- 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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