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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Normal ECHO, ECG Showed NSR, ST&T Wave Abnormality, Inferior Ischemia. Could This Be Electrolyte Imbalance?

I am 37, female, 5 9, 150 lbs. A recent ECG says NSR, ST& T wave abnormality, consider inferior ischemia . I have never had an ECG before. I am healthy and take no meds. I have no family history of heart disease. Could this be a normal reading for me? I had a normal Echo as well. Could this be from an electrolyte imbalance? My doc says it is probably ok, but I m still worried.
Mon, 8 Oct 2012
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Cardiologist,  's  Response
Hi
Electrolyte imbalance can cause ST/T changes - simple lab test can clear the doubt. It is not common in otherwise healthy person to have electrolyte imbalance...
A normal echo is reassuring
ST-T changes highly suggest ischemia if they are down-sloping and present at 80 millisecond (2 small squares)
If as you say the resting ECG is otherwise normal, go for an exercise ECG (under supervision) - both you and your doctor will be reassured! You are still young; have no risk factors and the possibilty of ischemic heart disease is not common...
Good luck
Good luck
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Normal ECHO, ECG Showed NSR, ST&T Wave Abnormality, Inferior Ischemia. Could This Be Electrolyte Imbalance?

Hi Electrolyte imbalance can cause ST/T changes - simple lab test can clear the doubt. It is not common in otherwise healthy person to have electrolyte imbalance... A normal echo is reassuring ST-T changes highly suggest ischemia if they are down-sloping and present at 80 millisecond (2 small squares) If as you say the resting ECG is otherwise normal, go for an exercise ECG (under supervision) - both you and your doctor will be reassured! You are still young; have no risk factors and the possibilty of ischemic heart disease is not common... Good luck Good luck