HomeAnswersCardiologyecgWhy is there a flip on one mark in EKG?

Is it normal to have a flip at one point in EKG?

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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. Divya Banu M

Published At July 16, 2019
Reviewed AtJanuary 18, 2024

Patient's Query

Hello doctor,

I wanted to talk to you to see if you thought I had anything to worry about. My BP was good (112/69 mmHg ), cholesterol was 141 mg/dL, I think she said my triglycerides were 76 mg/dL. My kidney, liver functions were great. The EKG came back as within normal limits but there was one mark that had flipped since the last time she saw me. She said it is the lead that goes on the breast so sometimes it reads wrong because of breast tissue. This is on the breast that I had a lumpectomy on. She tried it again and it was a little flatter but still there. So I have to get an echocardiogram and treadmill test. And she is signing me up for a calcium test. She said if I was not moving to another city next week she would wait until my next appointment in 6 months to see if that line is still there but since I am moving next week and do not have a doctor up there yet she will do the tests here. I have a history of high BP, diabetes, breast cancer and PES in both lungs. My cardiologist said that the flip was on one mark not the whole EKG. Should I be concerned about blockage?

Hi,

Welcome to icliniq.com.

I have gone through ECG you provided. It is showing nonspecific ST T changes in leads III and V1 to V3 (attachment removed to protect patient identity). Nonspecific means not likely of ischemia. But as you are having high BP, diabetes, I will suggest you to undergo 2D echo and TMT to rule out any ischemic cause.

Patient's Query

Thank you doctor,

What is ischemia?

Hi,

Welcome back to icliniq.com.

Ischemia is decrease in blood supply to an organ. In this case, organ is heart. Ischemia occurs when there is blockages in arteries supplying to heart.

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

Dr. Sapkal Ganeshrao Patilba
Dr. Sapkal Ganeshrao Patilba

Cardiology

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