Ekg

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, which I guess was due to anxiety or trying to breathe with pleurisy. I was also...  Read Full »


Dr. Sagar Ramesh Makode

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 any ca...  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. Parth R Goswami

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 or...  Read Full »

Kindly check my parent's health check-up results and advise.

Query: Hi doctor, Please check the attached annual health check-up results of my parents and advise if any medications are required. They already take cholesterol and blood pressure medicines.  Read Full »


Dr. Parth R Goswami

Answer: Hi, Welcome to icliniq.com. All attached reports (attachment removed to protect patient identity) are normal, except reactive eosinophilia is present in your dad's report. Eosinophils are elevated in allergic conditions, certain skin disease, parasitic infection, etc. Is there any history of congest...  Read Full »

Will Carvedilol intake cause irregular heartbeat?

Query: Hello doctor, I have a home blood pressure machine as well as a home EKG machine. On Friday and Saturday morning, the BP machine detecting an unusual rhythm. Then the EKG machine said possible A-fib. All other readings the rest of the day (and I was scared, so checking hourly) were fine. I have a...  Read Full »


Dr. Sagar Ramesh Makode

Answer: Hello, Welcome to icliniq.com. I have gone through your reports (attachments removed to protect the patient's identity). There are few artifacts, and there is no atrial fibrillation. However, there is prolonged PR and intermittent missed beat, suggestive of second-degree AV block (Atrioventri...  Read Full »

Why am I having LVEDP of 4 mmHg in diastolic dysfunction?

Query: Hello doctor, I am a 57 year old male, and I had episodes of shortness of breath and tachycardia, six months back. I take high doses of Statin and ACE inhibitors from ten years, and my lipid profile is excellent. EKG showed slight ST depression, an echocardiogram showed WMA (wall motion abnormalit...  Read Full »


Dr. Isaac Gana

Answer: Hello, Welcome to icliniq.com. Thanks for providing a detailed explanation. In my practice, normal LVEDP (left ventricular end-diastolic pressure) is considered between 4 to 12 mmHg. I would love to know when you last went for any of these tests, that is EKG (electrocardiography), echocard...  Read Full »

Can pain in the lower rib occur due to a heart problem?

Query: Hello doctor, I have been dealing with some health issues lately. When I was 32 years old, I had my first atrial fibrillation, for which cardioversion was done in the hospital. Five years after that, I had a second attack, with the same result. I have never taken any medicines, just started taking...  Read Full »


Dr. Sagar Ramesh Makode

Answer: Hello, Welcome to icliniq.com. I have gone through your reports (attachment removed to protect patient identity) very carefully. Your heart looks fine, and your blood tests are also fine, only your cholesterol is elevated. Your ECGs are also normal, so the likelihood of this pain being cardiac ...  Read Full »

After a severe attack of vertigo, my EKG is abnormal. Why?

Query: Hello doctor, I am a 50 year old male, who weighs 240 lbs. Two weeks back, I had dizziness following an attack of severe vertigo that made me fall to the ground. My psychiatrist sent me for an EKG, I went to the cardiologist to review the reports, and he said that the EKG was abnormal. My psychiat...  Read Full »


Dr. Isaac Gana

Answer: Hello, Welcome to icliniq.com. Have you informed your psychiatrist about vertigo? Because vertigo could be caused by some of the drugs you are using, like Depakote (Divalproex sodium) and Risperdal (Risperidone). So, you could be having the dizziness due to the side effects of the medication. ...  Read Full »

Is it normal to have changes in heart rhythm?

Query: Hi doctor, I hear a weird rhythm in my heart for a year. Sometimes, my heart pumps faster, and sometimes, it pumps slowly. I feel like catching my breath. I also have a tight feeling in my chest. It happened around four times last year. Then, I did not hear it for months. I thought that it has go...  Read Full »


Dr. Muhammad Zohaib Siddiq

Answer: Hi, Welcome to icliniq.com. These palpitations occur due to differences in heart rhythms. Most commonly, it occurs due to premature beats of extrasystoles followed by slow rhythms and then normal rhythm occurs again. It is not a serious issue mostly. But it is serious in some conditions. If yo...  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 »


Dr. Muhammad Zohaib Siddiq

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. ...  Read Full »

What causes persistent tachycardia in me without chest pain?

Query: Hi doctor,I have persistent tachycardia of 90 to 110 beats per minute. I do not have chest pain. Before five months and last month, I did EKG and went to the emergency. The results showed nonspecific T wave abnormality and tachycardia in the reports.  Read Full »


Dr. Isaac Gana

Answer: Hi, Welcome to icliniq.com. There is a possibility of having plaque build up in the inferolateral part of the heart. It can cause reduced oxygen supply to that area of the heart causing tachycardia. This does not confirm the presence of ischemia. Please mention whether you have done a fasting lipi...  Read Full »

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