HomeAnswersCardiologyecgWhat do slow and hard heartbeats with mild chest pressure that resolves in a few seconds conclude?

What does ECG changes with position change and adrenaline surge indicate?

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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 29, 2022
Reviewed AtJuly 28, 2023

Patient's Query

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?

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 biphasic T waves and T wave inversions, which are significant. 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. Thank you.

Patient's Query

Hi,

Thank you for the response doctor. I underwent only an echocardiogram, which had a normal result, just a borderline aortic root measurement at 3.6 cm. I get symptoms sometimes, but it was always chalked off as anxiety. These ECG changes usually occur during positional changes or when I wake up in the morning. I get these changes directly after an adrenaline surge.

Hello,

Welcome back to icliniq.com.

Has your treating doctor seen the ECG? 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. Thank you.

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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