apollo
  • Male
  • 29 Years
  • 20/02/2025

Today I was feeling really breathless, so I decided to see a cardiologist. They had me do an ECG, and after looking it over, the doctor recommended getting another one in 23 days. Should I be worried about what my ECG showed? I'm also on antidepressants, and I've heard they can sometimes cause long QT syndrome. Could that be what's going on with my QTc interval? I've attached my ECG, and I'm just hoping you can let me know if there's anything abnormal.

Doctor 1

Answered by 1 Apollo Doctors

The QTc interval on your ECG appears to be prolonged, which can be a concern as it may lead to arrhythmias. Since you are on antidepressant medication, it is important to monitor this closely as some antidepressants can indeed prolong the QT interval. I recommend discussing this with your cardiologist and considering a change in medication if necessary. In the meantime, you may benefit from taking a medication like Escitalopram at a lower dose to reduce the risk of QT prolongation.

Dr. Shubham Suggests...

Consult a Cardiologist

Answered 04/07/2025

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  1. Understanding Your ECG and Breathlessness

    • An ECG measures heart rhythm and electrical activity. Breathlessness can prompt this test to check for heart issues.
    • Follow-up ECGs help monitor changes in heart function over time.
  2. Antidepressants and QTc Interval

    • Dosulepin can affect heart rhythm and potentially cause long QT syndrome.
    • Long QT syndrome increases the risk of irregular heartbeats, requiring medical supervision.
  3. Interpreting Your ECG Results

    • A repeat ECG is often recommended to ensure accurate monitoring rather than indicating immediate concern.
    • QTc interval measurement is crucial in assessing heart rhythm risk.
  4. Next Steps and When to Seek Help

    • Monitor symptoms like worsening breathlessness, palpitations, or fainting.
    • Attend follow-up ECG and cardiology appointments.
    • Discuss medication concerns with your healthcare provider before making changes.
  5. Reassurance and Support

    • Your concerns are valid, and professional evaluation is essential.
    • Maintain open communication with your cardiologist and prescribing doctor.

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Consult a Cardiologist

Answered 10/09/2025

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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.