Dr. Salam Salloum
Cardiology
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Patient's Query
Hello doctor,
I have had a few ECGs (electrocardiograms) performed in a hospital setting due to panic attacks. I was always told that everything was normal. It was never mentioned to me that there was an abnormality found. I discovered it while getting copies of my records. The report states that the ST segment appears stiffened and downsloping. Upon asking the doctor, I was told that it had been there for a few years and that it is a normal variant. I have done quite a bit of research and have not found anything stating this could be a normal variant. Bloodwork was also done. CBC (complete blood count), metabolic panel, TSH (thyroid stimulating hormone), and troponin, all were normal. Echocardiogram was also performed, which came out normal as well. There was a small spot of hyper trabeculation found but after further investigation was deemed a normal finding. I am hoping to find some more information on whether this could in fact be a normal variant. Kindly help. Thank you.
Hello,
Welcome to icliniq.com.
Generally speaking, we refer to some changes on ECG (electrocardiogram) as a normal variant to the fixed changes that present on a series of ECGs without any symptoms, or to some changes that were observed in particular groups of people (such as females, athletes, or Afro Caribbean) with no other cardiac symptoms and series of tests were reassuringly normal. Most probably, these ECG changes were seen on a series of your ECGs in the past and you did not have any worrying cardiac symptoms. Please bear in mind that it is difficult for me to comment on an ECG without seeing it and comparing it with old ones to identify any pathological changes. Should you have any symptoms of exertional chest tightness, heaviness, or pains with or without breathlessness, then this should be taken more seriously and further investigated. Thank you.
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Cardiology
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