Vasovagal phenomena, a head up tilt test can help .
you need to see cardiologist (preferably interventional cardiologist)
hope this helps you
you have not mentioned your age, if you are female in forties then non specific T wave changes are acceptable in leads V1-V4,
however if you are 50+ , then i will suspect coronary artery disease , which is unlikely as TMT-2D echo is normal.
.
as per desciption , if i assume that you dont have any significant memory disturbance around that event, Cardiac arrhythmia may the the cause.
As you are getting black out , it meand mt must be causing fall in your BP at that moment, this may be because of more serious NSVT or comparatively less serious PSVT or Atrial fibrillation, you must find out the correct reason, as treatment for each is quite different. I suggest you 24 HRS HOLTER monitoring.
Said this , the info given here is not sufficient to come to a pin point conclusion and your symptoms may be even due to Vasovagal phenomena, a head up tilt test can help .
you need to see cardiologist (preferably interventional cardiologist)
hope this helps you
I find this answer helpful
1 user finds this helpful
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