Your ECG Report: Sinus Rhythm and ST Elevation Concerns

Issues with Electrocardiogram (ECG) Reports

Hello doctor, I had an electrocardiogram at the hospital, and my report states "Sinus rhythm, ST elevation suggests acute pericarditis." The translation seems to indicate acute pericarditis, but I also had an echocardiogram done, which was reported as normal, with only mild mitral valve prolapse.
Should I go back to the hospital for further examination?

Yang, 20~29 year old female. Ask Date: 2022/09/14

Dr. He Dongjin reply Cardiology

Hello, if you are not feeling unwell, you should just observe.
An electrocardiogram (ECG) may not always be accurate, and if the echocardiogram shows normal results, there should be no issues.
Changhua Hospital cares about you.

Reply Date: 2022/09/14

More Info

Understanding your ECG report is crucial for your peace of mind and overall health management. Based on your report indicating "Sinus rhythm" and "ST elevation suggests acute pericarditis," let's break down what these terms mean and their implications.

Sinus Rhythm: This term indicates that your heart is beating in a normal rhythm, originating from the sinus node, which is the natural pacemaker of the heart. A normal sinus rhythm is characterized by a regular heartbeat, typically between 60 to 100 beats per minute in adults. This is a positive sign, as it suggests that your heart is functioning properly in terms of its electrical activity.

ST Elevation: The presence of ST elevation on an ECG can be indicative of several conditions, one of which is acute pericarditis. Acute pericarditis is an inflammation of the pericardium, the protective sac surrounding the heart. This condition can cause chest pain, which may worsen with deep breathing or coughing, and is often relieved by sitting up or leaning forward. Other symptoms may include fever and a general feeling of malaise.

The fact that your echocardiogram (heart ultrasound) showed normal results, aside from mild mitral valve prolapse, is reassuring. Mitral valve prolapse is a common condition where the valve does not close properly, but it often does not lead to significant health issues. The normal echocardiogram suggests that there are no significant structural abnormalities in your heart, which is a good sign.

Given that your ECG suggests acute pericarditis but your echocardiogram is normal, it is essential to consider the context of your symptoms. If you are experiencing chest pain, shortness of breath, or any other concerning symptoms, it is advisable to seek further evaluation. Acute pericarditis can sometimes resolve on its own, but in some cases, it may require treatment, especially if it is causing significant discomfort or if there are concerns about complications.

Next Steps:
1. Consult Your Doctor: It is crucial to discuss your ECG findings and symptoms with your healthcare provider. They can provide a more comprehensive evaluation based on your medical history and current condition.

2. Monitor Symptoms: Keep track of any symptoms you experience, such as chest pain, changes in heart rate, or any new symptoms. This information can be valuable for your doctor.

3. Follow-Up Tests: Depending on your doctor's assessment, they may recommend additional tests, such as blood tests to check for markers of inflammation or further imaging studies to monitor your heart's condition.

In summary, while your ECG indicates a potential concern with ST elevation suggesting acute pericarditis, the normal echocardiogram is a reassuring factor. It is essential to maintain open communication with your healthcare provider to determine the best course of action based on your symptoms and overall health. If you have any doubts or if your symptoms worsen, do not hesitate to seek medical attention. Your health and well-being should always be your top priority.

Similar Q&A

Understanding Your ECG Report: Normal Sinus Rhythm and ST Changes

NORMAL SINUS RHYTHM 2. NON-SPECIFIC ST-T CHANGES

Dr. Chen Jili reply Cardiology
It is advisable for you to discuss the above situation further with your attending physician. Thank you, and wishing you good health!

Understanding ECG Results: Sinus Arrhythmia and Heart Health Concerns

Hello, doctor. Some time ago, I inquired about my ECG results, which showed: 1. Normal sinus rhythm with sinus arrhythmia 2. Early repolarization 3. Normal ECG. You mentioned that this is a common phenomenon in young people and does not require treatment. I would like to ask if, ...

Dr. Wu Xueming reply Cardiology
Your symptoms are not related to sinus arrhythmia. Many factors in daily life can contribute to this condition, such as emotions, stress, irregular sleep patterns, or excessive intake of caffeinated beverages. It is advisable to adjust your lifestyle and engage in regular exercis...

Understanding Your ECG Report: Sinus Tachycardia and Other Findings

I would like to ask the doctor, I recently had an electrocardiogram, and the report showed: 1. Sinus tachycardia, Rate: 102 bpm. 2. Early R/S transition of precordial leads. 1. ST. 2. CCWR. Is there any issue with this, and do I need to return for treatment sooner?

Dr. Wu Xueming reply Cardiology
According to this report, there are no urgent issues, and there is no need for an early follow-up appointment.

Understanding Your Resting EKG Report: Key Insights for Heart Health

Hello, Doctor: I am a 42-year-old female. After being diagnosed with anxiety in May, I have been experiencing discomfort in my heart, with intermittent sensations of missed beats, palpitations, and shortness of breath. The resting EKG report from May 23 is as follows: RESTING EKG...

Dr. Wu Xueming reply Cardiology
Abnormalities in the electrocardiogram (ECG) must be interpreted by a physician in conjunction with clinical symptoms to determine whether the abnormalities have clinical significance. It is recommended that you visit a cardiology outpatient clinic for evaluation.