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What could cause minor changes in the ECG?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

I went for an annual health checkup and found a minor change in the ECG. I am 28 years old. My weight is 5 feet 4 inches, and my height is 163 cm. My BMI is 30, and waist circumference is 90. My BP is 130/90 mmHg. I am also attaching my ECG report to you. I need your suggestion.

Thank you.

Hi,

Welcome to icliniq.com.

Your age is 28, and you are obese. Your electrocardiogram (ECG) is normal, and no need to worry. The minor changes are hyperacute T waves that may be due to increased potassium levels in the blood, but no need to worry. There is day-to-day variation in potassium levels depending on the diet and medications you may be taking. There is also a poor progression of R waves from V1 to V3. As you are young and have no previous history of heart attack, these findings are most probably due to ECG lead misplacement. Sinus arrhythmia, which is 100%, is a normal finding in healthy young people. Only its absence may suggest some autonomic neuropathy.

I hope this helps.

Please revert so I can assist you further.

Thank you.

Investigations to be done

You may go for electrolyte levels in the blood and renal function tests to be on safer side. Though no need, if you do not have a history of renal disease or medicines that may cause increased potassium levels.

Medically reviewed byDr. K. Shobana

Published At October 8, 2016
Reviewed AtSeptember 26, 2024

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