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Doctor insights on: Simple Ekg Interpretation

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Bloodwork, xray, ekg, echo, stress test, 24hr holter. Had all these tests done and only benign arrhythmia. Does anxiety sound right? Or possible chd?

Bloodwork, xray, ekg, echo, stress test, 24hr holter. Had all these tests done and only benign arrhythmia. Does anxiety sound right? Or possible chd?

Not CHD: Missing information is what symptom prompted this extensive work-up in the first place. Assuming palpitations was the reason, the first thing to do is to better define this. Keep a log. Take your pulse every time. Record how fast, how often, how long it lasts and what happens when it stops (sudden or slows down). The answers to these questions will provide more information to start than the tests. ...Read more

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Dr. Herman Hammerstead
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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With repeated ECG, holter monitors, ECHO, cardiac MRI and stress tests would long QT syndrome be obvious to diagnose?

With repeated ECG, holter monitors, ECHO, cardiac MRI and stress tests would long QT syndrome be obvious to diagnose?

Ecg finding: long qt is an ECG finding, would see it on an ECG, or holter; sometimes situational such as exercise, and a treadmill ecg would pick it up. i don't know of any particular echo or MRI findings per se. ...Read more

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M37.Have low HDL/high TriG.Did tests, results ok.ABI, EKG, Chest XRay, UltraSound Carotid+whole abdomen,Echo Treadmill Stress. repeat tests how often?

M37.Have low HDL/high TriG.Did tests, results ok.ABI, EKG, Chest XRay, UltraSound Carotid+whole abdomen,Echo Treadmill Stress. repeat tests how often?

Family history?: much of this hinges I feel on your family history. If you have parents, grandparents, aunts, uncles or siblings with coronary artery disease under the age of 55 then I repeat testing in 5 years, otherwise probably in 10 years. There is no consensus on this: therefore this is my own opinion as interventional cardiologist. ...Read more

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Trouble breathing, rapid heart rate, EKG revealed flattened t waves. Doc ordered echo consulted cardio who added nuclear stress test. Is this serious?

Trouble breathing, rapid heart rate, EKG revealed flattened t waves. Doc ordered echo consulted cardio who added nuclear stress test. Is this serious?

SOB : The description doesn't provide enough specific information to know the problem. There may be heart abnormalities suggested by symptoms and tests which require further investigation. You should ask the doctors with the information specific to you. ...Read more

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Unspecific septal Hypokinesis on a scintigraphy can be false-pos? All other exams (echo, stress, holter, ekg) came normal. I'm 22yo w/ chest pains.

Unspecific septal Hypokinesis on a scintigraphy can be false-pos?
All other exams  (echo, stress,  holter, ekg) came normal. I'm 22yo w/ chest pains.

Septm somewhat Hypo: Septum is common wall to RT&LFT ventricle. In sinus rhythm (Holter nl) both Rt&Left Ventricle beat ess at same time. Sept moves sltly towards left, but mostlty THICKENS. The other walls more towards septum. More Import is LVEF (Eject Frction). No study perfect. Nl for scintigraphy is LVEF>50% (55%. Many beats averaged in both. All Sept R sl. hypo. ...Read more

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Cardiac MRI, CTPA, EGC 's, echo's, Chest X-rays, PET scan, blood tests, ECG stress test. All these tests, no diagnosis. Could something been missed?

Cardiac MRI, CTPA, EGC 's, echo's, Chest X-rays, PET scan, blood tests, ECG stress test. All these tests, no diagnosis. Could something been missed?

Laboratory tests: Difficult to answer your question without knowing the symptoms and the physical examination that prompted the imaging studies and blood tests. What do your physicians suggest is the step? ...Read more

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Chest Ct scan with trast,stress echo,3d echicardiogram,cardiac MRI with contrast & Ekg and blood test would this rule out CHD all normal?Done at mayo.

Chest Ct scan with trast,stress echo,3d echicardiogram,cardiac MRI with contrast & Ekg and blood test would this rule out CHD all normal?Done at mayo.

You had a thorough: evaluation for CHD, and if all of the tests were normal, you can be reassured at this time. Choose a healthy life style and your heart will continue to support you. ...Read more

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Can a holter / ambulatory monitor diagnose dyspnea?

Can a holter / ambulatory monitor diagnose dyspnea?

Maybe: If your dyspnea correlates with an arrythmia found on the holter then it could be helpful. ...Read more

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On ECG results rightward axis boderline ECG nornal sunius rhythm?

Possible hemiblock: An abnormal right axis plus minimally prolonged qrs duration defines what is termed a left posterior hemiblock (block of the posteroinferior fascicle of the left branch of the bundle of his). An abnormal right axis can also occur in conditions with elevated right heart pressure and resultant right ventricular enlargement. Normal sinus rhythm means no rhythm disturbance. ...Read more

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Exercise stress test, 24 hour holter monitor, echo doppler test--which is done first?

For what?: These tests provide different information and have different indications. Stress tests are to look for evidence to support a diagnosis of symptomatic blocked coronary arteries. Holtor is used to evaluate for dysthymia. Echocardiogram is useful to look at the heart valves and other features. Choosing the right test depends on what symptoms you are having. Discuss this with your doctor. ...Read more

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Ekg, stress test, sonogram, chest x ray, blood tests.. Heart is fine? Just turned 22.

Ekg, stress test, sonogram, chest x ray, blood tests.. Heart is fine?  Just turned 22.

Why do you ask?: You list no cardiac symptoms. Let me guess -- you had a few palpitations / heart doing flip-flops. If you have fewer than 5 of these per minute, or if your physician's checked you out and they're not the nasty kind, learn to ignore them and consider cutting back the caffeine. If you can keep in sports, or climb three flights of stairs, i'd stop worrying and get on with being a young man. ...Read more

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Normal ekgs..Normal echo..Normal stress test..Normal chest xray and blood work good..Is a CT coronary angiogram needed? Or all these tests sufficient?

Normal ekgs..Normal echo..Normal stress test..Normal chest xray and blood work good..Is a CT coronary angiogram needed? Or all these tests sufficient?

Probably sufficient: I assume that these tests were done for evaluation of chest pain. Unless you have extreme risk factors, the likelihood of chest pain being related to coronary artery disease in a 28 year old is very low. The key to determining the cause of your chest pain is a good history by an expert clinician, supported by a full examination. There are many non-cardiac causes of chest pain. ...Read more

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Neg echo stress, neg ekg. Holter monitor results 1,000 PACS Dr says benign. Worried about a blockage. Do I need an angio MRI? Very stressed

Neg echo stress, neg ekg. Holter monitor results 1,000 PACS Dr says benign. Worried about a blockage. Do I need an angio MRI? Very stressed

Relax: Stress is bad for your heart. Negative EKG is reassuring but does not have predictive value for future events. A negative stress echo is a good indication of low risk of heart attack in next several years. No test is 100%. Consider your risk factors for heart disease. If you remain concerned you should seek a second opinion. PACs are usually benign, but can be very distressing. ...Read more

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Is a cardiac doppler echo/ tte accurate if performed correctly for finding physical malformations that cause murmur?

Is a cardiac doppler echo/ tte accurate if performed correctly for finding physical malformations  that cause murmur?

High accuracy: For investigation of the possible causes of a heart murmur, a properly performed transthoracic echocardiogram will have high accuracy as long as the imaging windows are good. If the echocardiogram is normal and the quality of images obtained is good, no further investigation is required. ...Read more

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Ecg interpretation states ventricular pacemaker no other interp. Possible. How would you diagnosed?

Ecg: When all the ECG complexes are caused by an electronic ventricular pacemaker, there isn't much else you can read into or get out of the study with any degree of reliability. ...Read more