What Does My ECG Test Report Indicate?
No serious abnormality seen / need further assessment
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A normal ECHO is reassuring… your heart is structurally normal
ECGs show “Incomplete Right Bundle Branch” pattern – which could be a normal variant. It could be from abnormality in right side of heart – excluded here because of normal ECHO. Hence the episode may from the nerves of the heart….
Anaemia / Anxiety / Alcohol / Tobacco (smoking) / Caffeine (too much tea, coffee, cola) / Fever / Infection / Pain / Stress / Thyroid / Medicines like Phenylephrine used for ‘cold’; Salbutamol used for asthma and so on - may be responsible....
At times, abnormal nerve paths in the heart (bypass tracts) or disease of the conduction system may be responsible!
Standard ECG records the electrical activity of the heart, for a few seconds. It can detect the arrhythmia occurring during that time only. If the episode occurs randomly- one needs Holter or event monitor – HOLTER records for days; Event Monitor for weeks… Holter records continuously; Event Monitor only at certain times
Many cases of palpitation are benign, especially when associated with normal ECHO and may not require treatment, If you also have symptoms like blurred vision, loss of consciousness, shortness of breath, chest pain along with this, you need urgent work up
Specific treatment may not always be necessary.
Have a second opinion / have a Holter
If negative, have an Event Monitor
If there are no clues and if the problem is still bothering to the extent of interfering with life style, there are advanced techniques of investigations of increasing complexity – Electro Physiological Studies (EPS) > it resembles angio – a catheter is put inside the heart / electrical activity recorded / stimulation and suppression tests are carried out / suitable medicine tested and so on. There are other advanced treatment modalities - like ablation (thermal or radio-frequency), which could be done during EPS. Though the test is the gold standard, it is INVASIVE and hence is not generally done unless there are compelling indications. This super-speciality expert is called ELECTRO-PHYSIOLOGIST.
The treating doctor may suggest them depending on need, based on his assessment of the situation.
God bless you
Likely Stress / Get Holter
The description suggests possible Anxiety – A psychiatric assessment and assistance can help. No need to feel diffident to see a psychiatrist...seeing a cardiologist does not mean heart disease. The specialist can rule out or rule in by making appropriate diagnosis. Social and occupational situations may be responsible….
Muscle spasm does not cause palpitation
Anyway, get 24-hour ambulatory monitoring of the heart rate (Holter) done – palpitation needs to be DOCUMENTED by ElectroCardioGram (EKG) for further appropriate action
You are underweight… Your BMI is 16 / 60 to 80 kg will be in normal range. Have thyroid tested. You should see a good DIETICIAN - One generally needs SEVERAL sessions, to master concepts of calories, nutritional values, biological value, vitamins, minerals and so on… You need advice on both quantity and quality of food