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What Do My EKG Test Results Indicate?
Question: I had an ekg and said it was normal but they wanted a halter monitor worn..... that came back as occasional st-t wave abnormality... I'm seeing a specialist tomorrow but I am freaking out..... what does this mean?
Brief Answer:
I would explain as follows:
Detailed Answer:
Hello!
Welcome on HCM!
Regarding your concern, I would like to explain that as your heart feels fluttery the main issue that should be considered for clinical investigation is a possible cardiac arrhythmia.
That's why your doctor has asked a resting ECG and after resulting normal; it was followed by a Holter monitoring recommendation (which enables a prolonged exploration of heart rhythm and hence the opportunity of detecting any potential cardiac arrhythmia events).
As Holter monitoring doesn't confirm any arrhythmic events; this is a good news!
You should be glad and try to relax!
From the other hand, that occasional ST-T wave abnormality doesn't have any consistent clinical significance, as in getting those patterns are involved several non-relevant factors (including also positional changes during registration).
Holter monitoring is not a sufficient specific test for studying possible cardiac ischemic changes (ST-T alterations).
So, you shouldn't worry too much about that!
Meanwhile, it is necessary to perform additional medical tests, in order to explore possible responsible causes of your recent complaints:
- complete blood count (for excluding anemia),
- thyroid hormone levels (possible thyroid dysfunction),
- blood electrolytes level (possible imbalances),
- fasting blood glucose level,
- cardiac ultrasound
In addition, I would like to directly review your Holter test result.
Could you upload it here for a second professional opinion?
Hope you will find this answer of some help!
In case of any further uncertainties, feel free to ask me again.
Kind regards,
Dr. Iliri
I would explain as follows:
Detailed Answer:
Hello!
Welcome on HCM!
Regarding your concern, I would like to explain that as your heart feels fluttery the main issue that should be considered for clinical investigation is a possible cardiac arrhythmia.
That's why your doctor has asked a resting ECG and after resulting normal; it was followed by a Holter monitoring recommendation (which enables a prolonged exploration of heart rhythm and hence the opportunity of detecting any potential cardiac arrhythmia events).
As Holter monitoring doesn't confirm any arrhythmic events; this is a good news!
You should be glad and try to relax!
From the other hand, that occasional ST-T wave abnormality doesn't have any consistent clinical significance, as in getting those patterns are involved several non-relevant factors (including also positional changes during registration).
Holter monitoring is not a sufficient specific test for studying possible cardiac ischemic changes (ST-T alterations).
So, you shouldn't worry too much about that!
Meanwhile, it is necessary to perform additional medical tests, in order to explore possible responsible causes of your recent complaints:
- complete blood count (for excluding anemia),
- thyroid hormone levels (possible thyroid dysfunction),
- blood electrolytes level (possible imbalances),
- fasting blood glucose level,
- cardiac ultrasound
In addition, I would like to directly review your Holter test result.
Could you upload it here for a second professional opinion?
Hope you will find this answer of some help!
In case of any further uncertainties, feel free to ask me again.
Kind regards,
Dr. Iliri
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
I shoukd be able tonupload it tomorrow... they had forwarded it to the specialist that they referred me to... thank you much..... my primary dr had mentioned it couldbe anxiety or panic attacks.... which having them say its an abnormality has really caused anxiety to set it
Brief Answer:
I remain at your disposal:
Detailed Answer:
Hello again!
I would be happy to review your Holter report as soon as you can upload it for another professional opinion.
I would also recommend performing the above mentioned tests.
Meanwhile, try to relax. Anxiety is not going to help you!
I remain at your disposal whenever you need!
Best wishes,
Dr. Iliri
I remain at your disposal:
Detailed Answer:
Hello again!
I would be happy to review your Holter report as soon as you can upload it for another professional opinion.
I would also recommend performing the above mentioned tests.
Meanwhile, try to relax. Anxiety is not going to help you!
I remain at your disposal whenever you need!
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
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