Issues with Electrocardiograms (ECGs)
Hello, doctor.
Recently, I had an electrocardiogram (ECG) done, and the printed report included the following two lines: "ATRIAL FLUTTER" and "T ABNORMALITY IN ANTERIOR LEADS." Additionally, two years ago, an echocardiogram indicated "possibly normal T waves, early repolarization," and there was also a finding of mitral and tricuspid valve regurgitation.
I occasionally experience sharp chest pain (very intense pain) and often have palpitations.
I also find it easier to become short of breath during exercise compared to others.
Based on the results of this ECG, do you think it is necessary to see a specialist? Is there a possibility of arrhythmia?
Chen Cai Ming, 20~29 year old female. Ask Date: 2019/01/16
Dr. He Dongjin reply Cardiology
Hello, it is necessary to see a specialist to verify whether the computer report is accurate.
If it indicates arrhythmia, it would be advisable to get it checked.
Ping An Changhua Hospital cares about you.
Reply Date: 2019/01/16
More Info
Understanding your ECG results, especially when they indicate conditions like atrial flutter and T-wave abnormalities, is crucial for assessing your heart health. Atrial flutter is a type of supraventricular tachycardia characterized by rapid and organized electrical activity in the atria, leading to an increased heart rate. This condition can result in various symptoms, including palpitations, shortness of breath, and chest discomfort, which you have described experiencing.
The mention of "T abnormality in anterior leads" on your ECG suggests that there may be some issues with the repolarization phase of the heart's electrical cycle in the anterior wall of the heart. T-wave abnormalities can be indicative of several conditions, including ischemia (reduced blood flow to the heart muscle), electrolyte imbalances, or even structural heart disease. Given your history of mitral and tricuspid valve regurgitation, these findings warrant further investigation.
Your previous echocardiogram indicating "possible normal T-wave early repolarization" suggests that there may have been some benign variations in your heart's electrical activity. However, the combination of your current ECG findings, history of chest pain, and palpitations raises concerns that should not be overlooked. The fact that you experience significant chest pain and shortness of breath during exertion is particularly concerning, as these symptoms can be associated with underlying cardiac issues.
Given these factors, it is advisable to consult with a cardiologist for a comprehensive evaluation. A specialist can perform further diagnostic tests, such as a Holter monitor to assess your heart rhythm over 24 hours, or an echocardiogram to evaluate the structure and function of your heart more closely. These tests can help determine if there is an underlying arrhythmia or if your symptoms are related to other cardiac conditions.
In addition to the diagnostic tests, your cardiologist may discuss lifestyle modifications, medication management, or even procedural interventions if necessary. For instance, if atrial flutter is confirmed and symptomatic, treatments may include rate control medications, anticoagulation to prevent stroke, or catheter ablation to restore normal rhythm.
It is also essential to consider risk factors that may contribute to your heart health. Factors such as hypertension, diabetes, hyperlipidemia, and smoking history play a significant role in cardiovascular disease. Regular monitoring and management of these risk factors can help mitigate the risk of further complications.
In summary, based on your ECG results indicating atrial flutter and T-wave abnormalities, along with your symptoms of chest pain and palpitations, it is crucial to seek further evaluation from a cardiologist. Early intervention can significantly improve your heart health and overall quality of life. Don't hesitate to reach out to your healthcare provider to discuss your concerns and the next steps in your care.
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