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Q. Can you please review my EKG report and tell me what it means?

Answered by
Dr. Sagar Ramesh Makode
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Jun 03, 2021

Hi doctor,

I have an EKG report from yesterday. I was in the emergency room with vomiting, high blood pressure, chest pain, and tachycardia. I have tachycardia for almost four years, but it always comes back to normal, and recently I have started seeing a cardiologist. Can you please review it and tell me what it means?

Current medications:

Birth control pills.
Tablet Wellbutrin.

Lab tests performed:

EKG.
CBC with differential.
Basic metabolic panel.

#

Hello,

Welcome back to icliniq.com.

Your EKG (electrocardiography) report (attachment removed to protect the patient's identity) shows sinus tachycardia only (which is a reflex form of tachycardia and not a primary cardiac abnormality) and no other abnormalities. So EKG-wise, there is nothing significant. Tachycardia here may be related to other symptoms as a reflex phenomenon. Long-term tachycardia may be related to low hemoglobin, anxiety, or lack of physical activities. Your weight is also more than needed, which can also lead to tachycardia. It can also cause obstructive sleep apnea (especially if you have interrupted sleep, snoring, frequent awakenings at night, morning headache, excessive daytime sleepiness), leading to sympathetic activation, tachycardia, or high blood pressure.

The probability of cardiac disease is low at this age with normal EKG. However, you may undergo echo (echocardiography) to be sure if symptoms are too severe or persist.

Your symptoms may be related to gastroenteritis or food-related issues. Also, your blood panel shows elevated WBC (white blood cell) count, which suggests the possibility of infection. So you must have been prescribed antibiotics and other treatment.

I hope this helps you and get back if you have any doubts.


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