GP says ECG was fine !!

[Crumbling]

Had an ECG yesterday and my doctor says it was fine, but when i looked and I read what it said I thought it sounded bad. Does anyone read ECG, has my doctor made a mistake?

Thank you.

Photos attached

[BobD Volunteer]

Dont ever take any notice of computer generated diagnosis on ECGs They are often wrong.

[Scrabblefiend in reply to BobD]

Indeed, the automated interpretation on mine said AF (GP and then cardiologist confirmed) and previous heart attack (cardiologist and GP said ‘no’)

[Cliff_G]

As per Bob's comment, auto interpretation of ECGs is pretty poor. Really needs a cardiologist's review, though, unless your GP is an expert in ECGs. There can be subtle stuff going on.

The rhythm strip at the bottom looks pretty good to me, the T wave a little delayed though? I'd personally be happier with a Cardiologist's ok

[Cliff_G]

Why was this taken? Routine? Suspected condition?

[Crumbling in reply to Cliff_G]

I’ve been feeling more irregular beats, it’s not AF.

[Crumbling in reply to Crumbling]

This is the full picture

Ecg

[Cliff_G in reply to Crumbling]

Thanks.

A 12 lead ECG is unlikely to pick up irregular beats unless they are frequent enough to show up in the 10 seconds of so of rhythm strip. What you need next is a say 48-hour Holter monitor. The 12 lead will have been done as standard to ensure nothing more sinister is going on, which as I say doesn't look to be the case.

Good luck, but try not to worry too much. We all get odd beats which are usually benign.

[Ppiman in reply to Crumbling]

Strong normal beat from the atrial pacemaker (AV node); regular ventricular rhythm = all good.

Trust your GP but think about investing in an Apple Watch which can most conveniently take a decent ECG at any moment you feel your heart is to beating normally. You can then show your GP the resulting ECG strip.

I use my Watch and a lovely handheld device called a Contec PM20.

Steve

[Jalia]

I really wouldn't worry. I've seen all sorts of weird and wonderful things appearing on mine including ' possible myocardial infarction' ....I was told to ignore it, probably scars from ablations.

[Whataperformance]

I can, and yes it's normal.

[Budken]

So you trust "Dr Google" more than your own Doctor!

[Maglyn]

Unfortunately, computers make errors. I had three ECGs at my GP practice, two GPs and a clinician interpreted the printout as AFib but the cardiologist read all three and stated categorically that there was no AFib. I was hospitalised with a suspected heart attack, had several ECGs but later was advised the AFib diagnosis was a computer generated error. I still don't know if I have AFib! Good luck

[Speed]

Over the years, various of my ECGs have suggested amongst others:

Left Ventricle Hypertrophy (LVH)

Marked ST abnomality, possible subendocardial injury

LVH with repolarization abnormality

Possible Inferior infarct

Anterolateral injury pattern

ST & Marked T wave abnormality, consider inferior ischemia

ST elevation consider early repolarization, pericarditis or injury

ST & T wave abnormality, consider anterior ischemia

Possible inferior myocardial infarction

Junctional tachycardia

Some on several different occasions.

My consultant and EP have only ever diagnosed originally, AFlutter and since treated, now AF

At Warwick Hospital, they have removed the auto generated comments as they were so often misleading.

[Twosumsmum in reply to Speed]

If you put the reports together , you are looking at micro vascular dysfunction.

[Speed in reply to Twosumsmum]

If you put the reports together, I should have been dead a decade ago 🤔

[Rbbb]

crumbling, it clearly is worrying

Similar situation with my husband, who’s had 4 or 5 blackouts/collapse episodes in the last 8 years. All tests negative ecg showing ‘right bundle branch block’ Cardiologyst said nothing to worry about.

[Healthyheart11]

Looks normal