apollo
  • male
  • 50 Years
  • 29/01/2025

I'm trying to understand what "STT abnormalities elevation" means on an ECG report. Could you explain what this might indicate? I'm a little worried about what this means for my heart health.

Doctor 1

Answered by 1 Apollo Doctors

See a specialist for accurate diagnosis and targeted treatment.

Dr. Ibrahim Suggests...

Consult a Cardiologist

Answered 25/07/2025

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My final diagnosis shows mitral annular calcification with concentric LVH and RWMA in the LCX territory. There's mild LV dysfunction with an LVEF of 49%, trivial MR, and grade 1 diastolic dysfunction. No TR or PE was noted. Do I need surgery for this, or what treatment options should I consider? I'm 65 and a bit worried about the next steps.

Given your diagnosis of mitral annular calcification, concentric LVH, RWMA in the LCX territory, mild LV dysfunction (LVEF 49%), trivial MR, and grade 1 diastolic dysfunction, you don't necessarily need surgery for the mitral annular calcification itself. The focus should be on managing the LV dysfunction, coronary artery disease (CAD), and potential issues related to the RWMA.

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I've done all the tests like an ECG, echo, and TMT, and they all came back normal, but I've been having this pain on my left side of the chest for a month now. I'm worried because it feels like it might be leading up to a heart attack. Could it still be something heart-related even if the tests were okay?

Since your ECG, echo, and TMT results are normal, your chest pain may not be related to a heart attack. However, it is important to further evaluate the cause of your chest pain. You can try taking a pain reliever like acetaminophen (Tylenol) 500mg as needed for the chest pain. If the pain persists or worsens, you may consider taking an antacid like omeprazole (Prilosec) 20mg once a day to see if it helps with the pain. Additionally, practicing relaxation techniques and stress management may also be beneficial.

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I had an ECG done yesterday, and the report said there's a long left axis deviation. Can you explain what that means? I've attached the ECG for you to check.

Long left axis deviation on an ECG can indicate various underlying conditions such as heart enlargement, high blood pressure, or conduction abnormalities. It is important to correlate this finding with your symptoms and medical history. In some cases, further evaluation such as an echocardiogram may be needed. Please follow up with your healthcare provider for a detailed evaluation and appropriate management.

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