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What does the following ECG report indicate?

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Posted on Tue, 26 May 2015
Question: hi, I need to show my ecg print out, I need you to analyse it for me
doctor
Answered by Dr. Ronald Schubert (8 minutes later)
Brief Answer:
Normal EKG

Detailed Answer:
Thanks for contacting HCM with your health care concerns

I reviewed your EKG and the results look completely normal. I do not see any heart arrhythmias or irregular heart tracing and I do not see any signs of ischemia or lack of blood to the heart.

I would recommend that you ask your health care provider for an Echocardiogram. From your description of your chest pain you could have Mitral valve prolapse.
I hope I answered your question. Please contact me again with any of your medical concerns or questions

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Ronald Schubert (23 minutes later)
What's the difference, what is an Echocardiogram?

I injured my upper back in November, but some how that has triggered symptoms of heart failure, I have experienced on and off belt tighting around me, I have also, seen and witnessed my blood starting and stopping in my left arm, even though it was only a seconds delay, the blood was flowing to my hand, but showed struggle in making it there, with a single second stop, before continuing to flow, what do you make of this?, I have also realised from a wound, that my blood seems to be very thick in constintacy, at the time and for some time now, during blood test samples being taken from me, I have also noticed this from one look at my blood inside test tubes.
doctor
Answered by Dr. Ronald Schubert (3 minutes later)
Brief Answer:
Add Aspirin to your daily routine

Detailed Answer:
Thanks for contacting HCM

An Echocardiogram is an ultrasound test that will look at your heart for any structural changes like mitral valve prolapse and can also check for heart failure. I think you need to discuss this with your provider

As for the thickness of your blood I would recommend taking a baby aspirin daily. This will help thin your blood enough that it will flow more easily and cause less of the flow problems you have been experiencing

I hope I answered your question. Please contact me again with any of your medical concerns or questions
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Ronald Schubert (9 minutes later)
I'm allergic to asprin, I've tried one before
doctor
Answered by Dr. Ronald Schubert (5 minutes later)
Brief Answer:
Discuss with your provider

Detailed Answer:
I am sorry to hear that you have an allergy to aspirin

Any additional blood thinners would need to be prescribed by you provider and they may not unless there is a clear indication. Using blood thinners have significant side effects and may be too risky for you.

I think because you have such a complicated history I would recommend that you try and get an appointment with a cardiologist. They can better help you discover what is causing your symptoms

I hope I answered your question. Please contact me again with any of your medical concerns or questions
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Ronald Schubert (5 minutes later)
My treadmill time was 5 minutes in January, and now after antibiotics have thinned the blood for me (side effect), I'm still struggling to do 10 minutes non stop, I don't know what has happened to my fitness, I could do 30mins to 1 hour comfortably (fast walking), before september and going back.
doctor
Answered by Dr. Ronald Schubert (3 minutes later)
Brief Answer:
See a cardiologist

Detailed Answer:
As I said earlier your case is very complicated and you are best served by openly discussing your problems with a cardiologist. They can better examine you look at all your records and plan appropriate action.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Ronald Schubert (26 minutes later)
I have another question, how long can an injured heart, which is receiving on and off injury, survive?, I myself have taken it very easy, since last November when with a painful upper back, the heart failure symptom began. After that first episode, chest pain then continued, and came on, on exertion, e.g going up the stairs, going twice left me in clear difficulty.
doctor
Answered by Dr. Ronald Schubert (2 minutes later)
Brief Answer:
Echocardiogram

Detailed Answer:
I can not make any predictions on what your heart is doing and the life expectancy. An echocardiogram will give you exact information as to the health of your heart and at what level you have heart failure. With this a cardiologist can better predict longevity and seriousness of the disease
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Ronald Schubert (20 hours later)
Is there anything you can add to this conversation, that may encourage my GP, to take things further, so she can refer me for an echocardiogram, I do
feel my GP needs a nudge, and I do feel I'm not even heard properly, which puts me off from telling her anything, as she can be dismissive at times.


can you tell me what heart murmurs are? I have experienced them in the last few months. More recently I have been given antibiotics (Clarithromycin 500 mg) last Monday, I had a reaction to them 2 does later, after which I have woken from sleep, with my heart pounding in my chest, I measured my pulse first thing, to find it was doing 9-10 beats per five seconds, even though my sleep was peaceful. The following morning, I woke up and I had a sinking feeling in my chest with a sense of sickness to go with it, later around 12pm, while still resting on my bed, I fainted 3 to 4 times, I felt week and unable to do anything with my body. Side effects effecting the heart do wear off don't they? Here's the shocking part of this episode, when I went to the emergency services they told me to continue the antibiotics, even though they were aware that I had a reaction to them, which had effected the heart it-self, I refused to continue, and as I did, this so called doctor, backed down and quickly changed mind, and then offered me some alternative, I told her I will see my GP for any alternative. One of the side effects of the antibiotics I was given, was, torsades de points, a life threatening irregular heart beat. The doctor was aware of which antibiotics I was on, and why I was there, I did make it very clear to the paramedics that took me to hospital, and the doctor I was faced with. I was given nothing to deal with the reaction I had to the antibiotics, I was sent home, like nothing had happened.
doctor
Answered by Dr. Ronald Schubert (4 days later)
Brief Answer:
Request for a cardiologist referral

Detailed Answer:
It would be wise to ask for a cardiologist referral. Symptomatically the reported symptoms are not very classical of heart failure. However a cardiologist will be able to examine the heart and order for echocardiogram which will make things clear.

Heart murmur is basically a physical sign noted on heart examination. When blood flows with turbulence, it causes a murmur. Based on the location and referrence to normal heart beat, murmurs are classified. I am not sure this was a murmur unless physical signs are found on examination. Therefore as I indicated earlier it is wise to pursue with a cardiologist. Further testing and echocardiogram are going to help you.

I am not sure if I can add any more value to this discussion without details of echocardiogram. Talk to your GP. Request for cardiology referral.

Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Dr. Ronald Schubert

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Practicing since :1984

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What does the following ECG report indicate?

Brief Answer: Normal EKG Detailed Answer: Thanks for contacting HCM with your health care concerns I reviewed your EKG and the results look completely normal. I do not see any heart arrhythmias or irregular heart tracing and I do not see any signs of ischemia or lack of blood to the heart. I would recommend that you ask your health care provider for an Echocardiogram. From your description of your chest pain you could have Mitral valve prolapse. I hope I answered your question. Please contact me again with any of your medical concerns or questions