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

Answered by
Dr. Ganesh P Sapkal
and medically reviewed by Dr. Divya Banu M
This is a premium question & answer published on Jul 16, 2019

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), cholesterol was 141, I think she said my triglycerides were 76. 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?


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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.

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Thank you doctor,

What is ischemia?



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.

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