Electrocardiogram

Electrocardiogram (ECG) is a noninvasive test used to measure the electrical activity of your heart. It helps the doctor understand how well your heart is functioning. It records the heart's rhythm and activity, which is graphed using a moving strip of paper.

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Could increased heart rate after exercise be benign?

Query: Hello doctor, My husband is 48 years old. He is in good physical shape and healthy, exercises regularly, and takes a healthy diet. During exercise, his heart rate gets to 200 bpm when at maximum exertion, which felt slightly high for his age. In mentioning this to his GP, she suggested a stress tes...  Read Full »


Dr. Ilir Sharka

Cardiologist

Answer: Hello, Welcome to icliniq.com. I passed carefully through your husband's medical history and uploaded the test (attachment removed to protect patient identity) and would explain that his test is suspicious of potential ischemic cardiac disorder. In this regard, further clinical investig...  Read Full »

Why is there a minor change in my ECG?

Query: Hi doctor, I went for an annual health checkup and found there was a minor change in the ECG. I am 28 years old. My weight is 80 kg and height is 163 cm. My BMI is 30 and waist circumference is 90. My BP 130/90 mmHg. I am also attaching my ECG report to you. I need your suggestion. Thank you.  Read Full »


Dr. Muhammad Zohaib Siddiq

Cardiologist, General Practitioner

Answer: Hi, Welcome to icliniq.com. Your age is 28 and you are obese. Your electrocardiogram (ECG) is normal and no need to worry. The minor changes are hyperacute T waves that may be due to increased potassium levels in blood, but no need to worry. There is day-to-day variation in potassium levels dependin...  Read Full »

Can elevated BP cause slight variation on ECG?

Query: Hello doctor, I am a 39-year-old male. My height is 175 cm and weight 96 kg. I do not smoke or I do not consume tobacco or alcohol. I recently got my preventive health check-up done. My all blood tests are within normal range prescribed, including all cholesterol levels. I do not have any part...  Read Full »


Dr. Muhammad Zohaib Siddiq

Cardiologist, General Practitioner

Answer: Hello, Welcome to icliniq.com. Only a concerning finding is on ECG. What to do in that case? If first ECG (electrocardiography) done shows some abnormalities, but there is very low suspicion of disease on patient's history and examination, repeat ECGs should be done every half an hour for few hou...  Read Full »

What does sinus arrhythmia mean?

Query: Hi doctor, I took free ECG on apple watch, can you let me know if they are normal?   Read Full »


Dr. Sagar Ramesh Makode

Cardiologist, General Medicine Physician, Internal Medicine Physician, Family Physician, General Practitioner

Answer: Hello, Welcome back to icliniq.com. Yes, all ECGs (electrocardiography) are fine, without any significant abnormalities. These are primarily used and reliable for rhythm monitoring only, rather than other issues as they are not standardized and do not have all required leads. Technically speaking...  Read Full »

What does my ECG reports show?

Query: Hi doctor, I have attached my two ECG reports here. Are they normal? They were taken consecutively, 1 minute apart, the one with 106 heart rate was taken first and the second one with 93 heart rate was taken later). I see some broad peak in the second one. I am not sure if it is an error or somethi...  Read Full »


Dr. Muhammad M. Hanif Md.

Cardiologist, Criticalcare Physician, General Medicine Physician, Internal Medicine Physician

Answer: Hi, Welcome to icliniq.com. You may rest assured as I have carefully reviewed your health query, including both the attachments with different heart rates (attachment removed to protect patient identity). The peak you are most concerned about is a simply nothing. It is an artifact and is a recording...  Read Full »

I frequently awaken at night. Is it due to anxiety and depression?

Query: Hello doctor, A little over two years ago, I experienced some stress in my life that resulted in a high level of anxiety and depression. I was prescribed Paxil and took it for one year. At the time, I was also taking Diovan and Atenolol for hypertension, Pantoprazole for reflux, and Simvastatin fo...  Read Full »


Dr. Bindiya Thakkar

Diabetologist, Endocrinologist

Answer: Hi, Welcome to icliniq.com. Do you currently have hypertension? When you wake up early morning, do you have hot flashes or night sweats? Do you have headaches with these episodes? Have you checked your thyroid level recently? Any palpitations felt? If yes, have you had an EKG to rule out any cardiac...  Read Full »

I have shortness of breath and numbness in arms in the morning. Why?

Query: Hello doctor, I am a 32 year old male, who weighs 115 lbs and I am 5.10 feet tall. I woke up after an hour of sleep with shortness of breath and numbness in my right arm. I have been suffering from a cold, for a week now. Five days ago I boarded a flight, I got congested during the first leg of the...  Read Full »


Dr. Prathap

General Medicine Physician, Internal Medicine Physician

Answer: Hi, Welcome to icliniq.com. I would give my opinion regarding this, but it may not be the final diagnosis as I have not examined you. Shortness of breath after lying down for an hour implies there is a pulmonary congestion, that is pooling of blood in lungs due to weakened heart. It is called ort...  Read Full »

Can pneumonia cause prolonged QT waves?

Query: Hi doctor, I went to the emergency room with fast heartbeats. The doctor did an EKG and chest x-ray, and he said I had pneumonia. But, my QT was slightly prolonged. He repeated the EKG after a week later and said it was fine. Should I be concerned about the prolonged QT? Can pneumonia have caused i...  Read Full »


Dr. Sagar Ramesh Makode

Cardiologist, General Medicine Physician, Internal Medicine Physician, Family Physician, General Practitioner

Answer: Hello, Welcome to icliniq.com. How much was your QT? Pneumonia will not cause QT prolongation. Since it has resolved, it was probably due to some reversible causes like electrolytes abnormalities like hypocalcemia, hypokalemia, etc. Many drugs also cause QT prolongation, so drugs need to be...  Read Full »

What is the difference between heart attack and costochondritis chest pain?

Query: Hi doctor, I am 21 years old, and I visited my GP today, who thinks that I may have chondritis. I just have a question regarding the difference between this and heart attacks. The pain has been varying from the right side of my left pectoral to the left side of my left pectoral muscle. Being fairl...  Read Full »


Dr. Sagar Ramesh Makode

Cardiologist, General Medicine Physician, Internal Medicine Physician, Family Physician, General Practitioner

Answer: Hello, Welcome to icliniq.com. Firstly, to begin with, the probability of heart attack is very less at this age. Costochondritis pain will increases on applying pressure over the area, if yes, it could be costochondritis. This is the most important sign of costochondritis. Heart attack pain...  Read Full »

Does high E/A ratio suggest diastolic dysfunction?

Query: Hello doctor, I want to show my echocardiogram, to know if I have diastolic dysfunction or not. I can see that the velocity is high, but the report says normal. I am not an expert, but I have read that, if E/A ratio is higher than 1.5, then it is a problem. Please help, I am worried.  Read Full »


Dr. Isaac Gana

Cardiologist

Answer: Hello, Welcome to icliniq.com. In order to diagnose a person to have diastolic dysfunction, there are factors that have to be met. Like ejection fraction more than 45%, the presence of diastolic stiffness, and heart failure symptoms, with changes in some laboratory test indexes. E/A ratio great...  Read Full »

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Disclaimer: All health Q&As published on this website is not intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek the advice from your physician or other qualified health-care providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website.