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Old 09-06-2008, 02:04 PM   #1
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Location: Philadelphia, pa, USA
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Question Abnormal EKG. . .Nothing to worry about?

The other night, I went to the ER.
I was feeling shaky, weak, racing heart & tingly.
I had just had a total thyroidectomy on 8/4 and had some calcium issues.
I thought I was having another low calcium attack.
The doctor ran some blood work and did an EKG. He said that his diagnosis was stress and anxiety and gave me an ativan.
The EKG showed that there were abnormalities, but the doctor said that the abnormalities were normal for me (how would he know that? I hadn't had an ekg done there before) and that it was nothing to worry about.
Of course I'm freaking out. Here's what the report says:

Rate: 97
PR 152
QRSD 100
QT 356
QTc 453

--Axis--
P 40
QRS 23
T -22

sinus rhythm..........normal P axis,V-rate 50- 99
Probable left atrial abnormality..............P>50mS, <-0.10mV V1
Abnormal T, Consider Ischemia, Inferior...........T 90


Blood Work:


BUN 12
Glucose Level 104
EST GFR NONAFR 87
NA 141
K 3.5
CL 108
CO2 22
ANION GAP 15
Calcium 9.2
TROPONIN I <0.010

CBC w.AUTO DIFF
WBC 15.0
RBC 4.54
HGB 13.0
HCT 38.7
MCV 85.1
MCH 28.7
MCHC 33.7
RDW 13.1
Platelet Count 361
MPV 7.80

MANUAL DIFFERENTIAL
Neutrophils 80
Lymphocytes 14
Monocytes 5
Eosinophils 1
Platelets normal
RBC Morphology normal

 
Old 09-06-2008, 04:12 PM   #2
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Location: NY
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Re: Abnormal EKG. . .Nothing to worry about?

I'd listen to what the doctor said. I had an Ekg and there was something on it that worried me and my doctor told me to ignore what the computer spit out because it's actually how the doctor reads the EKG. He said there are many times the computer is incorrect and very inaccurate and it's all in what the doctor can determine from reading the EKG. So, if I were you, I'd not worry at all. I hope this helps. Been there done that.

 
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Old 09-06-2008, 07:13 PM   #3
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Location: Oklahoma
Posts: 415
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Re: Abnormal EKG. . .Nothing to worry about?

Better safe then sorry, follow up with the doctor that treats you for thyroid problems - make sure that everything is fine there, and consider a cardiologist visit. The ER doctors can miss things.

I had an abnormal EKG back in January, just negative T-waves - but my GP stuck me in the hospital overnight until a cardiologist could see me the next day. He's an overly cautious doctor, but that's better then one that dismisses everything. As far as I can tell from research, my abnormalities where just from very low blood volume - maybe low potassium too. But seeing the cardiologist finally led to a diagnosis for the condition that I do have.
My point - follow up with non ER visits, there may be something there.

 
Old 09-08-2008, 06:12 PM   #4
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Re: Abnormal EKG. . .Nothing to worry about?

So, I have an appointment with the cardiologist Thursday!
Hopefully I'll get some real answers then.

I went to my GP today and saw the nurse practitioner. . .well that was of no real use.
she told me to take an ativan if i needed it and to see the cardiologist.
i guess i kind of expected that.
she did do another ekg and the results were similar, but she said a bit better. . . .

This is what it reads:

Sinus rhythm
Inferior & anterior T wave changes are borderline abnormal

Borderline ECG

Vent Rate: 99 bpm
P Duration: 84ms
QRS Duration: 96ms
PR Interval: 122ms
QT Interval: 332ms
QTc Interval: 398ms
QT Dispersion: 16ms
P-R-T AXIS: 56, 41, -5

 
Old 09-08-2008, 07:06 PM   #5
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Re: Abnormal EKG. . .Nothing to worry about?

I just looked back through some of my past blood test. Check your lab's ranges, but I'm willing to bet your's has 3.5 as cut off for the normal range for potassium. Meaning you're barely in range. Low potassium isn't good, make sure a doctor addresses this.

 
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