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What Does My ECG Test Report Indicate?
Question: Hello Doctor,
I hope I can get my doubts clear.
Ecg done 2 mts ago, here is the report :
Pr interval : 136
P/qrs/t int (ms) : 110. 102. 148
qt/qtc int (ms) : 308 390
P/qrs/t axis : 90 87 54
800 sinus rythm normal
96 bpm
Report remark says within normal limit.
Stress test done 8 mts ago, here is the report :
T inversion in lead III, avf, V3-V6
Accelerated chronotropic response
No Abnornal symptoms or signs
No ST changes, No arrythmias
Test is Negative for inducible ischaemia.
Echo done 2 mts ago it came back normal, no clot no vegetatio. Good systolic abd diastolic function ejection fraction 60%.no pulmonary hypertension and so on so it was good.
PFT test done 8 mts ago : Mild to medium asthma detected.
I HAVE ATTACHED THE REPORTS TOO, COULD YOU PLEASE REVIEW IT.
I also did my lipid, CBC, Thyroid, X-Ray all came back normal and in normal range.
I wanted to find out what that T inversion means and is that a heart disease or not, am I developing coronary artery disease or any other probs.
My heart rates I have checked since past three weeks are ranging 55 - 75, mostly 55-70, in the reports it said tachycardia but at home since last three weeks I am observing the heart rate is ranging from 55-70, Am I suffering from any heart disease.
Am I a heart patient, if yes then how bright are my chances ? I am really starting to worry now, I have asked 10-15 physician and they do not look worried they say its normal, what should my approach be, people may say I have anxiety issues but its normal as I am really concerned about my health, I do have a stable mild pain at right side of my chest but that does not worsen with exercise or activity, I mean if I climb 7 storeys running I dont seem to have any issues, and I can climb 12 storeys walking,
I have made lifestyle changes since the stress test, and now I am 67 kgs, 5'7 and age is 27.
Please Please please let me know If I am a heart patient or not, if yes then how bright is my future and if no then I promise I wont be anxious with this.
I hope I can get my doubts clear.
Ecg done 2 mts ago, here is the report :
Pr interval : 136
P/qrs/t int (ms) : 110. 102. 148
qt/qtc int (ms) : 308 390
P/qrs/t axis : 90 87 54
800 sinus rythm normal
96 bpm
Report remark says within normal limit.
Stress test done 8 mts ago, here is the report :
T inversion in lead III, avf, V3-V6
Accelerated chronotropic response
No Abnornal symptoms or signs
No ST changes, No arrythmias
Test is Negative for inducible ischaemia.
Echo done 2 mts ago it came back normal, no clot no vegetatio. Good systolic abd diastolic function ejection fraction 60%.no pulmonary hypertension and so on so it was good.
PFT test done 8 mts ago : Mild to medium asthma detected.
I HAVE ATTACHED THE REPORTS TOO, COULD YOU PLEASE REVIEW IT.
I also did my lipid, CBC, Thyroid, X-Ray all came back normal and in normal range.
I wanted to find out what that T inversion means and is that a heart disease or not, am I developing coronary artery disease or any other probs.
My heart rates I have checked since past three weeks are ranging 55 - 75, mostly 55-70, in the reports it said tachycardia but at home since last three weeks I am observing the heart rate is ranging from 55-70, Am I suffering from any heart disease.
Am I a heart patient, if yes then how bright are my chances ? I am really starting to worry now, I have asked 10-15 physician and they do not look worried they say its normal, what should my approach be, people may say I have anxiety issues but its normal as I am really concerned about my health, I do have a stable mild pain at right side of my chest but that does not worsen with exercise or activity, I mean if I climb 7 storeys running I dont seem to have any issues, and I can climb 12 storeys walking,
I have made lifestyle changes since the stress test, and now I am 67 kgs, 5'7 and age is 27.
Please Please please let me know If I am a heart patient or not, if yes then how bright is my future and if no then I promise I wont be anxious with this.
Brief Answer:
please see details below.
Detailed Answer:
Dear Sir
1. I have reviewed your reports and summarized them in following lines.
X-ray Chest- Reported within normal limits.
ECHO report- Within normal limits.
PFT- Significant reversible airflow obstruction.
ECG- Right axis deviation of P wave with rightward axis.
BP is within normal limits.
Stress test is negative for inducible ischemia.
2. There are no T wave inversions in the ECG you have attached. In the presence of normal echo and normal stress test, the transient T wave inversions do not indicate heart disease. There are a number of causes of T wave inversion and there are criteria for their significance. exact interpretation can be done only after looking the ECG in which they were present.
3. Heart rate of 55-75 bpm is with in normal limits.
4. If pain does not occur with exercise and you can use 7 flight of stairs running and 12 flight of stairs walking, then the pain is not anginal and you have good exercise capacity.
5. You need to reduce your weight by 2-3 Kgs more.
6. The current history and tests do not suggest presence of heart disease. Try to reduce your anxieties, do regular exercise, do not smoke and avoid psychosocial stress.
Sincerely
Sukhvinder
please see details below.
Detailed Answer:
Dear Sir
1. I have reviewed your reports and summarized them in following lines.
X-ray Chest- Reported within normal limits.
ECHO report- Within normal limits.
PFT- Significant reversible airflow obstruction.
ECG- Right axis deviation of P wave with rightward axis.
BP is within normal limits.
Stress test is negative for inducible ischemia.
2. There are no T wave inversions in the ECG you have attached. In the presence of normal echo and normal stress test, the transient T wave inversions do not indicate heart disease. There are a number of causes of T wave inversion and there are criteria for their significance. exact interpretation can be done only after looking the ECG in which they were present.
3. Heart rate of 55-75 bpm is with in normal limits.
4. If pain does not occur with exercise and you can use 7 flight of stairs running and 12 flight of stairs walking, then the pain is not anginal and you have good exercise capacity.
5. You need to reduce your weight by 2-3 Kgs more.
6. The current history and tests do not suggest presence of heart disease. Try to reduce your anxieties, do regular exercise, do not smoke and avoid psychosocial stress.
Sincerely
Sukhvinder
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
Hello Doc,
I did my ecg again, and attached are the reports, it said
800 Sinun rythm normal
601 T abnormality
141 long qtc
***Borderline Normal ECG***
Coulr u please let me know if i am a common man, these readings make me feel sick, am I healthy, also i measured my weight today its 65.3 and height is 5'7
Please help me in rulig out cardiac issues incase its not there.
Attached are the reports too.
Thanks in advance doc.
I did my ecg again, and attached are the reports, it said
800 Sinun rythm normal
601 T abnormality
141 long qtc
***Borderline Normal ECG***
Coulr u please let me know if i am a common man, these readings make me feel sick, am I healthy, also i measured my weight today its 65.3 and height is 5'7
Please help me in rulig out cardiac issues incase its not there.
Attached are the reports too.
Thanks in advance doc.
Brief Answer:
please upload graph of ECG
Detailed Answer:
Dear Sir
I could not find the current ECG graph in the attachments. These are old attachments only. Please upload your current ECG so that I can make an assessment. Just by the report of ECG, no decision is possible, pending which there is no suggestion of heart disease as per history and investigations provided, as I discussed earlier.
Sincerely
Sukhvinder
please upload graph of ECG
Detailed Answer:
Dear Sir
I could not find the current ECG graph in the attachments. These are old attachments only. Please upload your current ECG so that I can make an assessment. Just by the report of ECG, no decision is possible, pending which there is no suggestion of heart disease as per history and investigations provided, as I discussed earlier.
Sincerely
Sukhvinder
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thanks so so much doc, i have uploaded the reports as ecg one ,2,3,4,5.
Please advise if I need to be worried about it.
And how is my heart doing in a scale of 1-10, 1 being worst and 10 being best.
Thanks a lot doc in advance.
Please advise if I need to be worried about it.
And how is my heart doing in a scale of 1-10, 1 being worst and 10 being best.
Thanks a lot doc in advance.
Brief Answer:
please see details.
Detailed Answer:
Dear sir
1. I have seen your fresh ECG. There are no significant T wave abnormalities. The calculated QTc is normal. There are no significant ECG abnormalities.
2. As I said in first answer, with current information provided, there is no evidence of structural or coronary artery disease. However there is no test available currently which assures us that a heart attack will not occur tomorrow. Do not worry about it. None can predict it. We can only practice good habits. These habits include No smoking, no stress, good control of Diabetes/ cholesterol/ high blood pressure, optimal weight and regular exercise.
Sincerely
Sukhvinder
please see details.
Detailed Answer:
Dear sir
1. I have seen your fresh ECG. There are no significant T wave abnormalities. The calculated QTc is normal. There are no significant ECG abnormalities.
2. As I said in first answer, with current information provided, there is no evidence of structural or coronary artery disease. However there is no test available currently which assures us that a heart attack will not occur tomorrow. Do not worry about it. None can predict it. We can only practice good habits. These habits include No smoking, no stress, good control of Diabetes/ cholesterol/ high blood pressure, optimal weight and regular exercise.
Sincerely
Sukhvinder
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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