EKG or an electrocardiogram is the process of recording the electrical activity of the heart with the use of electrodes. Changes in the electrical activity are used to diagnose conditions like cardiac rhythm problems, myocardial ischemia or infarction, and electrolyte disturbances.
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I have sinus tachycardia with non-specific ST segment and T wave abnormality. Is this normal?
Query: Hi doctor, I am a 27 year old female. I went to the ER a few years ago, and I was diagnosed with pleurisy and anxiety. I only recently saw my records from that day. My EKG showed sinus tachycardia. My heart rate was 110 beats per minute, which I guess was due to anxiety or trying to breathe with ple... Read Full »
Answer: Hello, Welcome to icliniq.com. I have seen the ECG (attachment removed to protect patient identity). There are certain minor variations, which are quite commonly seen and considered as normal. So, there is nothing in your ECG, which is worrisome. Also, considering your age, the probability of ... Read Full »
My EKG came back as abnormal. Please advise.
Query: Hi doctor,My EKG came back as abnormal. I am worried.Please give your opinion on the findings. Read Full »
Answer: Hi, Welcome to icliniq.com. I understand your concern. Your ECG (electrocardiogram) is normal. Some changes may be due to improper placement of leads. Please tell your symptoms. ECG is always interpreted in context of clinical historyRegards. Read Full »
Why does my heart pounds when I stand up?
Query: Hi doctor, I am a 26 year old healthy male. My height is 5'8" feet and weight is 160 pounds. I do exercise regularly and I am healthy too. I have recently visited a cardiologist and done a cycloergometric test (Bruce stage 4 protocol). During the test my blood pressure remained normal but my heart ... Read Full »
Answer: Hi, Welcome to icliniq.com. I have worked through your query and understand your health issues. I assure you not to worry as you have consulted the appropriate expert physician who will take care all of your medical concerns. Your body mass index looks normal for this age. Thanks for attaching you... Read Full »
I have been experiencing chest pain and tightness, and my EKG report shows nonspecific ST abnormality. Does it indicate a heart problem?
Query: Hello doctor, I have severe anxiety and fear of a heart attack. I went to the ER because I was having chest pain and tightness for the past three days and felt like I was spaced out. When I went they did an EKG and informed me that the first EKG was abnormal, but when they read it they said it was n... Read Full »
Answer: Hello, Welcome to icliniq.com. I read your query and can understand your concern. ECG (electrocardiogram) that you provided (attachment removed to protect the patient's identity) is showing nonspecific changes without any signs of ischemia. Also, your Trop I test is negative. And as you told your... Read Full »
Is there a permanent cure for my prolonged macrocytosis?
Query: Hello doctor, I have had macrocytosis for a long time. My last B12 and folate levels were high. I have symptoms of nervousness, snarkiness, light headedness, palpitations, and sometimes tingling in the hands and feet. It is making me crazy. My MCV is 104.9, MCH 35.6 and last TSH 2.18. I have consult... Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hello, Welcome to icliniq.com. Macrocytosis can be present because of hypothyroidism, alcohol, liver disease, etc. Your TSH value is within the limit. So, I do not think a thyroid problem can be the cause. You can get the following tests to rule out liver and kidney problem: SGOT (serum g... Read Full »
If I quit smoking, will my RBC, hemoglobin, and PCV levels come back to normal?
Query: Hello doctor, I am suffering from hypertension since few years, and I am currently on medication Telmisartan. I am an alcoholic and smoker, and I smoke approximately 15 cigarettes a day for the last five years. My current CBC report suggests high RBC, hemoglobin, and PCV. Though it reduced slightly ... Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hi, Welcome to icliniq.com. I have gone through your attached reports (attachment removed to protect patient identity). The diagnosis is polycythemia. Polycythemia can be secondary or primary. Secondary polycythemia occurs because of hypoxia, which activates the oxygen sensor and more erythrop... Read Full »
How serious is bifascicular block in young people?
Query: Hello doctor, I am wondering how serious is bifascicular block? Is it common among younger people? I am only 30 years old and this came up on EKG. I was very surprised as I live a pretty healthy life. Any ideas what caused this and what steps I should take next? Read Full »
Answer: Hi, Welcome to icliniq.com. I can understand your worries. It is not common in general population. It occurs mostly in those who have heart attack, angina, have high blood pressure or some valvular disease, especially aortic valve. Other cause is fibrotic degeneration of conduction channels, but it ... Read Full »
Is there any specific thing to look for on an EKG to show bifascicular block?
Query: Hello doctor, I am wondering if there is any specific thing to look for on an EKG to show bifascicular block? I am trying to learn EKG reading and was wondering if you can help me. Read Full »
Answer: Hi, Welcome to icliniq.com. Look for right bundle branch block and axis deviation. If left anterior or posterior hemi-block is also present, this makes it bifascicular block. If AV block also, this makes trifascicular block. If left anterior and posterior blocks combine, it is called left bundle bra... Read Full »
Is CAG necessary for ST depression with shortness of breath?
Query: Hello doctor, My cousin has shortness of breath while climbing stairs for three months. We got a lipid profile where LDL is 210 and triglycerides were 320. He has elevated homocysteine levels as well. EKG showed sinus tachycardia and ST depression in 2, 3, AVF. 2D echo showed aortic sclerosis, norm... Read Full »
Answer: Hi, Welcome to icliniq.com. All the prescribed medicines are fine. Shortness of breath is not due to systolic heart failure as LVEF (left ventricular ejection fraction) is normal. Yes, there may be diastolic heart failure. Please send me a full echocardiography report so that I may comment on it. Th... Read Full »
Does smoking cigarettes cause shortness of breath and increased heart rate?
Query: Hi doctor,I suffered from bronchitis, four years ago. Since it got cured, I smoked cigarettes for two years and gradually stopped smoking. Recently, I have high blood pressure, increased heart rate, and I have shortness of breath. I started running 2 km daily. Why am I having all these symptoms? Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hi, Welcome to icliniq.com. As you have a history of smoking, smoking-induced left ventricular hypertrophy, emphysema, bronchitis, pulmonary congestion, etc., can lead to such presentation. You need to do the following investigations: Auscultation. Chest x-ray. 2D echocardiography o... Read Full »