- male
- 40 Years
- 20/02/2025
I'm really worried because a couple of months ago, I had some chest pain and when they did an ECG, it showed slight ST elevation in V3 and V4. The cardiologist I saw said it wasnt heart-related, but just to be sure, he had me do a TMT, and that turned out negative. Now, I had chest pain again and went to the hospital. They did another ECG that showed sinus rhythm with sinus arrhythmia and ST elevation, possibly early repolarization with normally inflected T wave, and called it a borderline ECG. Should I be concerned about something serious going on here?
Answered by 1 Apollo Doctors
"Based on your description, it seems like you are experiencing chest pain with some concerning ECG findings. The ST elevation in V3 and V4 from the previous ECG, along with the ST elevation and early repolarization in the recent ECG, can be worrisome. However, since your cardiologist has already ruled out any significant heart issues with a negative TMT, it is less likely to be related to your heart. The presence of sinus rhythm with sinus arrhythmia indicates normal heart rhythm variation, which is usually not concerning. Early repolarization with borderline ECG findings can sometimes be a normal variant in young, healthy individuals. To address your chest pain and ECG findings, your doctor may consider monitoring your symptoms, lifestyle modifications, and possibly medication. In case of persistent or worsening symptoms, further evaluation or consultation with a cardiologist may be necessary. For symptomatic relief of chest pain, you can consider taking over-the-counter pain relievers like acetaminophen. However, it is important to follow up with your healthcare provider for a proper evaluation and management plan."
Dr. Shubham Suggests...
Consult a Cardiologist
Answered 25/07/2025
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I've been having some health issues that are making me anxious. My ECG today showed a low T wave in V4 and a slight ST depression in V6. I'm not sure what that means, and I'm a bit worried about it. I also tend to get high blood pressure sometimes, and my lipid and cortisol levels are up. What can I do about all this? Should I be getting any more tests done?
Based on your ECG findings of low T wave in V4 and slight ST depression in V6, along with your history of anxiety, high blood pressure, high lipid levels, and high cortisol levels, it is important to further evaluate your cardiac health. I recommend you to consult a cardiologist for a detailed evaluation and management plan. Further tests that may be recommended include: 1. Stress test (Treadmill test) to assess your heart's response to physical activity. 2. Echocardiogram to evaluate the structure and function of your heart. 3. Holter monitor or event monitor to monitor your heart's activity over a period of time. 4. Blood tests to assess your cholesterol levels, blood sugar levels, and other cardiac markers. In the meantime, it is important to manage your anxiety, high blood pressure, high lipid levels, and high cortisol levels. You can consider medications such as Atorvastatin for high cholesterol, Amlodipine for high blood pressure, and Alprazolam for anxiety. However, the specific dosage and duration of these medications should be determined by your healthcare provider after a thorough evaluation.
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