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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.
Answered by Dr. Muhammad Zohaib

Education:

MBBS

Professional Bio:

Dr. Muhammad Zohaib Siddiq is a skilled cardiologist with 13 years of clinical experience. He specializes in diagnosing and treating heart disorders, including congenital heart defects, coronary artery disease, heart failure, valvular heart disease, and electrophysiology, providing comprehensive care for cardiovascular health.      

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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 by Dr. K. Shobana
Published At October 8, 2016
Reviewed At September 26, 2024

Education:

MBBS

Professional Bio:

Dr. Muhammad Zohaib Siddiq is a skilled cardiologist with 13 years of clinical experience. He specializes in diagnosing and treating heart disorders, including congenital heart defects, coronary artery disease, heart failure, valvular heart disease, and electrophysiology, providing comprehensive care for cardiovascular health.      

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Education:

BDS

Professional Bio:

Dr. K. Shobana is a Dental Surgeon specializing in oral health and dental care. She is skilled in preventive dentistry and provides oral hygiene education. She can do restorative treatments such as fillings and crowns. She can handle periodontal problems such as gum diseases and periodontitis. She can do root canal treatment.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

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

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Companion

ECG Minor Changes Companion

How it works

An electrocardiogram (ECG) records the electrical activity of your heart. Minor variations are common and often harmless. Here's what you need to know about some common ECG findings.

1

ECG
Basics

2

Normal
Variations

3

Hyperacute
Waves

4

R-wave
Progression

5

Heart
Health

6

When
To Worry

This information is based on general medical guidance. It is not a substitute for professional medical advice; consult a qualified clinician.

Always consult a doctor before taking medication; self-medication carries serious health risks. Take exact prescribed doses, and never start, change, or stop treatment without medical supervision.
Dr. Muhammad Zohaib
Dr. Muhammad Zohaib

Cardiology

Consult this doctor

Education:

MBBS

Professional Bio:

Dr. Muhammad Zohaib Siddiq is a skilled cardiologist with 13 years of clinical experience. He specializes in diagnosing and treating heart disorders, including congenital heart defects, coronary artery disease, heart failure, valvular heart disease, and electrophysiology, providing comprehensive care for cardiovascular health.      

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality
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