Dr. Muhammad Zohaib Siddiq
Cardiology
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Patient's Query
Hello doctor,
I went to a cardiologist as per recommendation from my doctor, and they did an EKG. I read the report as follows, electrocardiogram complete (93000) result was PR interval: 140 ms, QRS: 98 ms, QT interval: 390, rate: 62 beats per minute, rhythm: normal, sinus rhythm, chamber hypertrophy or enlargement: left ventricular hypertrophy. Thus the interpretation was an abnormal EKG. When the EKG was done, I remember being asked if I lift weights or lift heavy objects, and I said yes because I do at work. I am sure the report says that there is an enlargement. Does that have anything to do with lifting? Or is there something wrong with my heart? I am just confused and a little anxious and want some answers. Thank you.
Hello,
Welcome to icliniq.com.
I can understand your concern. Your ECG (electrocardiogram) suggests left ventricular hypertrophy. This occurs in those with chronic hypertension or those who exert a lot, with valvular disease, or primarily have heart muscle disease. Please note that ECG findings are only suggestive and not confirmatory. For confirmation, echocardiography is done. Moreover, your LDL (low-density lipoprotein) of 200 is very high, and you should take a statin. If you have hypertension, it should be treated with medicines. Please let me know if you take medication for high LDL cholesterol levels and hypertension.
Patient's Query
Hello doctor,
Thank you for the response. No, I currently do not take any medications. Because of my age, my doctors do not want to put me on any medications. Although I do not want to have problems later in life, they re-checked my cholesterol, and I am awaiting my results. I have been trying to eat better because my blood pressure is usually normal when I check it. Is this left enlargement something I should be concerned about?
Hello,
Welcome back to icliniq.com.
Usually, left ventricular (LV) hypertrophy on ECG (electrocardiogram) alone is not to be worried about. However, echocardiography should be done to see its cause. So please share your echocardiogram so that I may comment on it. LDL 200 is very high. If LDL is 190 or more on repeat lipid profile, take tablet Rosuvastatin 20 mg daily at night and repeat lipid profile after three months. If LDL is between 160 and 190, it will also be decided on other factors.
Patient's Query
Hello doctor,
Thank you for the response. This is my echocardiography report. Value: echo (93306) result: (pre-procedure information) sonographer: Lauren Walpole, gender: male (procedure) study type: complete resting m-mode and 2D transthoracic echocardiogram with color, pulsed wave, and continuous wave Doppler. Technical quality: fair (2D measurements) aortic root diameter: 3.3 cm, LA diameter: 3.6 cm, LVIDd: 4.9 cm, LVIDs: 2.7 cm, IVSd: 1.0 cm, LVPW: 0.9 cm, RVIDd: 2.1 cm, ejection fraction: 75 %, LVOT diameter: 2.1 cm, IVC size: 2.2 cm (left ventricle) normal LV prototype (size or thick or ejection fraction): size, thickness, and ejection fraction. There are no regional wall motion abnormalities (ventricular septal defect) present: no (right ventricle) normal RV prototype (size or thick or ejection fraction): size, thickness, and function (left atrium) cavity size: normal (right atrium) cavity size: normal (mitral valve) normal: valve structure is normal, with thin mobile leaflets (aortic valve) normal: valve structure is normal, with thin mobile leaflets (tricuspid valve) normal: valve structure is normal, with thin mobile leaflets (pulmonic valve) normal: valve structure is normal, with thin mobile leaflets (pericardium) effusion: none (aorta) normal: there is no evidence of dilation (mitral valve doppler) regurgitation: trace, stenosis: not present, mitral E/A (0.8 - 1.5): 1.79, E'medial (8 or > is normal): 13 cm/s, E/E'med ratio (50 normal): 80 cm/s (diastolic function) diastolic function: The left ventricular filling pattern is normal. There is no evidence of diastolic dysfunction present [aortic valve Doppler) regurgitation: none, stenosis: not present [tricuspid valve doppler], regurgitation: trace, stenosis: not present, tricuspid TR velocity: 1.76 m/s, tricuspid RVSP: 15.38 mm Hg (pulmonic valve doppler) regurgitation: trace, stenosis: not present (IVC size) IVC size: mildly dilated (1.8-2.5) (IVC respirophasic pattern) IVC respirophasic pattern: the inferior vena cava respirophasic diameter changes are in the normal range (> 50 percent) (conclusion) findings: Normal left ventricular size, wall thickness, systolic function, wall motion, and diastolic filling. Normal right and left atria and right ventricle. Trace valvular regurgitation can be considered physiologic. Details: Interpretation: Abnormal. Kindly interpret my echo. Thank you.
Hello,
Welcome back to icliniq.com.
Echocardiography findings are normal. There is no left ventricular hypertrophy or enlargement. As I said, ECG findings are only suggestive. Echocardiography findings are normal and confirmatory.
Patient's Query
Hello doctor,
Thank you for the response. That is great news. My last question is, why does it say abnormal on the bottom? Could that be a typo?
Hello,
Welcome back to icliniq.com.
It is because this is trace TR (tricuspid regurgitation) and could be physiologic and normal.
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Cardiology
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