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Doctor insights on: Upside Down Ekg

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My t waves in my EKG were upside down in one part. But the rest of it looked fine, does that mean heart attack?

My t waves in my EKG were upside down in one part. But the rest of it looked fine, does that mean heart attack?

T and sympathy: T waves alone do not mean heart attack. You need to see the whole ECG. T waves absent other abnormalities are quite nonspecific. ...Read more

Dr. James Lin
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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2 yo lips turned blue 2x. Once when tickling. Once holding upside down and windpipe got blocked 10 sec. Back to normal rt away. Has 3 innocent murmurs. Ekg/echo normal. Been to peds cardio 2x. Worry?

2 yo lips turned blue 2x. Once when tickling. Once holding upside down and windpipe got blocked 10 sec. Back to normal rt away. Has 3 innocent murmurs. Ekg/echo normal. Been to peds cardio 2x. Worry?

No: Peri-oral cyanosis (blue around the mouth and lips) is actually not all that uncommon in infants and toddlers. Same thing with blue hands and feet. Their vasculature (blood vessels) are so much more reactive than are old stiff ones as adults. So a little breath holding with tickling, a 10 second obstruction - these things can easily cause a little cyanosis. Had normal echo, totally reassuring! ...Read more

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Should I sleep propped up as I keep having irreg EKG and I notice if I lay down it's more of a problem pain wise area irreg is right ventrical?

Should I sleep propped up as I keep having irreg EKG and I notice if I lay down it's more of a problem pain wise area irreg is right ventrical?

See your doctor: Sleep however, you feel comfortable. Some of your symptoms may be side effect of medications. Discuss with your doctor that prescribes seroquel and Abilify (aripiprazole). ...Read more

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What causes a dip below the baseline in an EKG after the T wave in the opposite direction? It dips down then comes back to baseline until the P wave.

What causes a dip below the baseline in an EKG after the T wave in the opposite direction? It dips down then comes back to baseline until the P wave.

T wave inversion?: Without seeing a picture of the EKG, it's hard to interpret what you're trying to describe. Use HealthTap Prime to upload a picture of the EKG or talk to whoever ordered the EKG for better advice. It seems like the T wave itself (not whatever comes afterwards) would be inverted - T wave inversion. That can be caused by ischemia, although I suppose electrolyte problems can lead to it as well. ...Read more

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Pulse is regularly mid-low 50s when sitting or lying down. Had 2 EKGs recently, both came back normal, tho pulse was high during both due to anxiety, not sure if that could impact results. Should I be concerned about the low pulse?

Pulse is regularly mid-low 50s when sitting or lying down. Had 2 EKGs recently, both came back normal, tho pulse was high during both due to anxiety, not sure if that could impact results. Should I be concerned about the low pulse?

Normal heart rate: range is 40-120. Lower in fit people who exercise and higher in poorly conditioned individuals. A low heart rte is only clinically significant when it is associated with symptoms such as dizziness, syncope, shortness of breath or exertional restriction. ...Read more

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Can you please give me more information on what a left ventricular fascicilar block entails. Showed up on EKG and dr. Is down playing it. Thanks?

Electrical: Normal conduction through the heart arises in the right atrium and proceeds into the 2 ventricles, one pathway to the r ventricle and 2 pathways to the l: the anterior and posterior fascicles. Left anterior fascicular block causes no symptoms and requires no treatment but is sometimes associated with hypertension and coronary artery disease. Less commonly valvular disease. ...Read more

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Hello doc , last few days when laying down i have like skipping a beat from.time to time that i feel it like lighting bolt , i made EKG all normal , l?

Hello doc , last few days when laying down i have like skipping a beat from.time to time that i feel it like lighting bolt , i made EKG all normal , l?

Healthy: in an otherwise healthy person, I just treat palpitations on an as necessary basis. I like 5 mg Bystolic chewed up for this but any beta blocker will do. U do need labs to see if blood count, thyroid, potassium, calcium, and magnesium are OK. If increasing or very frequent, identification of what these extra beats are with an Event Recorder (10-14 day continuous recording) is indicated. HRS, MD ...Read more

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I've had an accelerated heartrate for 12 hours now. Up to 120 laying down. Had EKG xray and blood work done. All normal. Healthy female 18?

I've had an accelerated heartrate for 12 hours now. Up to 120 laying down. Had EKG xray and blood work done. All normal. Healthy female 18?

Hear t rate: If you are 18 and have a healthy heart, look to see what you may be doing that could accelerate your hear rate. Evaluate you caffeine intake - energy drinks, coffee, starbucks. Check to see if you are taking any supplements to lose weight, medications for ADD or ADHD that are amphetamine based or weight loss medications, Also have your physician check your thyroid. ...Read more

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Been having pain in left bicep and down to forearm on and off for a long while. I've had cardiograms, nuclear test, EKG, all done no problems?

Been having pain in left bicep and down to forearm on and off for a long while. I've had cardiograms, nuclear test, EKG, all done no problems?

Meaning: These results indicate that your pain in the left arm is not related to a cardiac problem. Your Doctor should now look for other etiologies of arm pain, including but not limited to: muscle or tendon injury, joint disease, and neurological disease. ...Read more

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I work out regularly. everytime I do cardio I get pain from the neck down thru my upper chest (down from the Caroids) and shoulder blades EKG wnl?

I work out regularly. everytime I do cardio I  get pain from the neck down thru my upper chest  (down from the Caroids) and shoulder blades EKG wnl?

See a Cardiologist: Please see a physician for additional evaluation before doing any more exercise. Any chest pain that is exertional must be fully and completely evaluated to make sure exercise is safe for you. ...Read more

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I had tachyarrhythmia (tachycardia?) during EKG today, v. anxious at time of test. My dr said to cut down alcohol but I barely have 2 drinks/wk. help?

I had tachyarrhythmia (tachycardia?) during EKG today, v. anxious at time of test. My dr said to cut down alcohol but I barely have 2 drinks/wk. help?

Anxiety induced: Anxiety can cause tachycardia. 2 drinks /week should not be responsible for the tachycardia. Avoid caffeine if you are a coffee drinker though ...Read more

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Why is my heart rate sky high today? I stand up and my heart rate is 133 and up. But if laying down its 60-90. Ekg blood work normal

Why is my heart rate sky high today? I stand up and my heart rate is 133 and up. But if laying down its 60-90. Ekg blood work normal

See Cardiologist: Heart can fluctuate. A normal ECG may NOT tell the whole story.Do you drink stimulant drinks or excessive coffee? See a cardiologist to find out cause. Heart Rate in 130 is NOT normal. Check Thyroid function as well to rule out Hyperthyroidism. ...Read more

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Shortness of breath while lying down, has progressed over a week to intermittent chest pain and hollow feeling in chest with sob still..Ekg was fine?

Shortness of breath while lying down, has progressed over a week to intermittent chest pain and hollow feeling in chest with sob still..Ekg was fine?

Shortness of breath: There are multiple possibilities for what you describe. You should go see your doctor and be evaluated. The doctor will order what tests are indicated, if any. Be sure the doc explains what's going on to you. ...Read more

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Have had fast heartbeats starting at menapause. They are calming down is this something women have threw this? Had ekg, monitor, stress test. Nothing

Have had fast heartbeats starting at menapause. They are calming down is this something women have threw this? Had ekg, monitor, stress test. Nothing

Depends: Are these episodic, or is the fast heart beat present all the time? Do you have any other symptoms with the fast heart rates? Have you had your thyroid checked? How high is the heart rate? Please answer these and we will see. ...Read more

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I get very nervous during dr appts and my EKG had me at tachycardia range. Why does this happen to me? I have been cutting down on alcohol and coffee.

I get very nervous during dr appts and my EKG had me at tachycardia range. Why does this happen to me? I have been cutting down on alcohol and coffee.

Anxiety: will trigger the "flight or fight" reaction which causes your heart to race. You may have had a bad experience with doctors in the past or have a predisposition (or both) to high anxiety in certain situations such as the medical setting. Anxiety or panic attacks, in the absence of medical factors, are treatable. See: http://www.nimh.nih.gov/health/topics/anxiety-disorders/index.shtml Take care. ...Read more

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My heart rate is 73 resting but sometimes jumps to 117 after standing then goes back down to 96- 109 is this normal? 29 year old male ekg chest ex ray

My heart rate is 73 resting but sometimes jumps to 117 after standing then goes back down to 96- 109 is this normal? 29 year old male ekg chest ex ray

Normal: It sounds perfectly normal. The jump up in heart rate with change in position is normal physiologic response. Your heart rate and blood pressure changes when you change your position to take into account the gravitational pull. Simply, this allows the body to keep flow of blood at an equilibrium. ...Read more

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38/m RHR 48 laying down. 60 while sitting up. 72 while standing. Non athlete. ECG, EKG, Chest X-ray normal. Occasional PVCs. Is my RHR okay?

38/m RHR 48 laying down. 60 while sitting up. 72 while standing. Non athlete. ECG, EKG, Chest X-ray normal. Occasional PVCs. Is my RHR okay?

Probably ok: Everything is probably fine because your heart rate responds appropriately with activity. however a resting heart rate of 38 is still very low I would recommend that you see a cardiologist to make sure there are no underlying problems ...Read more

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Ekg test shows normal rhythm on screen but can feel skip or extra heart beats laying down on test, why? Dr said quite normal reading, unsure of beats.

Ekg test shows normal rhythm on screen but can feel skip or extra heart beats laying down on test, why? Dr said quite normal reading, unsure of beats.

Good question: It is now important to have a 24 hour ekg holter monitor applied. That will trace any abnormal beats over a 24 hr perioid and ios more diagnostic of your problem if there is a problem rather that a static one time reading. Go back to your physician. ...Read more

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When I lay down to go to sleep, my heart beat gets faster and beats harder. It's been 2 years like this with EKG & Cholesterol normal. Why is this?

When I lay down to go to sleep, my heart beat gets faster and beats harder. It's been 2 years like this with EKG & Cholesterol normal. Why is this?

See a cardiologist: you need to see a cardiologist specialist in electro physiology of the heart which practically mean specializing in abnormal rhythm they can place on 48 hours monitor while you are continuing your regular activity as out patient and see the abnormal rhythm they can map and stimulate the heart under control safe condition to duplicate any arrhythmia and then treat it good luck ...Read more

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29/f. Left arm pain sometimes starting in shoulder down to hand and sometimes vice versa. Shooting\achy pain. Had EKG last week and came back good.

29/f.  Left arm pain sometimes starting in shoulder down to hand and sometimes vice versa. Shooting\achy pain.   Had EKG last week and came back good.

Pinched nerve?: You might benefit from seeing a neurologist or a physiatrist to see if you have a pinched never from neck to the fingers. Ekg is not enough to see if you had a heart attack. Try getting a multifunction cardiogram to see if you have ischemic heart disease also. ...Read more

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EKG normal 4 days ago. Have terrible jaw pain starting in ear and going down. Getting scared. Pain in back and left arm.

Dentist?: Have you seen your dentist? Do you clench or grind your teeth? This is unlikely to be your heart but if you want to be reassured, ask your doctor to order a treadmill exercise stress test. ...Read more