- Male
- 31 Years
- 20/02/2025
I'm experiencing some palpitations over the past few days, so I decided to get an ECG done. It showed a slight elevation in v4 and v5. Could you check things over for me? My echo came back as normal.
Answered by 1 Apollo Doctors
The presence of slight ST elevation in V4 and V5 on an ECG can sometimes indicate issues such as early repolarization or, in more serious cases, ischemia or myocardial infarction. Given your palpitations and the ECG findings, it's important to follow up with a cardiologist, even if your echocardiogram (echo) is normal. The echo provides information on the structure and function of the heart, but the ECG findings and your symptoms warrant further evaluation to rule out any acute or chronic cardiac conditions.
Dr. Kareemulla Suggests...
Consult a Cardiologist
Answered 04/07/2025
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ECG Interpretation
- Slight elevation in V4 and V5 can indicate early repolarization or other benign conditions, but it requires clinical correlation.
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Normal Echocardiogram
- A normal echo suggests no significant structural heart issues, which is reassuring.
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Recommendations
a. Monitor symptoms: Note any changes in palpitations or new symptoms.
b. Follow-up: Consult a cardiologist for a detailed review of ECG findings.
c. Lifestyle: Maintain a healthy lifestyle, manage stress, and avoid stimulants like caffeine. -
Immediate Action
- Seek urgent care if experiencing severe symptoms like chest pain or shortness of breath.
Recommended next steps
Consult a Cardiologist
Answered 10/09/2025
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I'm really worried about my mom who's 62. She recently had some chest pain, and her ECG came out abnormal. We consulted with a cardiologist, and they did a TMT test, which was strongly positive. She's also had an echo test done. Now we've been told she needs to go for a CAG angiogram test. I'm just trying to understand how serious her condition might be. Could there be a severe blockage? What do these tests tell us about her heart health?
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I'm experiencing this odd pressure on my chest, specifically on the left side where I've drawn a white line in the photo I sent. It's not quite pain, but more like an uncomfortable pressure. It tends to be noticeable when I lie down, which is pretty uncomfortable, but the pressure seems to go away when I'm up and walking around. There's no pain when I breathe or do exercises, which is confusing me. A few days ago, I was dealing with chest pain but it seems to have lessened. There's this constant pressure, though, especially when I'm lying down. Also, I had sinus tachycardia with a heart rate of 115 BPM during my first echocardiogram. The second one, however, was 77 BPM, and my blood pressure was 13383 mg. I'm wondering if all this is connected and if I should be worried about it?
It sounds like you may be experiencing musculoskeletal chest pain, possibly related to inflammation or strain in the chest wall muscles. The fact that the discomfort increases when lying down and improves with movement suggests a musculoskeletal origin. To help relieve the pressure and discomfort in your chest, you can try taking over-the-counter pain relievers such as acetaminophen (Tylenol) as needed. Additionally, applying a warm compress to the area may also help relax the muscles and alleviate the pressure sensation. If the symptoms persist or worsen, it would be advisable to consult with a healthcare professional for further evaluation and management.
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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.