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

Is it acceptable to have nonspecific ST wave changes in ECG a month ago and get normalized before two weeks?

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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 July 28, 2022
Reviewed AtJuly 28, 2023

Patient's 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 or stress. I want to know if it is normal that those results come like that because of anxiety or stress.

Hello,

Welcome to icliniq.com.

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 frequently inaccurate and not always reliable. Slight variations in the ECG due to changes in heart rate, lead positions or movements, etc., can cause alterations in automatic reports. And also, nonspecific ST changes are not always an abnormal finding on ECG, and anxiety might have caused those. I hope this helps you, and get back if you have any more doubts or need more information to share.

Patient's Query

Hello doctor,

Thank you for the reply. I do not have the previous one. I have only the following information Ventricular Rate EKG/Min (BPM) - 82, PR - Interval (MSEC) - 163, QRS - Interval (MSEC) - 86, QT - Interval (MSEC) - 335, QTc - 374, P Axis (Degrees) - 34, R Axis (Degrees) - 49, and T Axis (Degrees) - 45.

Hello,

Welcome back to icliniq.com.

These parameters are normal.

Patient's Query

Hello doctor,

Thank you for the reply. The emergency department wrote that report. But like you said, since I was discharged, maybe they saw it as normal. EKG Interpretation: Rate - 82 bpm, Rhythm - normal sinus rhythm, Abnormality - yes, nonspecific ST changes, EKG tracing interpreted by ED physician. Rhythm Strip Interpretation: Rate - 82 bpm, Rhythm - normal sinus rhythm, No ST-segment elevation, and Rhythm strip interpreted by ED physician.

Hello,

Welcome back to icliniq.com.

Yes, on interpretation, nonspecific ST changes must have been considered insignificant, so they discharged you. However, your follow-up ECG was completely normal. So, things do not appear worrisome to me.

Patient's Query

Hello doctor,

Thank you for the reply. I hope you have a great day ahead. It was really good service.

Hello,

Welcome back to icliniq.com.

Thank you for your appreciation.

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

Dr. Sagar Ramesh Makode
Dr. Sagar Ramesh Makode

Cardiology

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