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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.
Answered by Dr. Sagar Ramesh Makode

Education:

MBBS

Professional Bio:

Dr. Sagar Ramesh Makode is a Consultant Cardiologist dedicated to diagnosing and managing various heart conditions with precision and care. He focuses on improving cardiovascular health through advanced treatments and preventive strategies. With expertise in providing personalized care, he strives to support patients in achieving better heart health, enhancing their quality of life, and reducing the risk of future cardiac complications.

This doctor is not available for online consultations on the platform anymore.

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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.

Answered by Dr. Sagar Ramesh Makode

Education:

MBBS

Professional Bio:

Dr. Sagar Ramesh Makode is a Consultant Cardiologist dedicated to diagnosing and managing various heart conditions with precision and care. He focuses on improving cardiovascular health through advanced treatments and preventive strategies. With expertise in providing personalized care, he strives to support patients in achieving better heart health, enhancing their quality of life, and reducing the risk of future cardiac complications.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

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 by Dr. K. Shobana
Published At March 10, 2018
Reviewed At March 24, 2025

Education:

MBBS

Professional Bio:

Dr. Sagar Ramesh Makode is a Consultant Cardiologist dedicated to diagnosing and managing various heart conditions with precision and care. He focuses on improving cardiovascular health through advanced treatments and preventive strategies. With expertise in providing personalized care, he strives to support patients in achieving better heart health, enhancing their quality of life, and reducing the risk of future cardiac complications.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Education:

BDS

Professional Bio:

Dr. K. Shobana is a Dental Surgeon specializing in oral health and dental care. She is skilled in preventive dentistry and provides oral hygiene education. She can do restorative treatments such as fillings and crowns. She can handle periodontal problems such as gum diseases and periodontitis. She can do root canal treatment.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

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Dr. Sagar Ramesh Makode

Cardiology

Education:

MBBS

Professional Bio:

Dr. Sagar Ramesh Makode is a Consultant Cardiologist dedicated to diagnosing and managing various heart conditions with precision and care. He focuses on improving cardiovascular health through advanced treatments and preventive strategies. With expertise in providing personalized care, he strives to support patients in achieving better heart health, enhancing their quality of life, and reducing the risk of future cardiac complications.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality
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