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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does Sinus Arrhythmia, Right Percordial Repolarization Disturbance Found In EKG Mean?

Hi, I just got an EKG done, and it came back saying this: Sinus arrhythmia, Minimal right-precordial repolarization disturbance. I went to my GP today and got this EKG done today. I have been having problems since I could remember. I'm an 18 year old female. My problem is with my heart rate. My resting heart rate, or overall heart rate is ALWAYS elevated. Between 99- over 100, even when I first wake up in the morning. I've had this since I was little, and it always affected me when I played basketball. I would get light headed, see "tunnel vision" where everything starts to go black, and I see stars. I would immediately have to sit down because I was afraid I was going to pass out. I walk up a flight of stairs, and my pulse starts to race, and I get all of the symptoms again, tunnel vision, stars, light headed. It's caused me to be afraid to work out because my symptoms ALWAYS occur 24/7. I also have chest pain, especially when my pulse gets really fast. It feels like 2 metal weights are crushing my heart on both sides. Last year I ended up in the ER, and they did a CT with dye, and I was diagnosed with an Aberrant Right Subclavian Artery. I have not been to a cardiologist or anything. This Thursday I am getting a stress test done, with cardo-lite, and ecocardiograhm, and halter monitor. Can anybody please help me out. I've been struggling all these years and I just want answers.
Mon, 21 Sep 2015
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's  Response
Hello and thank you for using HCM. I carefully read your question and i totally understand your concern. I will try to explain you something and give you my opinion.
You should not worry for your electrocardiogram report. First of all, you should not read what the paper says, because it is just a computer explanation. The electrocardiogram should allways be interpret by the doctor, not the machine. If it is the doctor that gave this interpretation, again you should not worry. Sinus arrhythmia might be normal at your age. Re polarization disturbance is just an electrical term that means nothing at your age.
What we should worry are your symtoms during this years. As you explain we are dealing with a rhythm issue.
Someone might experience fast heart beats for very different reasons and pathologies. It might be simple sinus tachycardia to other arhythmias like supra-ventricular tachycardia, atrial fibrillation ect.
This are caused from different problems from simple emotional stress to other pathologies like anemia, hyperthiroidism or electrical conduction system anomalies. The aberrant subclavian artery does not cause this symptoms but might rise a suspicion of any anatomic variation on your electrical conduction system of your heart.
So my opinion is that now its time to meet the cardiologist and do all the thinks that you have planed to do. The most important the holter monitoring, preferably for 48 h. This will help to see what are this fast heart beats.
In mean time avoid caffeine products because they rise your heart frequency.
Hope I was helpful. Best regards

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What Does Sinus Arrhythmia, Right Percordial Repolarization Disturbance Found In EKG Mean?

Hello and thank you for using HCM. I carefully read your question and i totally understand your concern. I will try to explain you something and give you my opinion. You should not worry for your electrocardiogram report. First of all, you should not read what the paper says, because it is just a computer explanation. The electrocardiogram should allways be interpret by the doctor, not the machine. If it is the doctor that gave this interpretation, again you should not worry. Sinus arrhythmia might be normal at your age. Re polarization disturbance is just an electrical term that means nothing at your age. What we should worry are your symtoms during this years. As you explain we are dealing with a rhythm issue. Someone might experience fast heart beats for very different reasons and pathologies. It might be simple sinus tachycardia to other arhythmias like supra-ventricular tachycardia, atrial fibrillation ect. This are caused from different problems from simple emotional stress to other pathologies like anemia, hyperthiroidism or electrical conduction system anomalies. The aberrant subclavian artery does not cause this symptoms but might rise a suspicion of any anatomic variation on your electrical conduction system of your heart. So my opinion is that now its time to meet the cardiologist and do all the thinks that you have planed to do. The most important the holter monitoring, preferably for 48 h. This will help to see what are this fast heart beats. In mean time avoid caffeine products because they rise your heart frequency. Hope I was helpful. Best regards