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ECG showed bi atrial enlargement, non-specific ST and T wave abnormalities. Negative 2D echo. Concerned

I am a 52 year old female, 5 2 and 104 pounds. I run about 25 to 30 miles per week and have completed 3 marathons in the past 8 years. I recently had an ECG that showed bi atrial enlargement and non-specific ST and T wave abnormalities. I have a negative 2D echo from about 2 years ago. Any cause for concern? Any further testing that would benefit?
Asked On : Sun, 2 Sep 2012
Answers:  1 Views:  119
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Cardiologist 's  Response
Hi there, Thanks for writing in I am a qualified and certified cardiologist. I read your mail with diligence. You have asked two questions. There is no reason of having heart disease with such an impressive history of physical tolerance. There is no cause for concern. About any investigation help yes persons who do as much physical activity as you do have condition called Athletic Heart for excluding that condition or ruling that in as a cause of your non specific changes I would urge you to see a doctor who may advise a repeat echocardiography Doppler this year (to see any change from two year old echo) and possibly a TMT (to assess how much exertion is permissible safely) to put any doubt of serious heart disease at rest. Good Luck.
Regards and Best Wishes.
Dr Anil Grover,
M.B.;B.S, M.D. (Internal Medicine) D.M.(Cardiology)

Answered: Mon, 3 Sep 2012
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