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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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 for ... Read Full »
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 (Electrocardiogram) t... Read Full »
What are the reasons for tachycardia?
Query: Hi doctor, I am suffering from shortness of breath, and also I have a pacemaker in my heart due to a complete heart block. Can you please tell me about the findings in my EKG? Read Full »
Answer: Hi, Welcome to icliniq.com. I can understand your concern. According to your EKG (electrocardiogram) tracing (attachment removed to protect the patient's identity), it shows tachycardia, which means heart rate is 100 or above 100 BPM. Tachycardia may result from various physiological and pathologi... Read Full »
What is the cause for occasional, irritating, and mild left-sided chest pain?
Query: Hi doctor, I am having pain on the left side of my chest from the last 2 to 3 days. I am not sure, but it seems a muscular pain because whenever I am moving my neck in a particular way or when I press my collar bone, the pain is more. I have a clerical job, and I have to sit a lot in front of the la... Read Full »
Answer: Hello, Welcome to icliniq.com. From the history and facts, it appears to be a non-cardiac pain. Also, you had similar pain in the past, and it was non-cardiac, so I think there is no need to worry. Also, the cardiac pain will not worsen on movements or application of pressure, so in all probabil... Read Full »
Though my EKG showed sinus tachycardia, why did not my doctor worry about that?
Query: Hi doctor, I am a 30 year old female. Yesterday, I had an EKG for chest pain. My doctor said that my heart is great although my EKG automated interpretation was abnormal. It read sinus tachycardia with 111 beats per minute and non-specific ST depression, non-diagnostic for this age. Read Full »
Answer: Hello, Welcome to icliniq.com. I understand you are worried. Please do not worry. Sinus tachycardia is just fast heart rate, and yours is just slightly elevated. Probably, you were a little anxious during the time of the examination. ST and T changes are often seen in normal healthy patients. ... Read Full »
Why do I suddenly experience heart flutters and skipped beats while exercising?
Query: Hi doctor, I am a 24 year old male, who is 5.9 feet tall and weighs 160 lbs. I have been experiencing weird heart flutters and skipped beats. It mostly happens when I am at the gym lifting weight, and taking a deep breath in while doing so. I have always exercised without experiencing such feelings.... Read Full »
Answer: Hello, Welcome to icliniq.com. You are probably having PVCs (premature ventricular contractions), which are extra beats and most of the time are benign and not worrisome. The other possibility is atrial fibrillation, especially, if you have episodes of rapid heart beat. Usually, at this young age,... 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 is 130/90 mmHg. I am also attaching my ECG report to you. I need your suggestion. Thank you. Read Full »
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 dependi... 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 »
Should I be concerned about my low heart rates and anxiety regarding this issue?
Query: Hello doctor, My heart rate appears to be around 50 to 65 beats per minute when I am about to fall asleep or doze off. Is it normal? I am not very active. I do not have any heart conditions, and I am not on any medications. I am also not overweight. My anxiety has worsened because of this condition.... Read Full »
Dr. Mahmoud Ahmed Abdelrahman Abouibrahim
Answer: Hello, Welcome to icliniq.com. Thank you for your query. Do you have any symptoms such as palpitation or syncope? As long as you do not have any symptoms, do not worry. Some people just live normally with low heart rates without any problems. Slow heart rate could be of two main types, sinus br... Read Full »
I had two EKGs one before the activity and one after it. Kindly review and confirm if there is any abnormality.
Query: Hello doctor, I had two EKGs one before the activity and one after it. I am attaching the reports of it. Kindly review and confirm if there is any abnormality. Read Full »
Answer: Hello, Welcome to icliniq.com. I understand your concern regarding chest discomfort. I have looked at both of your ECGs (electrocardiogram) (attachments removed to protect the patient's identity), after activity, there are some ST and T wave changes seen, but their significance at present is debat... Read Full »
Is it fine if my 24-hour Holter test and echocardiogram are normal and ECG abnormal?
Query: Hello doctor, I got a 24-hour Holter test and echocardiogram done last year. The results were normal. However, when I got an electrocardiogram done eight months back, the results were abnormal, and they showed a possibility of left atrial enlargement and left ventricular hypertrophy. My cardiologist... Read Full »
Answer: Hello, Welcome to icliniq.com. I understand your concern. An electrocardiogram (ECG) measures the heart's electrical activity, whereas echocardiography measures the mechanical parameters of the heart. Regarding the sizes of heart chambers, we get only a rough idea from ECG, which is not always co... Read Full »