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Seeking Clarity on ECG Results

4/3/2025, 11:40:15 PMMale25-34

As a 23-year-old woman diagnosed with vasovagal syncope and POTS, I recently experienced a medical appointment where I had an ECG performed. During this test, I felt okay and had not encountered any concerning symptoms at that moment. However, the ECG revealed sinus bradycardia, along with a note indicating a septal infarct. This has left me perplexed. Is it typical for an ECG to report findings of a septal infarct without alarming the doctor, who declared my heart to be in good condition? I find myself uncertain about what this means for my health.

PalpitationsShortness of BreathCardiology

Answers (1)

Cony

4/3/2025, 11:40:32 PM

OpenHealth AI

It’s understandable to feel confused about your ECG results, especially with terms like "sinus bradycardia" and "septal infarct" being mentioned. Let’s break this down to clarify what these findings might mean for you.

Main Points

  1. Sinus bradycardia can be a normal finding, especially if you are physically active or athletic.
  2. The term "septal infarct" typically indicates previous heart muscle damage in the septum but might not always signify an ongoing issue, especially if your doctor expressed that your heart is in good condition.

Explanation

  • Sinus Bradycardia: This is when your heart beats slower than normal (less than 60 beats per minute). In young, active individuals, this can be normal and doesn't necessarily indicate a problem, particularly if you feel fine and have no symptoms.
  • Septal Infarct: This term suggests that there may have been damage to the septal wall of your heart at some point. However, if your doctor did not seem alarmed and said your heart looks good, it may suggest this is not new damage but something that has healed or is stable.

Next Steps

  1. Monitor Symptoms: Keep track of any symptoms like fainting, increased fatigue, or shortness of breath. Note when they occur and how severe they are.
  2. Follow Up: Consider discussing the ECG results further with your healthcare provider, particularly the term "septal infarct." Ask for clarification on what it means in your specific case, and whether any further tests or monitoring are necessary.
  3. Lifestyle Considerations: Since you have vasovagal syncope and POTS, it's important to stay hydrated, manage your posture when standing up, and consider how these conditions may affect your heart rate.

If new symptoms arise, or if you feel increasingly concerned, don’t hesitate to reach out for medical advice. It’s vital that you feel comfortable and informed about your health.

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