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Doctor insights on: Resting Ekg Shows Sinus Rhythm With Nonspecific St And T Wave Changes

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EKG shows normal sinus rhythm, no acute Ischemic changes and poor R wave progression. What does that mean?

EKG shows normal sinus rhythm, no acute Ischemic changes and poor R wave progression. What does that mean?

PRWP: PRWP or poor R wave progression can be a sign of a few things: most common problem I see is artifactual: simply a matter of suboptimal electrode placement of the EKG either due to sloppy technique or else breast tissue (in women). PRWP can also be a sign of a previous anterior wall MI or heart attack. Lastly, some conduction abnormalities such as left anterior fascicular block can cause this ...Read more

Dr. Sanjiv Kaul
3 Doctors shared insights

Sinus (Definition)

In anatomy, a sinus is a cavity within a bone or other tissue. Most commonly found in the bones of the face and connecting with the nasal cavities. Sinus (anatomy), description of the general term paranasal sinuses, air cavities in the cranial bones, especially those near the nose, including: the maxillary sinuses, also called the maxillary antra and the largest of the ...Read more


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Just went for physical was shocked when told my ecg which shows a, sinus rhythm rbbb anterolateral st ele. Interior t waves changes r non specific?

Just went for physical was shocked when told my ecg which shows a, sinus rhythm rbbb anterolateral st ele. Interior t waves changes r non specific?

NeedCardiacConsult: What did your Doctor tell you and did you have any symptoms
We can not comment at the EKG Report without looking at the EKG
YourEKG has Anterolateral elevation and whether it is significant we will only know by looking at the EKG
Right Bundle Branch Block is due to defect in conduction
If you have not already done Consult a Cardiologist asap
If you have any chest pain go to ER ...Read more

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Borderline ECG, These Minor Changes are of Equivocal Significance only. Sinus Rhythm T wave changes in anterior leads.

Borderline ECG, These Minor Changes are of Equivocal Significance only. Sinus Rhythm T wave changes in anterior leads.

Borderline ECG: I am not certain of the circumstances leading to your having an ECG. T wave changes in anterior leads could be a sign of underlying atherosclerotic heart disease. Risk factors for this include high Blood pressure, high cholesterol, diabetes, smoking and 1st degree female relative with heart attack before 60 or 1st degree male relative with heart attack before 50. You need to see a physician ...Read more

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Had an echocardiogram done and it says ‘normal sinus rhythm’. But I thought only an ekg could show sinus rhythm?

Had an echocardiogram done and it says ‘normal sinus rhythm’. But I thought only an ekg could show sinus rhythm?

NSR: Technically you are correct but the cardiologist can "see" what is happening with the echo.
When one listens to a person's heart and it sound regular, one assumes it is sinus rhythm and not any of the other possibilities.
Good question ...Read more

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Just curious, how can EKG say I have lvh with normal sinus rhythm & normal axis & no st seg or t wave abnormalitie? 2-d heart ultra sound was normal!

Normal variant: There are "normal variants" in the ekg. There is not just one "normal" ekg pattern but, rather, a range. Teenagers, especially thin ones, may have a pattern that can be confused with lvh. ...Read more

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What does this mean? - BORDERLINE ECG - SINUS RHYTHM BORDERLINE R WAVE PROGRESSION, ANTERIOR LEADS BORDERLINE T ABNORMALITIES, INFERIOR LEADS

Finding not a diagno: Assuming ur EKG was collected correctly (i.e., the wires & patches were put on correctly), it's not entirely as expected for a person of your age & gender. You have sinus rhythm, but the spikes (R waves) do not progress between the wires as expected, & minor changes in the signals from the front (anterior) & bottom (inferior) part of the heart may be "just you" or signs of (prior?) damage. TTYD. ...Read more

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Ecg shows a nonspecdific st abnormality, normal sinus rhythm, abnormal ecg. Vent 82, pr 134, qrs 80 qt/qtc 378/441, p-r-t 58/50/53. What's this mean?

Ecg shows a nonspecdific st abnormality, normal sinus rhythm, abnormal ecg. Vent 82, pr 134, qrs 80 qt/qtc 378/441, p-r-t 58/50/53. What's this mean?

Nondiagnostic: This may be your normal. It must be taken in context with your medical history and complaints. Discuss with your doc. ...Read more

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How can a ECG go from normal ECG sinus rhythm to unspecified t wave abnormalities within a few hours?

T waves: Non specific T waves often occur on movement of the leads and are of no significance. It is also possible that they were so minimal that they were not reported in the reading of the first E.K.G. ...Read more

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I received a diagnosis of "Sinus Rhythm, T Wave Abnormality in anterior leads, borderline abnormal for age (29) and gender (F). Abnormal ECG. Worried?

Cardiologist: These T wave abnormalities are nonspecific and it's important to compare them to any prior EKG if one is available. If none are available the findings may not necessarily be due to any cardiac pathology and may even be a normal variant in a young woman. A cardiologist is best qualified to evaluate and examine you and recommend further testing like an echocardiogram if deemed advisable. ...Read more

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Sinus rhythm ECG non specific t wave abnormality what does this mean doc said ok but I'm freaking?

Sinus rhythm ECG non specific t wave abnormality what does this mean doc said ok but I'm freaking?

ECG: Don't freak, nonspecific T wave abnormality means very little. It's the next thing to normal. An ice cube on your skin can cause it. When you get anxious ask the doc to explain. ...Read more

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Iam 65 years old abnormal ecg Normal sinus rhythm Possible inferior infarction, age undetermined ST& T wave abnormality, consider lateral ischemia?

Iam 65 years old abnormal ecg Normal sinus rhythm Possible inferior infarction, age undetermined ST& T wave abnormality, consider lateral ischemia?

Automated ECG: The automated ECG interpretation that appears on a 12 lead ECG printout must always be viewed with a grain (or two) of salt. The best person to evaluate your ECG is your doctor. Period. The machine is famous for misinterpretation. Go see your doctor. Have a history and physical done. Then have him/her look at your ECG. ...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?

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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I just had a ecg today and it said on the sheet Sinus rhythm, left ventricular hypertrophy, ant/septal and lateral ST-T changes may be due to hypertrophy and/or ischemia, abnormal ecg. My doctor told me my heart was ok! I had a quad by pass 1 year ago als

ABN ECG after Bypass: Doctor prob means there's no ECG changes from a year ago. ECG was prob abn before Bypass, & worse after. Important questions are answered on Stress test & Echo, & not unreasonable to have a year after Bypass. Important questions are whether you experience unexplained breath shortness or chest/arm discomfort w exertion. Once an ECG is abnormal one can only compare with previous ones (weak test) ...Read more

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Normal sinus rhythm with borderline intraventricular conduction delay and secondary ST changes. No acute ischemia. DR impressions on ecg. This means?

ECG interpretation: The "no acute ischemia" part means that there is no heart attack occurring at the moment. The rest really implies that the ECG tracing was not perfect in its appearance. This could be nothing, or it could be related to true heart disease. This type of EKG would need to be interpreted in context: symptoms, physical limitation, other testing. ...Read more

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Normal sinus rhythm with sinus arrhythmia Rightward axis T wave abnormality, consider anterior ischemia Abnormal ECG???? . I'm a 22 year old female.

Normal sinus rhythm with sinus arrhythmia Rightward axis T wave abnormality, consider anterior ischemia Abnormal ECG???? . I'm a 22 year old female.

May not be a problem: Sinus arrhythmia is not abnormal. The axis could be rightward in some normal individuals. Likewise, T wave abnormal is almost always non-specific and may not reflect ischemia (impaired blood supply to the heart muscle.). Computer readings of an ECG may not be reliable. Please have your doctor review the ECG and comment further. ...Read more

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Ecg result sinus rhythm rv conduction delay and some wave abnormalities but normal echocardiography should I be concernd?

Ecg result sinus rhythm rv conduction delay and some wave abnormalities but normal echocardiography should I be concernd?

No: Rv conduction delay is a normal variant in the vast majority of people. Non-specific st and t wave abnormalities have a host of non-cardiac causes and can also be normal. Bottom line: would not let the ekg concern me. How are you, though? ...Read more

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Ekg says normal sinus rhythm, nonspecific st abnormality, abnormal ecg, what to do?

Ekg says normal sinus rhythm, nonspecific st abnormality, abnormal ecg, what to do?

ECG: That is a common ECG reading which can indicate something is wrong but also can be as it says nonspecific and 'no big deal'. Ask your doctor if there is reason for concern or further investigation. ...Read more

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Ekg says normal sinus rhythm, nonspecific st abnormality, abnormal ecg, what does this mean?

Common reading: "abnormal" because there are non-specific changes which are not specific enough to meet a true diagnosis, but not normal enough to say normal, so somewhat of a soft call or indecisive read, but very common and does not necessarily mean anything. The bottom line, the ECG findings need to be placed in the clinical context in which it was taken, and compared to previous and subsequent ECGs. ...Read more

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What does an EKG finding of Sinus rhythm with short PR BORDERLINE ECG ST elevation probably due to early repolarization mean?

What does an EKG finding of Sinus rhythm with short PR BORDERLINE ECG ST elevation probably due to early repolarization mean?

Two different parts: The PR interval is a measurement of time it takes for the electricity to travel from the top of the heart, to the bottom. A short PR interval means it the electricity travels quicker than expected. Early repolarization means the heart muscle begins recovering quickly after the electricity has traveled through. ...Read more

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Ekg showed... Normal sinus rhythm & intervals but irregular r-r, & short pr int, what does this mean?

Ekg showed... Normal sinus rhythm & intervals but irregular r-r, & short pr int, what does this mean?

Likely normal: Sinus arrhythmia (irregular length between beats) is a normal finding. It is often exaggerated by taking a deep breath and exhaling. ...Read more

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The result of "coronary sinus rhythm" in EKG is ok?

The result of "coronary sinus rhythm" in EKG is ok?

Coronary sinus: Not certain of the term as the coronary sinus is the major vein draining the heart. Maybe the term is low atrial rhythm which us not dangerous at all and is a description given when P wave morphology in some leads are inverted. ...Read more

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Is sinus rhythm on an EKG bad?

It's normal: Sinus rhythm is the normal rhythm of the heart. ...Read more

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I had an EKG done it came there sinus rhythm incomplete right bundle on branch block borderline ECG what does this mean is it serious?

Unremarkable: Incomplete right bundle branch can be a normal variant in 15% of the adult population. It does not carry any significance. Left bundle branch does. Further it refers to the conduction system of the heart, or electrical wiring of it so to speak, and it means your right ventricle gets a signal to pump few milliseconds after the left side. No worries. ...Read more

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EKG sinus rhythm rapid, prem ventri complexes, doubles of prem ventri complexes, doubles of aberrantly conducted complexes & more what does it mean?

Abnormal EKG: Lots of people have PVCs and some have bigeminy (doubles) - but the abberant complexes are not usual. EKGs are difficult to read and a cardiologist should review the EKG to ascertain what the irregular beats are (if it is truly abberant). May do further studies to see where the irregularity is coming from, if abnormal conduction may ablate, use medication or pacemaker. F/u/ w/ cardiologist ...Read more

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Sinus Rhythm Low voltage in precordial leads. -Old anterior infarct. ABNORMAL ekg?

Yes, by tracing only: It is an abnormal ekg by reading of the tracing but what is most important is the ekg in relation to a good history and clinical exam. Questions to ask: do you have a past history of heart disease, high BP, diabetes, smoking? Do you have chest pain/jaw pain/pain down L arm? Is your BP high on exam? Any of these findings along with the above ekg is a MAJOR concern. Please talk with your doctor!! ...Read more

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Had am EKG today read normal sinus rhythm, septal infarct, abnormal ecg. Please explain what's wrong with me...?

Had am EKG today read normal sinus rhythm, septal infarct, abnormal ecg. Please explain what's wrong with me...?

Check with your doc: I assume you are looking at the computer-generated readout on ekg. You have a normal sinus rhythm meaning heart is beating in a normal manner. The septum refers to the part of the heart in between the two ventricles. I don't usually rely on a readout from the ekg machine itself when I interpret an ekg so check with your doctor before getting worried. ...Read more

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Had am EKG today read normal sinus rhythm, septal infarct, abnormal ecg. Please explain what's wrong with me...?

Had am EKG today read normal sinus rhythm, septal infarct, abnormal ecg. Please explain what's wrong with me...?

Usually a false read: Computerized reading of ecgs are notorious for over-calling "possible septal infarct". This is often due to incorrect positioning of the ECG leads on the chest. I would have a cardiologist look at your ecg, or simply repeat it, with careful attention to proper precordial lead placement. ...Read more

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What does NSR RK sinus rhythm low voltage- possible pulmonary disease - ABNORMAL mean as the reading of my EKG?

What does NSR RK sinus rhythm low voltage- possible pulmonary disease - ABNORMAL mean as the reading of my EKG?

Low voltage: May be the result of EMPHYSEMA (The expanded air filled lung tissue actually "extends" over the heart resulting in a lower voltage readings from the CHEST leads. Just a "guess"....
Hope it is hepful!

Dr Z ...Read more

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I'm a 49 incomplete. Ekg said normal sinus rhythm can not rule out anterior infarct, age undetetermined abnormal ecg. I've had myocarditis. Worry?

Discuss with: Your cardiologist. If you are seeing this automated interpretation at the top of your ekg keep in mind it is not always accurate and will still need interpretation by a physician. ...Read more

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RHR increased from 60 bpm to high 90s 1 week after stopping Zoloft (sertraline). Related? Should I be concerned? Recent ekg showed normal sinus rhythm. Causes?

RHR increased from 60 bpm to high 90s 1 week after stopping Zoloft (sertraline). Related? Should I be concerned? Recent ekg showed normal sinus rhythm. Causes?

Not sure: If this persists another week it is highly unlikely to be from zoloft (sertraline) withdrawal. Other things that can cause an increase in your RHR can be a pulmonary embolism. If you traveled recently by car or plane or have other symptoms such as shortness of breath or chest pain you should go to the ER. ...Read more

Dr. Patricia Foster
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


Rhythm (Definition)

Rhythm "any regular recurring motion, symmetry may be generally defined as a movement marked by the regulated succession of strong and weak elements, or of opposite or different conditions, this general meaning of regular recurrence or pattern in time may be applied to a wide variety of cyclical natural phenomena having a periodicity or frequency of anything microseconds ...Read more