- 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 noticing some weird fluctuations in my heart rate. Out of nowhere, it sometimes shoots up to 90-110. Heres what Ive tracked: when Im sleeping, it varies between 65-80, and when Im resting, it's around 70-90. But it gets to 90-110 when Im stressed. Climbing up to my apartment on the 3rd floor gets it to 110-120, a 5-minute walk pushes it to 100, and a 30-minute walk averages at 140 according to my smartwatch. After an hour walk, my watch shows an average of 165. And when I skip for just 5 minutes, my heart rate jumps to 140. Is this normal, or should I be worried? Ive stopped exercising because it seems like my heart rate goes up too much. I'm 32, by the way.
Based on the information you provided, your heart rate seems to be fluctuating quite a bit. It is normal for your heart rate to increase during physical activity, stress, or even when climbing stairs. However, consistently high heart rates during rest or sleep could indicate an underlying issue. I recommend consulting with a healthcare professional for a thorough evaluation. In the meantime, you can try to incorporate moderate-intensity exercises like brisk walking or swimming into your routine and monitor your heart rate closely. If you experience any chest pain, dizziness, or shortness of breath, please seek immediate medical attention
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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.