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Are palpitations during prolonged walking normal?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

I am 32 years old and recently underwent a medical fitness test for employment. During an ECG, it showed sinus arrhythmia and T wave abnormalities in leads V4, V5, and V6, which has made me concerned about my health. However, I do not feel any issues when I walk 4 km three times a week. I do experience palpitations after running, but they subside after a few minutes. I have not yet undergone a 2D echocardiogram.

Please advise, as I am feeling anxious about this.

Hello,

Welcome to icliniq.com.

I have reviewed your ECG (electrocardiogram). There are no significant changes, and it is considered normal. The information provided on the ECG is machine-generated and is often inaccurate, so there is no need to worry or undergo an echocardiogram. Sinus arrhythmia is also a normal phenomenon. Additionally, experiencing palpitations during prolonged walking is completely normal. Overall, you should not be concerned about the ECG changes. However, it is important to maintain a healthy lifestyle by exercising and avoiding smoking and alcohol.

I hope this helps, and feel free to reach out if you have any questions.

Thank you.

Patient's Query

Hello doctor,

Thank you for the reply.

What about the T-wave abnormality? Is there a need to see a cardiologist?

Please suggest.

Hello,

Welcome back to icliniq.com.

There is no definitive T-wave abnormalities, just minor variations which are acceptable. I do not think there is any need to see a cardiologist.

I hope this helps.

Take care and all the best.

Medically reviewed byDr. K. Shobana

Published At March 10, 2018
Reviewed AtMarch 24, 2025

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