• question-icon

    What does the following ECG test result indicate?

Posted on Wed, 2 Aug 2017 in Hypertension and Heart Disease
Question: I had an ECG done because I have been having symptoms of heart palpitations. Most of them are just a second long and feel like a stop or a thud in my chest which catches my breath and gives me the urge to cough. They last for one second at most. Once in a great while, usually when I'm anxious or nervous I get what I consider a "bigger" palpitation that lasts for 5 sec that starts with the thud or pause and then heart flutters for a couple seconds. Feels like it's flip flopping a bit and then goes back to normal. That catches my breath and gives me the urge to cough as well. This has been happening for at least a few years. I am now however pregnant which made me more concerned so I had the ECG done as well at a 24 hour holter. The ECG results came back and it stated :
Normal sinus rhythm
Possible Left atrial enlargement
Incomplete Right bundle branch block
Nonspecific ST abnormality
Abnormal ECG
It has me absolutely worried! Especially being pregnant. I'm only 25 years old. Would these things cause the symptoms I'm having? The flutter feeling does feel more on the right side when I get it. I looked up RBBB and one cause could be a pulmonary embolism which of course has me even more upset and worried. Pregnancy and that do not mix well at all. The doctor hasn't called me yet. I was only just sent the report. I'm hoping they will do an Echo or something now. Should I be as worried as I am with these finding? The holter results haven't come back yet so still waiting on that. They did blood work for thyroid which came back normal. Please help me understand what this means for me!
Answered by Dr. Ilir Sharka 1 hour later
Brief Answer:
I would explain as follows:

Detailed Answer:

Welcome and thank you for asking on HCM!

I passed carefully through your question and would explain that these ECG findings could be related to an atrial septum congenital defect.

For this reason, it is very important to perform a transthoracic cardiac ultrasound which would help examine better your heart structure and function.

If suspicions of a congenital defect are raised, a cardiac trans-esophageal ultrasound would be necessary.

It is also important to know your Holter monitoring results. The episodes of chest flutter or palpitations that you refer could be related to a cardiac arrhythmia.

But cardiac arrhythmias like Supraventricular tachycardia can be really dangerous during pregnancy, because they cause a low blood flow to the fetus and thus risk the baby normal development and even his life.

For this reason, it is very important to investigate for cardiac arrhythmia. The Holter results will help investigate for such disorders.

You should discuss with your doctor on the above issues.

Hope to have been helpful!

Kind regards,

Dr. Iliri
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
Answered by
Dr. Ilir Sharka


Practicing since :2001

Answered : 7373 Questions


The User accepted the expert's answer

Share on

Recent questions on  Sinus rhythm

doctor1 MD

Hi! im46 yrs old and i am latina. My concern is that I took an EKG and my results where that. I have sinus rhythm (slow) left axis deviation...

doctor1 MD

Hi: in 2007 I had an EKG that showed normal sinus rhythm rate 55 but borderline left atrial abnormality RSR in V1 or V2. The doctor said this was...

doctor1 MD

hello! i m 39 years old married with 3 kids. sometimes i have chest pain, tolerable. may ecg done with the result of sinus rhythm and left axis...

doctor1 MD

I had an ekg today with this printed on the top.

Sinus rhythm with marked sinus arrhythmia with 1st degree AV block
Right superior axis...

doctor1 MD

I have atrial fibrillation and a low pulse rate (45 - 55) when at rest. I can get it into the mid 90's when exercising. I'm 73 years old. My...

doctor1 MD

I am having a strange issue. First off I am an off and on iv drug user of methamphetamine . And a little background I'm 30 y/o and have no known...

doctor1 MD

Hello doc My mom is having little discomfort in breathing and her heart rate is also very high as per tge ecg today I am attaching the reports here...

Get personalised answers from verified doctor in minutes across 80+ specialties

148 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
Questions Answered By Dr. Ilir Sharka
  • Q - What do the following stress tests, echo and holter monitor test result...

  • Q - Suggest alternative treatment for congestive heart failure

  • Q - Suggest treatment for hypertension and GERD

  • Q - Suggest treatment for high BP and tingling in arms

  • Q - What causes sharp pain in chest area relieved by burping?

  • Q - Suggest treatment for afib, severe sleep apnea and high heart rate?

  • Q - What causes shortness of breath with normal chest X-ray?

  • Q - What causes severe pain in my calf muscle in Tietze syndrome?

  • Q - What causes altered sense of smell when diagnosed with sinus tachycardia?

  • Q - Does page syndrome increase the risk of heart attack?