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Doctor insights on: All Ecg Test Show Right Atrial Enlargement But Echo Is Normal

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ECG - Probable left atrial enlargement, in ECHO - Mitral value - AML tip prolapse, Mild MVP, How dangerous they are in long term, will they create heart problems, Can I continue my daily workout including weight lifting, can these go back to normal?

ECG - Probable left atrial enlargement, in ECHO - Mitral value - AML tip prolapse, Mild MVP, How dangerous they are in long term, will they create heart problems, Can I continue my daily workout including weight lifting, can these go back to normal?

Mild MVP: Mitral valve prolapse is an often overdiagnosed condition. Therefore the American society of echo came up with strict criteria. So "mild" and anterior leaflet "tip" makes me question the diagnoses. U may want to get a second Opinion. Having said that, prolapse is only a concern if the valve is also leaky. You make no mention of that - so no mitral regurgitation. Then ought not to be an issue. ...Read more

Dr. Bernard Seif
3 Doctors shared insights

Electrocardiogram (Definition)

Electrocardiogram (ecg, ekg) is a print-out of the electrical forces detected by electrodes on the chest wall, as electricity travels through the heart with each heart beat. The electrodes are placed in different positions, and each position "sees" the electrical activity of the heart from its own vantage point. Abnormalities in signal detected at chest surface ...Read more


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If you have an echo suggesting that the the left atrium appears small. Is it possible that the heart was originally small within normal limits and that the right atrium may of enlarged making the left atrium appear small? Also, if the ECG also shows point

If you have an echo suggesting that the the left atrium appears small. Is it possible that the heart was originally small within normal limits and that the right atrium may of enlarged making the left atrium appear small? Also, if the ECG also shows point

Echo: I note you list scoliosis has condition you have. Echo appearance is highly beam angle influenced. It is possible you have a normal size L atrium but the beam angles because of the scoliosis make it look small. If everything else is OK, no reason for you to be concerned unless the cardiologist is concerned about the echo. ...Read more

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I have mitral valve prolap. Echo was normal, stress test normal, ekg showed bordline left atrial abnormality, suffer from anxiety, should should worry?

I have mitral valve prolap. Echo was normal, stress test normal, ekg showed bordline left atrial abnormality, suffer from anxiety, should should worry?

Not yet: If u gave mitral valve prolapse, your echo ought bot to have been "normal" as u state but rather show evidence of a redundant leaflet and MVP with or without leaky valve. TheASE has strict criteria for MVP exactly bc it was very loosely being used. Pls reconcile with a cardiologist. SecondECG not test of choice to diagnose "left atrial enlargement" which is what is being suggested. Echo is. ...Read more

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Re-asking this: normal echo and stress test and holter. Two normal ecg's but third shows late transition with normal sinus rythm. Doppler showed impaied lv relax but everything normal. Normal?

Re-asking this: normal echo and stress test and holter. Two normal ecg's but third shows late transition with normal sinus rythm. Doppler showed impaied lv relax but everything normal. Normal?

EKG: If ekg leads are not placed in ideal position then you could see late transition. From the data you provided you are at low risk for cardiovascular events. Impaired lv relaxation in a 40 year old should not be completely neglected. But it is a minor abnormality. Not to worry much at this point of time. If you have any high BP it should be treated. ...Read more

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3 months back echo normal. Stress test @ -ve. 1 mnth bak had dns surg. Had nerve peeling pain on chest. Doc said it is nccp. ECG shows LVH now. Wry?

3 months back echo normal. Stress test @ -ve. 1 mnth bak had dns surg. Had nerve peeling pain on chest. Doc said it is nccp. ECG shows LVH now. Wry?

LVH is nonspecific: ECG often will show LVH on one occasion and not show it on another. The ECG is not very accurate for LVH. The echo is a much more accurate test for LVH. It is unlikely u developed LVH over the past 3 months. Use the echo reading to determine if you have LVH. Deviated Nasal Septum surgery would have nothing to do with LVH. I don't know what u mean by nerve peeling but it doesn't sound like heart. ...Read more

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I had a doppler echo show an e/a ratio of. 78 suggesting impaired left ventrical relaxation. Stress test and ECG and CT were normal. Is this serious?

No: It is a type of heart failure, it is usually not serious if you do not have any symptoms. However, some people have severe short of breath even with just relaxation impairment. ...Read more

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Ekg left atrial enlargement, nonspecific t wave abnormality, echo done trace mitral regurg, tricuspid regurg. Pericardial effusion global. Is my heart ok?

Ekg left atrial enlargement, nonspecific t wave abnormality, echo done trace mitral regurg, tricuspid regurg. Pericardial effusion global. Is my heart ok?

More info needed: I am assuming echo is showing pericardial effusion and global? Or maybe global hypohypokinesia? Any wall motion abnormalities? Ejection fraction? Do u have any symptoms? At rest or with activities? Any other risk factors? Smoker, overweight, dm, htn, high chol, family history heart attacks, sedentary life etc. Any prior heart attacks? Stress test done. Any recent viral infection? Pericarditis? ...Read more

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Would echo, ekg, stress test, xray, bloodwork rule out any arrhythmia problem such as premature ventricular contraction and paroxysmal atrial fibrillation?

Would echo, ekg, stress test, xray, bloodwork rule out any arrhythmia problem such as premature ventricular contraction and paroxysmal atrial fibrillation?

No: Occasional PVCs are normal. Paroxysmal atrial fibrillation by definition is only present some of the time and the tests you list could easily miss this if done while the heart is in normal rhythm. Diagnosis of intermittent arrhythmias can be difficult and frequently requires consultation with a cardiologist subspecialized in electrophysiology, Holter monitor test is frequently used. ...Read more

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Had ECG and was told Atrial enlargement so was referred to a cardiologist, I was told all is normal but letter states resting ECG "possible left Atrial?

Had ECG and was told Atrial enlargement so was referred to a cardiologist, I was told all is normal but letter states resting ECG "possible left Atrial?

Don't be concerned: An ECG shows the electrical rhythm of the heart for a few seconds time. By looking at an ECG sometimes one might deduce information about the heart such as size of different chambers. This is only a deduction/hypothesis that needs to be verified typically with imaging. I am assuming the cardiologist performed an echo (US of the heart) that showed all is normal which is why he said so. ...Read more

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Normal sinus rhythm. Possible lt atrial enlargement. Cannot rule out Ant infarct, age undetermined. Abnormal ECG. Had pain in left chest and arm.

Need work up: You have to see your doctor for further evaluation. Echocardiogram and stress test are most likely indicated to rule out coronary heart disease. You are young, there fore it is not very likely unless you smoke, have family history of coronary heart disease at relatively young age, have high cholesterol. Check with your doctor whether your Levothyroxine dose is not high for you. ...Read more

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2D Echo is normal. However ECG report shows RSR in v1 and V2. qrs area positive in v2, otherwise normal ecg with sinus rhythm. Do I need to worry?

2D Echo is normal. However ECG report shows RSR in v1 and V2. qrs area positive in v2, otherwise normal ecg with sinus rhythm. Do I need to worry?

No: You don't say what the QRS duration is, but you either have a right bundle branch block (QRS > 120 ms) or an incomplete RBBB. In either case, if your echo is normal, you have nothing to worry about. ...Read more

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Took an echo that showed normal lv size with concentric remodeling. Normal functioning valves. However my ecg shows potential lvh?

Took an echo that showed normal lv size with concentric remodeling. Normal functioning valves. However my ecg shows potential lvh?

Congruent findings: If ECG mentions possible or potential LVH and then echocardiogram shows "concentric remodeling", probably "concentric LVH", these findings make sense. ECG is not the modality to diagnose LVH, echocardiogram is. Last if these are your findings, treat the underlying cause which is high blood pressure, to prevent long term risk of hypertensive heart disease. ...Read more

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I am 39yr of age my tmt report show mild positive to reversible ischemia and my 2d echo report is normal and ecg and pft is also normal. Hdl is 65?

I am 39yr of age my tmt report show mild positive to reversible ischemia and my 2d echo report is normal and ecg and pft is also normal. Hdl is 65?

Ischemia.: The unfortunate thing here is that young women can potentially have heart disease - we often overlook this possibility. So we should not take this finding of reversible ischemia on your stress test lightly, despite your high HDL. More testing is needed. ...Read more

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I've had prolonged qt once lst yr since then I've had ecgs, echos, s. test which came back normal. Should I be worried my dr says it mybe electrolytes?

I've had prolonged qt once lst yr since then I've had ecgs, echos, s. test which came back normal. Should I be worried my dr says it mybe electrolytes?

Electrolytes or medications: Hello, that is correct, changes in your electrolytes, and using certain medications, can prolong your QT interval. If the interval stays the same, or improves on repeated EKGs. You do not have to worry. ...Read more

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I had an ECG, exercise stress ECG, 48-hr holter ECG, and an echo. Would prolonged QT show up on all of those tests?

I had an ECG, exercise stress ECG, 48-hr holter ECG, and an echo. Would prolonged QT show up on all of those tests?

Majority: Yes, if you are concerned for prolonged QT or there is a family history, all of those tests except for an echo should show prolonged QT syndrome. An echo measures the function of the heart. Prolonged QT is calculated from an ECG looking at the part of the heart that makes up the QT interval in the heart beat. An ECG, stress ECG and Holter ECG should be able to pick it up. ...Read more

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My echocardiogram and my ECG were normal, so what are the chances of my Stress ECHO being normal If I did the test? High right?

Likely normal: It's likely to be normal but not for the reasons you list. Because you're 24, the incidence of coronary disease is very low, so your test will probably be normal. However it's entirely possible to have a nl resting echo and nl EKG and an abnormal stress echo which is specifically looking for evidence of inadequate circulation. The resting tests are relatively insensitive to that. ...Read more

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Why does ecg shows qrs is>120 now if 3 months back echo was normal. Do I need to take any medication? Do I need to worry

Why does ecg shows qrs is>120 now if 3 months back echo was normal. Do I need to take any medication? Do I need to worry

Qrs and echo: Ecg and echo are different tests. You can have abnormal QRS but normal Echo. You need to ask your doctor to see why QRS is abnormal. ...Read more

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Hello, I m having chest pain since last july. I had 5 ecg twice echo and stress echo all test were normal but still I feel pain.

Hello, I m having chest pain since last july. I had 5 ecg twice echo and stress echo all test were normal but still I feel pain.

Chest pain: Please stay in touch w/your doctors. Chest pain is often present in anxiety disorders. Consider seeing a mental health pro to help you learn stress management. Clinical hypnosis may be useful. See. Www. Asch. Net for referrals to licensed professionals. Peace and good health. ...Read more

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Diagnosed with incomplete rbbb. Heart misses beats pauses. Is this coz of rbbb. Ecg only shows rbbb nothing else. Heart echo was normal. Is this normal?

Diagnosed with incomplete rbbb. Heart misses beats pauses. Is this coz of rbbb. Ecg only shows rbbb nothing else. Heart echo was normal. Is this normal?

Monitoring: Rbbb does not cause pauses. If you feel intermittent pauses, may help to have a 24 or 48 hr monitoring to determine the nature of your symptoms. Discuss with your doctor. ...Read more

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Signs of right heartfailure. Recent ecg shows tachycardia with some extra heartbeats but otherwise normal. Echo was normal, 7 months ago?

Signs of right heartfailure. Recent ecg shows tachycardia with some extra heartbeats but otherwise normal. Echo was normal, 7 months ago?

Right heart failure: Whatever you are considering as signs of rhf are not stated here. A 'normal' echo would be unlikely in the face of real right heart failure. Best to see a doctor personally and get your situation clarified. ...Read more

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I am having feeling of chest burden for one year. ECG, ETT, ECHO, Thyroid tests are normal, age 35, weight 84kg, B.P 130/80.

I am having feeling of chest burden for one year. ECG, ETT, ECHO, Thyroid tests are normal, age 35, weight 84kg, B.P 130/80.

Heart seems ok: Other thought would be lung related. Are you a smoker? Have you been around lung toxic materials? Eg: asbestos, coal dust, etc. Your doc can help investigate these issues and any others. Good luck. ...Read more

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Is it normal for a patient to request stress testing, ecg, echo, and other tests twice in a year if the patient gets more cardiac symptoms after test?

Is it normal for a patient to request stress testing, ecg, echo, and other tests twice in a year if the patient gets more cardiac symptoms after test?

No: You have a test performed to confirm a suspected diagnosis. Tests should not be done as a fishing expedition to see let's see now what we can find now. And tests always have to be interpreted within a margin of error. They are not perfect. They are guideposts to help a doctor in thinking about what may be going on with his patient. What the patient tells the doc is the key! ...Read more

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200lb, active. Rcntly, had palpitations over 4 days, ECG was 'normal'.But cardiologiest suspects av dissociation. Could this be benign or serious? Palp gone now, on event mtr. Stress echo test pending.

200lb, active. Rcntly, had palpitations over 4 days, ECG was 'normal'.But cardiologiest suspects av dissociation. Could this be benign or serious? Palp gone now, on event mtr. Stress echo test pending.

Palpitations: It sounds like you are receiving the correct work-up with ecg, stress echo, and event monitor. You should already have had blood tests for electrolytes, thyroid, and red blood counts. If the tests all come back normal, and your palpitations continue, then you may need to wear the event monitor longer to see if it picks up any arrhythmias. Could be serious if any associated chest pain or dizziness. ...Read more

Dr. Oscar Novick
2 Doctors shared insights

Echo (Definition)

An echocardiogram (also called an echo) is a type of ultrasound test that uses high-pitched sound waves that are sent through a device called a transducer. The device picks up echoes of the sound waves as they bounce off the different parts of your heart. These echoes are turned into moving pictures of your heart that can be seen ...Read more