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Dr. Andrew Rynne

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Suggest treatment for sinus arrhythmia

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Dr. Rishu Saxena

Cardiologist

Practicing since :2012

Answered : 696 Questions

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Posted on Mon, 20 Mar 2017 in Hypertension and Heart Disease
Question: Daughter had EKG during regular physical.
Sinus arrhythmia possible septal infarct QS in V1V2 minor inferior repolarization Disturbance, considered Ischemia, LV overload or a specific change flat or low negative T in AVI WITH negative T in lol. Very concerned. Next test scheduled in 3 weeks. Is this serious? Is 2 weeks to long to wait. She's 44 and has PD.
XXXXXXX
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Answered by Dr. Rishu Saxena 1 hour later
Brief Answer:
Yes you can wait.

Detailed Answer:
Hi XXXXXXX

Sinus arrhythmia means the normal increase in heart rate that occurs during inspiration. This is a natural response and is more accentuated in some adults. This condition does not require any treatment.

Other changes like Q in V1 and V2, with T wave inversion can be indicator of ischemia but they are non specific changes and sensitivity is very low especially when present only in few leads. T in V1 is always negative, it's normal.

I would suggest you not to panic.

ECG is just a baseline test of cardiology and stress test and 2D echo to be done to rule out any ischemia possibility.

If patient is asymptomatic you can wait for 2-3 weeks. All those changes mentioned are quite non-specific and present in only few leads.

Thanks.


Above answer was peer-reviewed by : Dr. Arnab Banerjee
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