- Male
- 43 Years
- 22/01/2025
Hey, I'm 43 and generally healthy, but I recently had an ECG done. It says my heart rate is 66 beats per minute with a sinus rhythm, but there are nonspecific ST-T changes in III and aVF. I'm not sure what that means. Should I be concerned? Can you help explain this to me?
Answered by 1 Apollo Doctors
The ECG report showing a heart rate of 66 beatsminute with sinus rhythm and nonspecific ST-T changes in III and aVF may indicate possible heart conditions such as myocardial ischemia or electrolyte imbalances. To address this, you can take Aspirin 75mg once daily to prevent blood clot formation and improve blood flow to the heart. Additionally, you can take Atorvastatin 20mg once daily to lower cholesterol levels and reduce the risk of heart disease. It is important to follow up with your healthcare provider for further evaluation and management.
Dr. Dr Khaleel Suggests...
Consult a Cardiologist
Answered 04/07/2025
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Interpretation:
- A heart rate of 66 bpm with sinus rhythm is generally normal.
- Nonspecific ST-T changes can be benign but may also indicate underlying issues.
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Action Steps:
a. Discuss the ECG findings with your healthcare provider for personalized advice.
b. Consider further evaluation if you have symptoms like chest pain or shortness of breath. -
Recommendation:
- Regular follow-up and possibly additional tests (e.g., stress test) may be advised based on clinical assessment.
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What do nonspecific ST-T changes mean? Answered 20/08/2025
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View allI'm really struggling to understand my heart issues. For someone who's been dealing with heart problems for 34 years, it's tough to know what's happening. I have diastolic relaxation abnormality, and my TMT was mildly positive, but that was dismissed with a normal CT angiography. I often feel my heart skip a beat with a thud during exercise and even at rest. My exercise tolerance seems to be getting worse, and my heart rate jumps past 130 after just a few minutes of daily activity, though it calms to 60s bpm in the morning. I often feel dizzy, weak, and fatigued. The ECGs say I have LVH, but the echo says normal LVM. Can diastolic relaxation abnormality indicate heart failure? Is the ECG more reliable than the echo for identifying LVH? And should I be comfortable trusting the CT angio results? Any insights would really help clarify things for me.
1. Diastolic relaxation abnormality does not necessarily mean you have heart failure, but it does indicate that your heart's ability to relax and fill with blood is impaired. It is a condition that can progress and should be monitored and managed carefully by your healthcare provider. 2. The echocardiogram (echo) is generally considered more accurate for assessing left ventricular mass (LVM) and structure, so you can trust the echo results over the ECG for diagnosing LVH. 3. A normal CT angiography report is generally reliable and indicates that your coronary arteries do not have significant blockages. Given your symptoms of skipped heartbeats, exercise intolerance, dizziness, and fatigue, it's important to follow up with your cardiologist. They may need to reassess your condition and consider other diagnostic tests or treatment changes. Continuous monitoring and a thorough evaluation by your healthcare provider are essential to address your concerns and ensure proper management of your heart health.
Answered by 1 Apollo Doctors
I'm experiencing this sharp pain in my left chest, like someone is poking me with a needle. It's been happening for the last 34 hours, not continuously, but I notice it every few months. It's not regular, but it keeps coming back. What could be causing this?
pain could be a cause of either myocardal infarction, acid reflux and could be either pericarditis or pericardial efusion or it could be precordial catch syndrome
Answered by 1 Apollo Doctors
I've been diagnosed with sinus arrhythmia; I didn't use to feel any skipping of heartbeats, but over the past few months, I've started experiencing it. Should I be worried that it's happening more often now, and is there something specific I should do or look out for?
Sinus arrhythmia is a condition where the heart's rhythm is irregular, usually due to changes in breathing. If you are experiencing palpitations or skipping heartbeats, it is important to consult your doctor for further evaluation. In some cases, medications like Metoprolol (25-50mg) can be prescribed to help regulate the heart rate and reduce symptoms.
Answered by 1 Apollo Doctors
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Disclaimer: Answers on Apollo 247 are not intended to replace your doctor advice. Always seek help of a professional doctor in case of an medical emergency or ailment.