HomeAnswersCardiologyechocardiogramIs it fine if my 24-hour Holter test and echocardiogram are normal and ECG abnormal?

Do normal Holter and echocardiogram and an abnormal ECG suggest any heart problem?

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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 September 13, 2022
Reviewed AtAugust 1, 2023

Patient's Query

Hello doctor,

I got a 24-hour Holter test and echocardiogram done last year. The results were normal. However, when I got an electrocardiogram done eight months back, the results were abnormal, and they showed a possibility of left atrial enlargement and left ventricular hypertrophy. My cardiologist had suggested that I was fine as my 24-hour Holter test was good. I would appreciate a second opinion. Thank you.

Hello,

Welcome to icliniq.com.

I understand your concern. An electrocardiogram (ECG) measures the heart's electrical activity, whereas echocardiography measures the mechanical parameters of the heart. Regarding the sizes of heart chambers, we get only a rough idea from ECG, which is not always correct. Therefore, chamber size, hypertrophy, etc., are best measured with echocardiography. As echocardiography findings are normal, it means that the findings were not correct. Although there is a two months difference between these two tests, the heart size cannot change in two months. Therefore, you can rely on echocardiography findings for mechanical factors of the heart. I hope this helps. Thank you.

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

Dr. Muhammad Zohaib Siddiq
Dr. Muhammad Zohaib Siddiq

Cardiology

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