What do ECG changes with position and adrenaline surge indicate?

Question

Hello doctor,

The only symptom I can think of is slow and hard heartbeats with mild chest pressure that resolves in a few seconds. The first image is with the weird T waves, and the second one is with a normal one. Both were taken a few minutes apart. Are these biphasic t waves?

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

I read your query and understand your concern. Did you undergo any other tests? Do you get any symptoms of exertion like walking, climbing stairs, etc.? Do these symptoms occur at rest or on exertion? Are there any other precipitating factors? Yes, these are significant biphasic T waves and T wave inversions. Also, there are Q waves in inferolateral leads. So, according to ECG (electrocardiogram) (attachment removed to protect patient's identity), there are significant abnormalities.

Considering your symptoms, which are transient, ECG abnormalities, and your young age, the possibility of vasospastic angina needs to be evaluated. So, it would help if you visit a nearby cardiologist for evaluation. It would be best if you avoid heavy activities till then.

I hope this helps.

Please revert so I can assist you further.

Thank you.

Answer 2

Hello,

Welcome back to icliniq.com.

Has your treating doctor seen the ECG (electrocardiogram)?

Anxiety is the usual cause of such symptoms at this age, but in your case, it should be evaluated further, considering the significant ECG changes. Such changes are unlikely to occur just because of position change unless there is a gross displacement of leads, and they will not be transient at one particular position. So, you should discuss it with a local cardiologist as well. To document the changes, try to obtain more ECGs during such a symptomatic period.

I hope this helps.

Please revert so I can assist you further.

Thank you.