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

Does an ECG reading of sinus rhythm and inappropriate T wave indicate a cardiac disorder?

Share

The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. K. Shobana

Published At August 1, 2022
Reviewed AtJuly 28, 2023

Patient's 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 yesterday due to slight chest discomfort. They noticed that my blood pressure was abnormally high, 165/114 mm Hg, and normally it is in the 120/78 mm Hg range, which really surprised me. They gave me Amlodipine for my blood pressure and sent me home. Blood work came back with no trace of a cardiac event, no stroke, or blood clots. From time to time, I still have the sensation in my chest. Can this abnormal sinus rhythm T wave lead to a heart arrhythmia or cardiac event? I am really worried, and my anxiety levels have been through the roof. I am 37 years old and currently weigh 280 pounds with no history of high blood pressure, diabetes, no drugs or alcohol usage. The doctors conducted an x-ray of the chest, single portable magnesium, CK/W reflex high sensitive troponin I, comprehensive metabolic panel, CBC, ECG 12 lead, D-dimer, quantitative thyroid panel with TSH urinalysis reflex with culture tests. Any insight would be greatly appreciated.

Hello,

Welcome to icliniq.com.

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 2D Echocardiography and TMT (treadmill stress test). These two things will rule out cardiac disease, if any. Monitor your blood pressure regularly, and medicines are to be titrated accordingly. Exercise or brisk walk for 30 minutes five days a week. I am considering your troponin levels were normal. If possible, upload all your test reports.

Patient's Query

Hello doctor,

I actually do not have the pictures of my ECG from the hospital. They do have me scheduled for a Holter monitor test on the 28th of this month and a 2D Echocardiograph on the 29th. The hospital said that my test results do not indicate any coronary artery deterioration. Those test results are attached to this message. In regards to weight and exercise, I was actually 40 lbs (18 kilograms) heavier last year. I have been eating healthier and working out several times per week. In regards to vitamins, I was taking 3 to 4 cups of green tea daily, 4000 IU Vitamin D3 daily, fish oil 1200 mg, flaxseed oil 1000 mg, Tumeric, Zinc 50 mg, Magnesium 500 mg (started that a week before my first hospital visit). I have stopped all vitamins since this happened just to make sure that none of these caused the initial sinus tachycardia. Everything was looking good up until a few days ago. I am not sure if I pushed myself too hard at my gym, but since Wednesday, I have had chest discomfort and a feeling in my left arm as if a blood cuff is being squeezed. It does not happen all the time, just intermittent. And my chest feels like there is weight sitting there. The hospital could not find any atrial fibrillation but I am really worried that I have that condition.

Hello,

Welcome back to icliniq.com.

Good to hear from you that all the reports are good. I suggest you reduce green tea quantity to twice a day. Vitamin D can be taken at 60000 IU once a week for ten weeks, then 60000 IU once a month as a maintenance dose. In between, do check serum vitamin D levels. A pause for all micronutrients should be given after a month and restart again. I suggest you go for the TMT test, as it will rule out any coronary disease and clear your doubts. Holter monitor test is not indicated, but as you said, you want to rule out atrial fibrillation. Do an Echocardiography and a lipid profile test. Quit smoking or tobacco habits if you have any.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Prashant Valecha
Dr. Prashant Valecha

Cardiology

Community Banner Mobile
By subscribing, I agree to iCliniq's Terms & Privacy Policy.

Read answers about:

ecgcardiac scan

Ask your health query to a doctor online

Cardiology

*guaranteed answer within 4 hours

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.

This website uses cookies to ensure you get the best experience on our website. iCliniq privacy policy