Understanding My EKG Results: Concerns and Symptoms
I’m a 30-year-old woman and for the last few months, I've been experiencing episodes of elevated heart rate sporadically. After undergoing an EKG last night, the results indicated the following: - Long QTc with sinus rhythm and a short PR interval - Nonspecific ST and T wave abnormalities - Prolonged QT marked in the ECG interpretation. Interestingly, an EKG I had on July 2 showed a normal sinus rhythm along with a nonspecific T wave abnormality, although this reading was also deemed abnormal. I’m reaching out for clarification: What do these results signify? I’ve been feeling persistently fatigued, experiencing chest discomfort characterized by a dull throbbing sensation. Additionally, I'm dealing with pain in my shoulder and middle back, alongside some tension in my jaw. While medical personnel assure me that I’m not experiencing a heart attack, they plan to have me monitored on a heart monitor in the middle of next month. Unfortunately, I’m feeling quite dismissed and overlooked in this process; it’s disheartening that my concerns seem to be met with indifference.
Answers (1)

7/19/2025, 4:30:48 AM
OpenHealth AI
Thank you for sharing your concerns about your EKG results and your ongoing symptoms. It's understandable to feel anxious when faced with medical findings that seem complex. Let's break down your EKG results and symptoms and address your current situation.
Summary of Your EKG Results
- Long QTc with Sinus Rhythm: This suggests that your heart takes longer than usual to recharge after each heartbeat, which can increase the risk of irregular heart rhythms.
- Short PR Interval: This usually indicates a faster than normal electrical transmission through the heart, but in isolation, it might not be concerning.
- Nonspecific ST and T Wave Abnormalities: This can indicate various issues but is not specific enough to determine a single cause without further investigation.
Symptoms Explanation
- Your fatigue, chest discomfort, shoulder, back pain, and jaw tension might understandably raise alarms, especially in the context of heart health. While it’s reassuring that the initial assessment indicates you are not having a heart attack, these symptoms warrant monitoring.
- The combination of fatigue and discomfort can sometimes be linked to anxiety or stress, but it’s essential to explore all possibilities carefully.
Next Steps for You
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Keep Track of Symptoms: Maintain a journal noting the frequency, severity, and context of your symptoms. This can provide valuable information when discussing your health with your healthcare providers.
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Hydration and Nutrition: Ensure you are well-hydrated and eating balanced meals, as poor nutrition can contribute to fatigue and discomfort. Incorporate foods rich in potassium and magnesium, which support heart health.
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Relaxation Techniques: To manage anxiety surrounding your heart health, try practices such as deep breathing exercises, yoga, or mindfulness meditation. These can help alleviate some of the tension in your body.
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Stay Engaged in Your Care: If you feel overlooked, don’t hesitate to voice your concerns assertively during appointments. Ask for clarification on your EKG findings and both the short-term and long-term management plans.
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Follow-Up Monitoring: Engage with the heart monitor process next month, as this will provide more insights into your heart's behavior during episodes of elevated heart rate.
Emotional Support
It's completely valid to feel disheartened by how your concerns have been addressed. Seeking support from friends, family, or a support group can be beneficial as you navigate this. It’s important to prioritize your well-being and ensure that your worries are heard and respected.
Let me know if you have further questions or need additional guidance as you look into your heart health!
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