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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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I got my ekg report back it was abnormal can

Answered by
Dr.
Dr. Ilir Sharka

Cardiologist

Practicing since :2001

Answered : 7011 Questions

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Posted on Sun, 3 Feb 2019 in Hypertension and Heart Disease
Question: I got my ekg report back it was abnormal can you explain more .. last echo said I also had diastolic dysfunction of one.. what is going on with my heart? I am 60 and exercise regularly but I have had some feelings of palpitations and slight dizziness lately.. thanks so much!!!
doctor
Answered by Dr. Ilir Sharka 1 hour later
Brief Answer:
I would explain as follows:

Detailed Answer:
Hello Lisa!

Welcome back on -Ask a Doctor- service!

I reviewed again your uploaded ECG records and would explain that besides some nonspecific changes regarding repolarization there is nothing abnormal regarding your rhythm or cardiac conduction.

Those nonspecific changes may be due to blood pressure fluctuations, as no evidence of increased cardiac wall thickness (a usual cause ST segment depression) results from your cardiac echo report.

Regarding your palpitations feelings I would recommend an ambulatory ECG monitoring test (24 hours Holter) for investigating any possible arrhythmic events not identifiable in a short ECG recordings.

In addition other factors should be sought as well, like anemia, thyroid dysfunction, electrolytes imbalance, etc.

Hope to have been helpful to you!

In case of any further questions, feel free to ask me again!

Kind regards,

Dr. Iliri
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Ilir Sharka 1 hour later
Thank you so much! What exactly is repolarization ? I found the echo report from 2 years ago but the last report taken at another facility was diastolic dysfunction at 1.. I could not pull up that report..it it hard to diagnose from a echo? Someone told me that I should not drink a lot of water with this condition??? Never heard that before!
doctor
Answered by Dr. Ilir Sharka 13 hours later
Brief Answer:
I would explain as follows:

Detailed Answer:
Dear XXXXXXX

Regarding your concern, I would explain that repolarization is part demonstrating the relaxation of myocardial tissue (after the contraction cycle has finished).

But your ECG changes are not specific for any cardiac structural abnormalities.

From the other side, I would explain that grade I diastolic dysfunction does not denote any specific cardiac disease.

It may be a reversible or transient finding and is usually dependent on the loading conditions (such as high blood pressure).

Not rarely, when the blood pressure values are properly under control, it may disappear.

So, in my opinion, you have nothing to worry about!

Hope you will find this answer helpful!

Wishing all the best,

Dr. Iliri
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
doctor
Answered by Dr. Ilir Sharka 9 minutes later
Brief Answer:
You are welcome!

Detailed Answer:
Dear XXXXXXX

I am glad to have been helpful to you!

I would encourage you to follow a healthy lifestyle, a healthy diet and exercise regularly.

There is no need of any limitations to physical activity or the amount of water that you should drink.

If you will have any other uncertainties in the future, please don't hesitate to ask me directly at any time!

Wishing good health,

Dr. Iliri
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Ilir Sharka 3 minutes later
Thanks again Doctor..I will keep exercising and eating well..you know I appreciate you so much!!!
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