ABNORMAL ECG

[SickofhavingNausea]

Hi.

Posting on here on off chance there is someone who can read ECGs or give me adivce

26 Year old male

6ft

high blood pressure , very overwieght.

I have been having episdoes for past 2 weeks where it feels like my heart stops for a second and then restarts like it gets blocked ect, I once has a oximeter on my finger and when I had that episode happen I seen the waves going from up and down to flat until the sensation I was feeling went away.

Today woke up with heavy chest feeling and tightness, so went to A and E where they did an ecg and it showed the following.

Doctor in a and e said it was normal report but I fail to understand how when it said all this?

P 72 PR 98MS QRS 98MS QT 98 P/QRS/T 338/439

DIagnose

short pr interveal

Interior infarct

Borderaline high QRS voltage

[Palpman]

ECG ranges.

ECG ranges.

[SickofhavingNausea in reply to Palpman]

Ty x

[Malmina]

Hi, seriously ecg for me is Rubbish as it showed normal while I was having a HA. For me it was the blood test that showed I had a heart attack. My advice to everyone is when your having an ECG also request a bloodtest at time.

[Hl2635]

My husbands was abnormal due to lvh, caused by high blood pressure

[richard_jw]

very surprised that A&E did not do 2 blood tests separated by some hours checking your troponin level. That's the gold standard for checking for a MI. There is no guarantee that an ecg will pick up a minor heart attack. I would get yourself to a cardiologist asap. That might mean not via the NHS route since such an appointment via your GP would take weeks if not longer. Or you could go back to A&E and ask why no blood test.

[RailRover]

Yes. Definitely test for troponin which signals heart tissue damage, and do it ASAP because levels start to decline after event. Can only think they discounted it because of your age, but I would certainly want that done.

[Qualipop]

No one on here is medically qualified to give advice. You need to ask your GP. Your description of what you are feeling sounds like palpitations when one beat comes a bit late then sort of runs into the next one so you feel it like a bump or a double beat> Palpitations can be caused by anxiety, can be completely benign or can be a sign of a problem. You need medical advice and possibly another ECG or a heart monitor for 24 hours to try to identify where they are coming from. I started having benign palpitations about 30 years ago. I still get them. Mine are completely harmless.

[Bluehope81]

You should never just accept the information of one A+E department if you think there is more going on, my sister went to one A+E in England and they dismissed her complaint and then few days later she knew something was wrong and went to another A+E department and it was something serious. So do push through if you need more answers, I have a degree in Medical physics from top 10 UK university 20 years ago and then focused on teaching MRI and CT design, basically looking at the algorithms and frequencies to build up the diagnostic pictures. In my opinion the ECG is a very limited remote sensing device, and you should as previous posters have said push for some more testing , blood testing, troponin, CK levels , Hs-CRp will all give a deeper understanding, in your case I would push for a CCTA with contrast, Coronary Computed Tomography Angiography, this would give a full picture of your heart and its supply lines, because of your age no doctor is likely to sign off on a standard angiogram. This would be the starting point, in the UK we run a reactive health system, rather than a proactive health system so patients have to push for the right treatments, and now I remember a few years ago I went to A+E with stomach pains and they did an ultrasound, and diagnosed diverticulitis which i thought was ridiculous so I refused to leave until they did a CT, as a CT for appendicitis is a much better tool, and I was right it was appendicitis.

[Bluehope81]

Then I would continue going, Holtzer monitor, Echocardiogram, and Myocardial Perfusion Imaging - PET scan, once you have these main 4 you will have a really strong idea of the condition of your heart.