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Q. Please give a suggestion regarding the minor change seen in my ECG.

Answered by
Dr. Muhammad Zohaib Siddiq
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Oct 08, 2016 and last reviewed on: Sep 17, 2020

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.

Dr. Muhammad Zohaib Siddiq

Cardiology General Practitioner
#

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 depending on the diet and medications you may be taking.
  • There is also a poor progression of R waves from V1 to V3. As you are young and no previous history of heart attack, these findings are most probably due to ECG lead misplacement.
  • Sinus arrhythmia, which is 100% is a normal finding in healthy young peoples. Only, its absence may suggest some autonomic neuropathy. So, be happy.

Investigations to be done:

You may go for electrolyte levels in the blood and renal function tests to be on safer side. Though no need, if you do not have a history of renal disease or medicines that may cause increased potassium levels.

Regarding follow up:

For further information consult a cardiologist online.---> https://www.icliniq.com/ask-a-doctor-online/cardiologist


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