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Chestpain. ECG shows normal sinus rhythm with right atrial abnormality. Reason?

hi im a 46 yr old female and have been having chest pain for several months now my ecgs have been abnormal mostly with st depression and twave abnormality my latest one however shows normal sinus rythm with right atrial abnormality and borderline right axis deviation what can this be i have previously had an angiogram which was normal
Asked On : Sat, 30 Mar 2013
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Pulmonologist 's  Response
Hello Ms Shaz,

Chest pain of several months duration, along with a normal angiogram suggests your blood vessels supplying the heart (coronary arteries) are normal. So ST depressions and T wave abnormalities are not very significant in your situation. Normal sinus rhythm means that the heart is beating regularly and properly.

Right atrial abnormality in ECG with right axis deviation suggests that right side of the heart is overloaded. This can be due to diseases of pulmonary circulation (blood flow inside your lungs) or due to a number of lung diseases. These may not show up in a coronary angiogram. You can discuss this possibility with your physician. A cardiologist could assess the cardiac chamber functions and sizes with an echocardiogram. Assessment of lung functions will also help to rule out some lung diseases.

Borderline right axis deviation could be a normal variant in some people. So please do not panic. Hope your problem gets resolved at the earliest. Thanks a lot for using
Answered: Sat, 30 Mar 2013
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