ECG Abnormalities with Normal Test Results
Patient Details: 34-Year-Old Male I recently underwent an electrocardiogram (ECG) that indicated tachycardia with a heart rate of 122 beats per minute, which I suspect was influenced by my heightened anxiety. Notably, the reading showed changes in the T waves in leads III and aVF, as well as biphasic patterns in leads V4 through V6. Nevertheless, the following tests yielded reassuring outcomes: 1. An echocardiogram revealed completely normal results, with a Left Ventricular Ejection Fraction (LVEF) of 67%. 2. A two-week cardiostat monitor showed a normal sinus rhythm throughout, recording a minimum heart rate of 42, a maximum of 166, and an average of 77. Aside from a PR interval measured at 116, which did not indicate any delta wave, everything else was deemed normal. 3. Additional lab results included a high-sensitivity pro-BNP level of less than 50, C-reactive protein below 1, and troponin levels under 15. Given all these evaluations and their outcomes, could the abnormality detected on the ECG be regarded as inconsequential?
Answers (1)
6/20/2025, 3:20:42 PM
OpenHealth AI
Your ECG showed some abnormalities, but your other tests—like the echocardiogram and cardiostat monitoring—are normal and encouraging. This suggests that the T-wave changes and tachycardia may not be significant, especially if anxiety could be influencing them.
Explanation
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Tachycardia and T-wave Changes: Tachycardia (a fast heart rate) can often be a response to anxiety, stress, or even caffeine intake. The T-wave changes you mentioned might represent normal variant patterns rather than a pathology, particularly given your normal echocardiogram and heart monitor readings.
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Assuring Test Results: Your echocardiogram showed good heart function (LVEF of 67%), and the normal sinus rhythm during monitoring is a strong indicator that there are no underlying issues. The pro-BNP and troponin levels being low further indicates no heart failure or damage.
Next Steps
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Monitor Symptoms: Keep an eye on how you feel; if you notice persistent symptoms like palpitations, dizziness, or chest discomfort, note these occurrences.
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Manage Anxiety: Consider techniques to manage anxiety, such as deep breathing exercises, mindfulness, or physical activity, which can help stabilize your heart rate.
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Lifestyle Adjustments: Focus on a heart-healthy lifestyle: eat a balanced diet, avoid excessive caffeine, ensure regular physical activity, and maintain good hydration to support your overall heart health.
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Regular Follow-Up: Schedule routine follow-ups with your healthcare provider to ensure continued monitoring and to discuss any new symptoms or concerns.
If you remain concerned about your ECG results or your heart rate, don't hesitate to revisit it with your healthcare provider for personalized advice or reassurance. It’s important to feel confident and informed about your heart health.
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