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

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

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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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

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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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Sinus tachycardia~t wave abnormality, consider inferior ischemia~abnormal ecg~when compared with ECG of 10-aug-2013 11:38, ~questionable change in qrs?

Sinus tachycardia~t wave abnormality, consider inferior ischemia~abnormal ecg~when compared with ECG of 10-aug-2013 11:38, ~questionable change in qrs?

Non-specific: You need a stress test. It appears that you've had one. If it's been >1 year, it should be repeated now and done with an imaging modality such as echo or nuclear perfusion imaging. A resting ekg is a notoriously inaccurate test, especially in middle-aged women. (that's not sexism, it's science). There are many (most) false positives. ...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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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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St-t wave changes,consider inferolateral ischemia on ecg, echo shows heart good. Doctor said are few heart interruptions. What means? 27 yrs. Thanks

St-t wave changes,consider inferolateral ischemia on ecg, echo shows heart good. Doctor said are few heart interruptions. What means? 27 yrs. Thanks

ST-T wave changes: ST-T wave changes often are non-specific and may not mean anything. There are some ST-T changes that are the hallmark of heart attack, but I doubt this is your case as you echo was normal. Modern computerized ECG machines will always say "consider ... ischemia" with any ST-T wave abnormality. ...Read more

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Flipped T wave in lead 3, no other abnormalities. ECG was done due to palpitations, increased HR, and lightheadedness. Normal echo. Is this okay?

Flipped T in III: Normal variant. Would check tilt test to see if heart rate increases when tilted , as you may have POTS postural orthostatic tachycardia syndrome Also check TSH/T4 , check for H pylori if any abdominal discomfort, and less commonly consider ANA, sed rate, DS DNA and ACE metanephrines and 5HIAA., if all else negative ...Read more

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Ecg showed 1 beat with a u wave like hypoalakemia but rest of beats normal?

One unusual beat OK: If the rest of your EKG is truly normal, then one unusual beat is unlikely to be due to a significant heart problem. Unless there are other reasons for your potassium to be low such as vomiting, diarrhea, diuretic medicines, an otherwise healthy 23 year old will probably have a normal potassium. Of course if you are have other heart related symptoms be sure to follow up with your doctor. ...Read more

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Halter monitor for palps.No pauses, no ventricular ectopy. Symptoms did not correlate with ECG changes 62 BPM bradycardia episodes no answer for palp?

Anxiety, palpitation: if a Holter shows normal ECG correlated accurately with symptoms present then anxiety likely is responsible for your symptoms ...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 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

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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: 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?

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. Whats 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?

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

Dr. Al Hegab
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