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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I have asymptomatic AF and vascular dementia. Please advise.

Query: Hello doctor, I have asymptomatic AF vascular dementia.  Read Full »

Dr. Sagar Ramesh Makode

Answer: Hello, Welcome to Please attach your ECGs. Revert with more information to a cardiologist online.  Read Full »

Despite following a healthy lifestyle, I have variations in my heartbeat. Kindly help.

Query: Hello doctor,I am a healthy individual who exercises regularly and eats a healthy balanced diet. However, I have been experiencing extra heartbeats for a while now. These beats started a couple of weeks ago and were strong at first, but now they have become milder and milder. I captured them on my s...  Read Full »

Dr. Sapkal Ganeshrao Patilba

Answer: Hello, Welcome to I have reviewed the details you provided (attachments removed to protect the patient's identity). ECG (electrocardiography) strip shows ventricular ectopic beats. They can occur in normal individuals, also. If they are occurring too frequently or causing any symptoms...  Read Full »

I am a 22-year-old male with on-and-off chest pain for the past three years. I got my ECG and echocardiogram done, which were normal. What can be the cause of my chest pain?

Query: Hi doctor, I am having chest pain for the last three years. It comes and goes away, and I did an ECG, which was normal. The echocardiogram I did was also normal. No one was able to find the cause or provide me with a diagnosis. Even now, when I check my heart rate, it is 95 beats per minute. I am ha...  Read Full »

Dr. Rajesh Jain

Answer: Hi, Welcome to I understand your concern, and I request you to not worry. The chest pain seems to be musculoskeletal pain due to sitting in the wrong posture, sleeping in the wrong posture, or lack of exercise. Please do neck, back, and shoulder exercises daily. Try to sleep and sit in ...  Read Full »

I have increased heart rate and palpitations. What should I do?

Query: Hello doctor, While taking blood pressure reading, the doctor advised ECG (echocardiography) due to faster heart beats. I also experience palpitations frequently. My blood pressure is 120/90 mm of Hg. The physician suggested me to meet a cardiologist based on the attached ECG. My current medication ...  Read Full »

Dr. Muhammad Zohaib Siddiq

Answer: Hello, Welcome to Your reports of ECG (echocardiography) and heart rate are normal. An ECG done during an episode of fast heart rate will tell about cardiac rhythm issue.  Read Full »

Why is the heart having rapid, uncontrollable pounding?

Query: Hi doctor, I am 24 years old, and my heart is having episodes of rapid, uncontrollable pounding which is giving me shortness of breath and faintness. This has only started recently with my first episode giving me tunnel vision. What should I do?  Read Full »

Dr. Sagar Ramesh Makode

Answer: Hello, Welcome to This can be a cardiac arrhythmia like PSVT (paroxysmal supraventricular tachycardia) or atrial fibrillation, in which heart rate suddenly goes up and also suddenly decreases. Blood pressure falls during these episodes, and one has dizziness, fainting, blackouts, some...  Read Full »

How long can one survive after a triple bypass surgery?

Query: Hello doctor, My dad has had tripple bypass surgery this summer. He does not have a history of stroke and infarction. He is a 54-year-old and has an asymptomatic carotid occlusion. How many years can he survive on an average?  Read Full »

Dr. Sapkal Ganeshrao Patilba

Answer: Hi, Welcome to Asymptomatic carotid occlusion as such does not affect survival. Survival depends on left ventricular function on 2D (two-dimensional) Echocardiography. If his left ventricular function is normal, he may have normal survival. In case of a LV (left ventricular) dysfu...  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 »

ECG shows sinus arrhythmia and T-wave abnormality. Should I see a cardiologist?

Query: Hi doctor, I am 32 years old. I went through a medical fitness test for employment. While going through an ECG, it showed sinus arrhythmia and T wave abnormality (V4, V5, V6) and it has got me worried whether I am unwell. I do not feel anything wrong with me when I walk for 4 km three times a week. ...  Read Full »

Dr. Sagar Ramesh Makode

Answer: Hello, Welcome to I have gone through your ECG (electroencephalography). There are nonsignificant changes and it is considered normal. Whatever is mentioned on the ECG is a machine-generated report and is frequently inaccurate. So, there is no need to worry or do an echocardiography. Si...  Read Full »

My BP increased rapidly, and I was admitted to a hospital where I underwent a few tests, and all reports were normal. What is the cause?

Query: Hi doctor, I am a 40-year-old male who developed left knee pain four years ago. I visited a doctor for the same and underwent an MRI of my left leg and hip joint. But the reports were normal. So, the doctor said the pain was due to a psychological problem. So, he referred me to a psychiatrist, and I...  Read Full »

Dr. Vishal Anilkumar Gandhi

Answer: Hi, Welcome to I went through your query and understood your concern. You have had depression in the past, and you are on antidepressants. In addition, you are on tablet D-Veniz 50 mg, which has hypertension as one of the side effects of long-term usage. Or you may have developed hyp...  Read Full »

Why am I having palpitations at times of big stress?

Query: Hello doctor, I recently went to the ER after getting into a physical altercation with someone. I was winded and had chest pain and back pain. The pain eased up while I was in the ER waiting for blood work and other tests. I had an ECG showing a septal infarct, which cannot be ruled out. I also had...  Read Full »

Dr. Sagar Ramesh Makode

Answer: Hi, Welcome to I understand your concern. I have gone through your ECG. There are no definite changes in the ECG to suggest an acute major heart attack. Even anteroseptal infarction does not satisfy the criteria. But, considering your symptoms, the first possibility is a minor heart a...  Read Full »

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