Interpreting My EKG Results: Should I Be Concerned?
I am a 27-year-old female, weighing 185 pounds, and of Caucasian descent. I recently visited my physician due to ongoing leg spasms, for which I'm slated to undergo further spinal MRIs as well as consult with a neuromuscular expert specifically regarding my symptoms. During my appointment, my doctor, after conducting some preliminary evaluations, suggested I have an EKG. We anticipated seeing typical results, but were caught off guard by the unexpected findings. While my doctor expressed a sense of reassurance, suggesting that the abnormalities could be incidental or simply variations unique to my physiology—especially since I haven’t had previous EKG records—he noted that I currently experience no additional symptoms such as irregular heart rates, fluctuations in blood pressure, or chest pain. Still, I am contemplating seeking a second opinion and would appreciate any insights that others might have regarding my situation. As for the EKG outcomes, I am willing to provide any necessary details if required. Here’s what I’ve been told about the results: - The sinus rhythm reveals low voltage in the precordial leads, indicating an incomplete right bundle branch block alongside a left axis-anterior fascicular block. - The voltage criteria for left ventricular hypertrophy (LVH) (where R(I) + S(III) exceeds 2.50 mV) is noted, but it’s mentioned that without ST/T abnormalities, this may be considered normal. - Additionally, there appears to be left atrial enlargement present. Overall, the findings suggest abnormalities, making it crucial for me to understand their significance in light of my symptoms (or lack thereof). Any thoughts or advice would be greatly valued!
Answers (1)
12/13/2025, 3:50:46 PM
OpenHealth AI
It's understandable to feel concerned about your EKG results, especially when they include terms that sound alarming. Let’s break down the key points and what they may imply for you.
While the findings on your EKG do indicate some abnormalities, it's important to remember that your doctor has mentioned they could be incidental, especially since you do not have any symptoms such as chest pain or palpitations. Here’s a quick overview of the findings:
- Low Voltage in Precordial Leads: This could indicate various things, sometimes related to body habitus or lung conditions. It's not necessarily a sign of heart disease by itself.
- Incomplete Right Bundle Branch Block (RBBB): This condition can occur in healthy individuals and often doesn’t lead to issues. It’s important to evaluate in conjunction with any symptoms.
- Left Axis-Anterior Fascicular Block: Like RBBB, this can also be a benign finding in some people.
- Voltage Criteria for Left Ventricular Hypertrophy (LVH): LVH may suggest the heart works harder, but your doctor noted that without other changes (ST/T abnormality), it could be deemed normal.
- Left Atrial Enlargement: This finding can be associated with various conditions, but again, without symptoms or other concerning signs, it might not necessitate immediate worry.
Next Steps:
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Symptom Tracking: Continue monitoring any new or changing symptoms, even if you currently feel well. Note down any fatigue, palpitations, or breathlessness.
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Communicate with Your Doctor: If you’re feeling anxious, reach out to your physician for clarity on how these findings relate to your current health and symptoms. They can explain the significance of each finding in more detail.
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Consider a Second Opinion: If you still have concerns after discussing with your physician, seeking a second opinion can be a good step. Bring along your EKG and any notes from your previous examinations to your next consultation.
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Follow Up on Further Testing: Since you are undergoing MRIs and consulting a neuromuscular expert, ensure that these results and your ongoing symptoms are discussed, as they may provide additional insights into your condition.
Remember to remain calm and optimistic, as many EKG abnormalities can be benign, especially in younger individuals without significant symptoms. Take these insights as a part of a larger picture of your health. Don’t hesitate to ask your healthcare providers any questions you may have!
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