ADVERTISEMENT

Q. Had ECG for palpitations. Please have a look and assess further steps.

Answered by
Dr. Ilir Sharka
and medically reviewed by Dr.Nithila A
This is a premium question & answer published on Jun 09, 2019

Hello doctor,

I have a patient who is an athlete, has a history of panic attacks. Yesterday, he had palpitations, and some tingling was then sent for an ECG. The findings are sinus rhythm, marked right axis deviation, and ECG without any abnormalities. Would you be able to see it and assess what further steps I need to take?

ADVERTISEMENT
#

Hello,

Welcome to icliniq.com.

I reviewed carefully your ECG images (attachment removed to protect patient identity) and would explain that besides right axis deviation, I also noticed the presence of prominent P waves in DII lead, which indicates a pattern or left the posterior fascicular block. For this reason, I would recommend performing a cardiac ultrasound to examine the heart and exclude possible structural abnormality.

Regarding the tingling, I would also recommend checking the thyroid hormone levels and blood electrolytes for possible imbalance. I hope you will find this answer helpful. I remain at your disposal for any further questions whenever you need.


The Probable causes:

cardiac structural abnormality.

Investigations to be done:

Cardiac ultrasound.

Thank you doctor,

What kind of pattern do you notice? Should I be getting this person to the ER?

#

Hello,

Welcome back to icliniq.com.

I would not send him to the ER but would recommend avoiding strenuous physical activity until it is clarified that those ECG changes (large S waves in V1-V3 and axis deviation) do not correspond to any structural cardiac abnormalities. So, the next step is a cardiac ultrasound and if necessary a cardiac magnetic resonance imaging test.


Was this answer helpful?

 | 

Same symptoms doesn’t mean you have the same problem. Consult a doctor now!



Related Questions:
At what age can surgery be done for a branchial cyst?

This risk is increased if this condition is associated with other defects like heart defects ...   Read full

What can be done for high HbA1c in a pregnant woman?

As with high sugar levels, more chances of congenital anomalies in the fetus are there, most popular is heart defects ...   Read full

Why are palpitations occurring even after pacemaker implantation?

.. have gone through the report that you have provided. He is having the tachycardia-bradycardia syndrome. In this case, the pacemaker avoids his bradycardia episodes only. For his tachycardia episodes, drugs can be given. Sometimes the drug contro...   Read full

Also Read Answers From:

ideaComprehensive Medical Second Opinion.Submit your Case

Also Read


Monkeypox Virus - Symptoms, Diagnosis, Treatment, Complications, and Prevention
Monkeypox is a zoonotic viral disease. This virus got its name as it was first noticed in laboratory monkeys in the late...  Read more»
Tomato Fever - Causes, Symptoms, Diagnosis, Treatment, and Prevention
Tomato fever is an unidentified and fast-spreading type of viral infection seen in young children. Scroll down to know m...  Read more»
Histrionic Personality Disorder - Causes, Signs, Symptoms, Diagnosis and Treatment
Histrionic personality disorder causes variations in the thinking ability of a person. Read this article to know more.  Read more»

Ask your health query to a doctor online?

Ask a Cardiologist Now

* guaranteed answer within 4 hours.

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.