ECG stands for Electrocardiography, which is a non-invasive diagnostic test that records the electrical activity of the heart. This electrical activity, which is caused by electrical charges created by the heart as it beats, is picked up by the electrodes that are placed over the skin. It is useful to assess the heart rhythm, identify any heart disease, and for evaluation of cardiac efficiency.

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Is high systolic blood pressure a concerning issue?

Query: Hi doctor, I have been getting unusual readings tracking my blood pressure on my Omron 10 series. I have been following the instructions to try and ensure accuracy. Over the past several days, I have captured readings with extreme isolated spikes in diastolic pressure that coincide with my machin...  Read Full »

Dr. Ilir Sharka

Answer: Hello, Welcome to I understand your concern and would like to explain that those abnormal diastolic BP value spikes could be due to erroneous readings of automatic Omron BP equipment in the settings of episodic cardiac arrhythmia (probably extrasystolic arrhythmia, atrial fibrillation...  Read Full »

The ECG taken for palpitations show sinus rhythm and marked right axis. Kindly assess the further steps.

Query: Hello doctor,I have a patient who is an athlete, has a history of panic attacks. Yesterday, he had palpitations, and some tingling was then sent for an ECG. The findings are sinus rhythm, marked right axis deviation, and ECG without any abnormalities. Would you be able to see it and assess what furt...  Read Full »

Dr. Ilir Sharka

Answer: Hello, Welcome to I reviewed carefully your ECG images (attachment removed to protect patient identity) and would explain that besides right axis deviation, I also noticed the presence of prominent P waves in DII lead, which indicates a pattern or left the posterior fascicular block. ...  Read Full »

What should be done for low blood pressure with second-degree heart block.

Query: Hello doctor, My boyfriend is 24 years old. Being a fitness trainer, he does not take any drugs. He has been getting chest pain for the past four months and sometimes lightheadedness. He went to the doctor and had done a blood test which came back normal. His blood pressure is low, and he had a 24-h...  Read Full »

Dr. Ilir Sharka

Answer: Hello, Welcome to I understand your concern. I want to explain that when we are in front of a cardiac conductance abnormality in an young adult first, it is necessary to exclude an infectious and inflammatory disease, like Lyme disease, sarcoidosis, and other cardiac issues, like myoc...  Read Full »

Why do I still have chest pain despite all reports being normal?

Query: Hello doctor, I have chest pain for three months. I took ECG, Echo, TMT, my reports are normal. But still, I have the same problem. I take Solopose Beta 0.5 mg. My blood pressure suddenly rises to 120/90.  Read Full »

Dr. Ilir Sharka

Answer: Hello, Welcome to I understand your concern and would like to explain that as all your cardiac tests have resulted in normal, a cardiac issue is almost excluded. A 24 hours ECG monitoring test (Holter) would be necessary to eliminate any abnormal arrhythmic event. Probably the most im...  Read Full »

My heart rate has increased to 220 beats per minute. What should I do?

Query: Hi doctor, The day before yesterday, my heart rate went up to 220 beats per minute which maintained for about three hours and my BP was quite low. I have not done any physical work on that day. The same problem occurred before eight years which maintained for half an hour. Suddenly, this happened to...  Read Full »

Dr. Ilir Sharka

Answer: Hello, Welcome to I can understand your concern and your symptoms could be due to anxiety or cardiac arrhythmia. I would recommend consulting your doctor and getting these tests done: A resting ECG (electrocardiogram) and cardiac ultrasound. An ambulatory 24 to 48 hours of ECG mon...  Read Full »

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