ECG stands for Electrocardiography, which is a non-invasive diagnostic test that records the electrical activity of the heart. This electrical activity, which is caused by electrical charges created by the heart as it beats, is picked up by the electrodes that are placed over the skin. It is useful to assess the heart rhythm, identify any heart disease, and for evaluation of cardiac efficiency.

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Are pounding heart and skipped heartbeat signs of atrial fibrillation?

Query: Hello doctor, I am a 46-year-old female. My blood pressure is low and normal. I have never had any heart issues except palpitations when pregnant 10 years ago. They did a cardiac ultrasound at that time, which was normal. Just over a week ago, I started feeling, intermittently during the day, as if...  Read Full »

Dr. Rishu

Answer: Hello, Welcome to I have gone through your detailed narration and understand your concerns. The ECG (electrocardiogram) recordings are clearly suggestive of atrial fibrillation (AF) and there is no doubt about it. The P-wave is absent and the rhythm is irregular. Both are suggestive o...  Read Full »

I feel fatigue, dizziness and palpitations after I play for sometime. Is it due to ARVC?

Query: Hi doctor, I used to play football a few years ago, however, I had to stop playing due to symptoms of immediate fatigue after a maximum of one sprint, wheezing, dizziness and palpitations. They were first attributed to asthma, however, upon having a cardiac MRI, I was told there are no issues with...  Read Full »

Dr. Muhammad Zohaib Siddiq

Answer: Hi, Welcome to ARVC (arrhythmogenic right ventricular cardiomyopathy) is diagnosed on echocardiography or MRI (magnetic resonance imaging). Then further risk stratified on past history, family history of ARVC or sudden death in the first degree relatives, or Holter monitoring to detec...  Read Full »

My mother had a nosebleed two days ago. What can be the reason?

Query: Hello doctor,My 54-year-old mom had a nosebleed two days ago that lasted five to seven minutes. Her BP usually never crosses 106/66, but after the nosebleed, her BP is 148/99. Since the day of her nosebleed, she has been feeling pressure in her nose and eyes. I wonder if it was sudden high blood pre...  Read Full »

Dr. Chandwadkar Ashish

Answer: Hello, Welcome to A nosebleed can be due to many causes, and the most common is a local injury. But, in your case, it seems like the high blood pressure (BP) itself is causing the nosebleed. I suggest you check her BP at different times of the day and get an average. If it is still hig...  Read Full »

What does an ECG reading of sinus rhythm and inappropriate T wave indicate?

Query: Hello doctor, What does an ECG reading of sinus rhythm and inappropriate T wave mean? Four weeks ago, I went to the emergency room for inappropriate sinus tachycardia from drinking too much green tea. I have been taking it easy over the past few weeks, but I had to return to the emergency room yeste...  Read Full »

Dr. Prashant Valecha

Answer: Hello, Welcome to You have not uploaded any reports and only heart rate pictures. ECG (electrocardiogram) with sinus rhythm and inappropriate T wave suggests further evaluation, and it can be normal too. So I will advise you to do the following: 1) 2D Echocardiography. 2) TMT (tread...  Read Full »

Am I taking the correct medications for my heart palpitations?

Query: Hi doctor, I have palpitations that started two years ago. After multiple normal ECGs and a normal echocardiography, one ECG showed occasional PVCs. I am taking Inderal 10 mg once in the morning daily, Sertraline 100 mg once in the morning every day, and Clonazepam 0.25 mg when needed. Am I on the c...  Read Full »

Dr. Mohammad Rajja

Answer: Hi, Welcome to Your ECG (electrocardiogram) showed occasional PVCs (premature ventricular contractions) (attachment removed to protect the patient's identity). You might need treatment if the premature ventricular contractions are very frequent or bothersome or if you have an underlyi...  Read Full »

Can you please help me understand my 73-year-old father's ECG report?

Query: Hello doctor, My 73-year-old father had his ECG today. The report shows PR 160, QRSD 91, QT 298, QTc 377, P axis 53, QRS 20, T 45, and heartbeat 96 BPM. He has had diabetes for 20 years and has no previous heart problems. Currently, he is using tablet Telmisartan 40 mg for blood pressure and tablet...  Read Full »

Dr. Gulati Ranjitsingh Awtarsingh

Answer: Hello, Welcome to I understand your concern. I have read your father's reports, including ECG (attachments removed to protect the patient's identity). What is the reason for him to get an ECG (electrocardiogram) done? The ECG shows mild heart changes that indicate ischemia. I suggest...  Read Full »

What do slow and hard heartbeats with mild chest pressure that resolves in a few seconds conclude?

Query: Hello doctor, The only symptom I can think of is slow and hard heartbeats with mild chest pressure that resolves in a few seconds. The first image is with the weird T waves, and the second one is with a normal one. Both were taken a few minutes apart. Are these biphasic t waves?  Read Full »

Dr. Sagar Ramesh Makode

Answer: Hello, Welcome to I read your query and understand your concern. Did you undergo any other tests? Do you get any symptoms of exertion like walking, climbing stairs, etc.? Do these symptoms occur at rest or on exertion? Are there any other precipitating factors? Yes, these are biphasi...  Read Full »

I had nonspecific ST wave changes in ECG a month ago, but the same was normal before two weeks. Is it normal?

Query: Hello doctor,I had an ECG about two months ago, and it came out with nonspecific ST wave changes. I had a repeat the same about two weeks ago, and it came out clear. The day I got the first one was because I was anxious that night and felt like passing out. They discharged me and said it was anxiety...  Read Full »

Dr. Sagar Ramesh Makode

Answer: Hello, Welcome to The recent ECG (electrocardiogram) is normal. I think the previous ECG might have been normal too, which is why they discharged you. You should share your previous ECG if you have. Firstly, the report is machine-generated, and mentioned on the ECG report is frequentl...  Read Full »

My aunt who has cardiac problem, had breathing difficulties and developed pulmonary disease recently. Can pulmonary disease be diagnosed on an ECG?

Query: Hi doctor, My aunt has a cardiac problem, and I took her to the ER last week because she was having breathing difficulties. The doctor suggested an ECG and a few tests. However, the doctor later told her that she had some pulmonary disease and she needed to take treatment for the same. Can pulmonary...  Read Full »

Dr. Kaushal Bhavsar

Answer: Hi, Welcome to Thank you for contacting us. This is strange. To diagnose pulmonary disease, you must get a chest X-ray, CT (computed tomography) thorax, and pulmonary function test. It will be of great help if you can send me pictures of her ECG (electrocardiogram). I will be happy to...  Read Full »

Please suggest some remedies for random chest pain that builds pressure up into the throat.

Query: Hi doctor, I have random chest pain that builds pressure up into the throat, repeating every few seconds and lasting hours. It happens maybe every couple of months. I am taking tablet Zoloft and tablet Elinest medications. Please help.  Read Full »

Dr. Rajesh Jain

Answer: Hi, Welcome to I understand your concern. Do you have any burning in the chest, breathlessness, or sweating during pains? Do you have any ECG (electrocardiogram) or blood test reports? Please reply with details. Meanwhile, It seems to be musculoskeletal pain aggravated by lack of exerci...  Read Full »

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