OpenHealth Q&A

Get answered by medical professionals

Understanding ST Elevation Findings

4/2/2025, 1:00:33 PMMale25-34

I am a 63-year-old male, standing 6 feet 2 inches tall and weighing 195 pounds, with a known history of hypertension. My medications include Benicar at a dosage of 10 mg and Bystolic at 10 mg. Overall, I maintain an active and healthy lifestyle. As part of the preoperative procedures for my shoulder replacement surgery, I underwent an EKG. I didn’t have the opportunity to review the EKG results until after my surgery, which was successful, and I am set to start physical therapy tomorrow. The doctor who analyzed my EKG noted “ST elevation” with a comment suggesting a possible anterior injury. To my knowledge, this has not been indicated on any previous EKGs I have had done. Unfortunately, I won’t be able to see a cardiologist until the end of this month, which means it will have been about two months since the EKG was performed. I am concerned about whether this finding is serious and whether it is acceptable to delay another month before my appointment with the cardiologist. Thank you!

High Blood PressurePalpitationsInternal Medicine

Answers (1)

Cony

4/2/2025, 1:01:02 PM

OpenHealth AI

It's understandable to feel concerned about the EKG findings of ST elevation, especially given your active lifestyle and history of hypertension. Here's a breakdown of what this could mean and how to proceed.

Key Points:

  1. ST Elevation Explanation: ST elevation on an EKG can indicate various conditions, including possible heart injury, but it's crucial to interpret this in the context of your overall health and symptoms. It may not always signify an urgent issue, especially if there are no accompanying symptoms like chest pain or shortness of breath.

  2. Considerations for Delay: While waiting until the end of the month to see a cardiologist might seem concerning, it's essential to weigh the facts: your surgery went well, and you are not currently experiencing alarming symptoms. However, monitoring your condition is advisable.

Next Steps:

  1. Monitor Symptoms: Pay close attention to any changes in your health. If you experience new symptoms such as chest pain, shortness of breath, extreme fatigue, or unusual palpitations, seek medical attention immediately.

  2. Document Your Health: Keep a record of any symptoms you notice and any activities that may exacerbate them. This documentation can be valuable for your upcoming cardiologist appointment.

  3. Stay Active but Cautious: You can continue with light physical activity as tolerated, especially since you are starting physical therapy after surgery. Just be mindful of how you feel during and after activity.

  4. Use this Time Wisely: Prepare any questions you have for your cardiologist so that you can understand the implications of the ST elevation fully and address any concerns effectively.

In summary, while waiting for your cardiologist is acceptable, keeping a close watch on your symptoms and maintaining open communication with your healthcare team is crucial. Don't hesitate to reach out for help if you feel something is off before your scheduled appointment. Your health is the priority, and it’s good that you are addressing this proactively!

Related Questions

Is This Just a Hangover?

Today, I’m not feeling my best, to say the least. Honestly, it feels as if I’m on the brink of death. Last night, I overindulged in alcohol, and now I’m suffering the consequences. I’ve been battling a severe headache and have experienced multiple bouts of vomiting, probably around ten times. My energy levels are nonexistent, leaving me feeling utterly drained. To make matters worse, my hands are tingling, and my complexion appears alarmingly pale. It’s an awful experience, to say the least. Could this just be the aftermath of a hangover? I certainly drank a considerable amount and I’ve vowed never to do this again. Age: 28, Male

PalpitationsChest PainHigh Cholesterol
Male25-34
15 minutes ago

Understanding My CT Scan Results

Subject: Female, 30 years of age Weight: 120 pounds Current medications: None A week ago, I experienced a facial injury and believed I might have a nasal fracture. After undergoing a CT scan yesterday, I received my results and am seeking clarification on their implications. The report indicates that there are no fractures present in my face; however, it does point out a deviated septum and the presence of bone spurs. Could this imply that my nose is intact and that surgical intervention is probably unnecessary? I appreciate any insights you can provide!

Shortness of BreathCardiologyInternal Medicine
Male25-34
1 hour ago

Seeking Assistance for Unexplained Symptoms

Hello, I’m a 15-year-old female, weighing 48.5 kg and standing at 162 cm tall, residing in Germany. At present, I’m looking for medical advice. My current medication status is none, and I have been diagnosed with Obsessive Compulsive Disorder (OCD). For the past seven months, I have been grappling with significant physical symptoms that have been largely dismissed as psychosomatic. In early 2023, I began experiencing an increased heart rate accompanied by dizziness, headaches, and episodes of near-fainting when I transition from sitting or lying down to standing. By July 2025, I noticed a gradual loss of appetite. Initially, it was mild, but it quickly escalated to a point where I no longer had any desire to eat. Once I did eat, I frequently felt nauseous, particularly with solid food, which caused painful stomach cramps and bloating. I lost around 4 kg over the initial months of these symptoms. Regrettably, my condition did not improve; it worsened, as I also experienced similar discomfort after consuming liquids. The only things I managed to take without significant pain were thicker fluids, such as drinkable yogurt and smoothies, but now even those are difficult for me. In September, I had a moderate depressive episode, for which I received psychotherapy and a prescription for Fluoxetine (20 mg). However, the medication induced severe side effects, including heightened nausea, drowsiness, muscle cramps, and weakness. My psychiatrist decided to discontinue the treatment abruptly, tapering off very quickly—after just two days at 10 mg daily, followed by 10 mg every other day for three days. One day, I became unresponsive and had to be taken to the hospital by ambulance, but no thorough examinations were conducted. While I was at school on October 11, I felt extremely fatigued, struggling to keep my eyes open. My condition deteriorated over the next couple of days, and by the 14th of October, I was unable to attend classes anymore. I began to experience severe fatigue along with muscle and joint pain, and general body aches. Despite sleeping extensively, my symptoms remained unchanged. I developed a significant intolerance to exertion, as even minimal activities like a brief 10-minute walk or sitting still for over an hour would lead to these overwhelming “crashes,” accompanied sometimes by a migraine or feelings of illness lasting 12 to 48 hours. Since mid-January 2026, I have been suffering from severe dizziness that sometimes prevents me from standing or walking normally. I have also experienced visual disturbances, like seeing dots in my left peripheral vision, and frequent facial numbness without relief. I was admitted to a psychosomatic unit, which only exacerbated my condition, putting me into a constant state of distress. I endured a prolonged migraine status for five days, which thankfully resolved gradually without any medical intervention. Many of my other days feel akin to being ill with the flu or suffering from poisoning. Whenever I discuss my symptoms with doctors or nurses, they attribute everything to either depression or a somatoform disorder, despite my persistent assertions that I do not feel depressed. I find the hospital I am at quite unfavorable. Previously, when I sought treatment for mesenteric lymphadenitis, they provided a placebo, insisting everything was psychological despite my existing diagnosis. I have undergone numerous tests, including a head MRI, endoscopy, ECG, echocardiogram, and various blood analyses. The MRI results were unremarkable, and the endoscopy showed no abnormalities. Both the ECG and echocardiogram returned normal results, and my blood work did not reveal much either, aside from a few slightly abnormal levels, which are listed below: - Vitamin B2: 333 - Vitamin B6: 76.3 - Vitamin A: 0.93 - Vitamin E: 32.0 - DAO: 5 - Histamine Degradation Ability: 34% - Ferritin: 19 - IgG: 192 - SARS-CoV-2 Antibodies: positive - Albumin: 0.75 - Neutrophils: 66% - Lymphocytes: 9.9% - Leukocytes: 4,000 - Monocytes: 3.3 - Eosinophils: 12 - Basophils: 4.4 - Absolute Neutrophils: 0.3 None of these results appear alarming. I have also performed an Active Standing test myself, leading to the following averages: - Lay down Average Heart Rate: 75 bpm - Lay down Average Blood Pressure: 90/60 mmHg - Standing Average Heart Rate: 127 bpm - Standing Average Blood Pressure: 120/80 mmHg I am desperately seeking insight regarding my symptoms and would greatly appreciate any help or guidance on what might be happening.

PalpitationsShortness of BreathSwollen Legs
Male25-34
2 hours ago

Significant Increase in Blood Pressure Over Two Months

Two months ago, on December 10th, 2025, I visited a CVS minute clinic due to a sinus infection, where my blood pressure was recorded at 120/74. However, during a recent visit to my general practitioner for my yearly health examination, my blood pressure soared to an alarming 200/114. The staff measured it multiple times, suspecting an error, even using a different device. The lowest reading captured was still quite high at 191/118. After discussing my situation, the doctor inquired whether I had a blood pressure monitor at home, which I do, and advised me to monitor my readings closely. Currently, after taking multiple readings, the most favorable result was 202/114, which is causing me some concern. - Female, age 39 - Weight: 175 lbs, Height: 5'2" - Non-smoker - Social drinker - No specific dietary restrictions - Sedentary lifestyle - No known family history of heart disease - Currently taking 20mg/day of Escitalopram and 450mg/day of Bupropion for anxiety and depression Online resources suggest that my readings indicate a "hypertensive crisis," a term that sounds rather serious. Despite my weight issues, these figures appear excessively high. I plan to message my GP for a follow-up, but I am wondering how alarmed I should be in the meantime?

High Blood PressureShortness of BreathIrregular Heartbeat
Male25-34
4 hours ago

Advice Needed on Possible Heart Condition (ASD)

Greetings everyone, I am a 27-year-old individual. Towards the end of 2022, a preliminary 2D echocardiogram raised concerns regarding a potential Atrial Septal Defect (ASD). Consequently, I underwent several follow-up echocardiograms and treadmill tests throughout 2023 and 2024. Fortunately, all results returned to be normal, and subsequent assessments indicated no structural issues with my heart. I also had a thorough evaluation at Apollo Hospital, which yielded normal findings as well. Later, during a consultation at Manipal Hospital, I was informed that the symptoms I am experiencing might be linked to anxiety or excessive worrying. Additionally, my lab tests revealed elevated levels of cholesterol and blood sugar, which fall into the prediabetic category. Currently, I do not experience chest pain, but I Continue to suffer from palpitations and a fast heartbeat, particularly when engaging in physical activities like climbing stairs. Despite receiving normal cardiac evaluations, these troubling symptoms persist, leading me to wonder if ASD has truly been dismissed or if I should consider further testing. I would appreciate any guidance on this matter.

PalpitationsChest PainHigh Cholesterol
Male25-34
8 hours ago