Cardiology

Cardiology Questions Answered by Verified Cardiologists.

Ask a Doctor,
Get an Answer ASAP!

I was in ER the other day with tachycardia that started

Customer Question
about 20-30 minutes after eating...
I was in ER the other day with tachycardia that started about 20-30 minutes after eating. It nearly the entire day and the next morning I went to the ER. They did some blood work and a chest XRay and said I was okay and discharged me. The only abnormality on the blood tests they ordered was a potassium level of 3.2.I noticed the ECG had non-specific ST-T wave changes and I told them I was concerned about it. They told me it's nothing it's not the type of T wave changes they usually worry about. I am not sure they compared with previous ECGs however.I saw their lab writeup later on that they posted and the comparison between the two ECGs as written worries me greatly.https://imgur.com/a/U72oH
This is the test result entry with comparison to previous EKGHere is the previous EKG:
https://imgur.com/a/vLolTThey didn't post the newest ECG but based on the little research I did it seems to me like 3.2 potassium could not cause this great of a shift in the ST-T Segment... What is likely going on here?I'm worried this could be ischemia that they neglected to thoroughly analyze because I am a repeat patient and they haven't discovered things in the past... :(Here's another ECG that happened a few days before the seemingly normal ECG (but not related to the recent two):
Study Result
ImpressionNormal sinus rhythm with 1st degree AV block
Incomplete right bundle branch block with reversal of normal rSR' to r'SR pattern
Left ventricular hypertrophy
When compared with ECG of 3/25/17 No significant change was found
Component Results
Component Your Value Standard Range Flag
VENTRICULAR RATE EKG/MIN 100 BPM BPM
ATRIAL RATE 100 BPM BPM
PR-INTERVAL (MSEC) 230 ms ms
QRS-INTERVAL (MSEC) 100 ms ms
QT-INTERVAL (MSEC) 348 ms ms
QTC 448 ms ms
P AXIS 72 degrees degrees
R AXIS 76 degrees degrees
T AXIS 49 degrees degrees
Submitted: 7 months ago.Category: Cardiology
Show More
Show Less
Ask Your Own Cardiology Question
Answered in 3 hours by:
12/17/2017
Cardiologist: Vakul Aren, Doctor replied 7 months ago
Vakul Aren
Vakul Aren, Doctor
Category: Cardiology
Satisfied Customers: 4,613
Experience: MBBS,DTM&H,38 years of experience
Verified

Hello,I am Dr.Aren and I will help,with your query..Apparently your low Potassium levels need to be corrected by increasing your potassium intake by taking more citrus fruits and lemon juice.The nonspecific ST changes could be secondary to the low potassium levels and incomplete AV block and RBBB.It would be prudent to discuss this with your doctor and get a Holter mobile ECG recording for 24 hours or longer to rule out any serious problem.

Ask Your Own Cardiology Question
Customer reply replied 7 months ago
Hello,I read about ST Depression and T Wave inversion it seems these can refer to ischemia. Would this have been a possibility here?
Cardiologist: Vakul Aren, Doctor replied 7 months ago

A bundle branch block and a 1st degree AV block can change the ECG.Myocardial Ischaemia is highly unlikely at your age,the ST depression and T wave inversion are probably due to bundle branch block and AV block.

Ask Your Own Cardiology Question
Customer reply replied 7 months ago
I have an older ECG that was taken from me while I was in lactic acidosis in the hospital. The reason I bring this up is that on this ECG it also showed a similar T axis (11 versus 9) and "nonspecific ST and T wave changes".I'm wondering if this ECG:
https://imgur.com/a/lRnKUCompared to the normal one is similar to the other interpretation.Like comparing the ECG I Just linked here and the old normal one (https://imgur.com/a/vLolT), would your interpretation also lead to conclusions like "ST Depression in anterior leads" and "Inverted T waves in inferior leads" ?
Cardiologist: Vakul Aren, Doctor replied 7 months ago

THe electrolyte changes in Lactic acidosis,specifically the changes in potassium levels will cause ECG changes.Similarly RBBB can also cause ST segment and T wave changes.

Ask Your Own Cardiology Question
Was this answer helpful?

How JustAnswer works

step-image
Describe your issueThe assistant will guide you
step-image
Chat 1:1 with a cardiologistLicensed Experts are available 24/7
step-image
100% satisfaction guaranteeGet all the answers you need
Ask Vakul Aren Your Own Question
Vakul Aren
Vakul Aren
Vakul Aren, Doctor
Category: Cardiology
Satisfied Customers: 4,613
4,613 Satisfied Customers
Experience: MBBS,DTM&H,38 years of experience

Vakul Aren is online now

A new question is answered every 9 seconds

How JustAnswer works:

  • Ask an ExpertExperts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional AnswerVia email, text message, or notification as you wait on our site. Ask follow up questions if you need to.
  • 100% Satisfaction GuaranteeRate the answer you receive.

JustAnswer in the News:

Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.

What Customers are Saying:

I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me.

Susan O.USA

Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help.

Mary C.Freshfield, Liverpool, UK

This expert is wonderful. They truly know what they are talking about, and they actually care about you. They really helped put my nerves at ease. Thank you so much!!!!

AlexLos Angeles, CA

Thank you for all your help. It is nice to know that this service is here for people like myself, who need answers fast and are not sure who to consult.

GPHesperia, CA

I couldn't be more satisfied! This is the site I will always come to when I need a second opinion.

JustinKernersville, NC

Just let me say that this encounter has been entirely professional and most helpful. I liked that I could ask additional questions and get answered in a very short turn around.

EstherWoodstock, NY

Thank you so much for taking your time and knowledge to support my concerns. Not only did you answer my questions, you even took it a step further with replying with more pertinent information I needed to know.

RobinElkton, Maryland

< Previous | Next >

Meet the Experts:

Dr .Saeed ahmed

Dr .Saeed ahmed

Doctor

774 satisfied customers

MBBS/FCPS/MRCP U.K(R), Senior Registrar Cardiology

dr-lake

dr-lake

Board Certified Physician

186 satisfied customers

Cardiologist

The Cardiologist

The Cardiologist

MB, MRCP(UK), MCPS(Medicine)

126 satisfied customers

Staff Cardiologist

NorthernHeart

NorthernHeart

Board Certified MD

63 satisfied customers

Internal Medicine, Gen Cardiology, Nuclear Card, Echocard

Dr. Phil, MD

Dr. Phil, MD

Medical Doctor

4,124 satisfied customers

Cardiology Expert

Dr. Saleem

Dr. Saleem

Other

113 satisfied customers

I am resident cardiologist and have 03 years experience of working in all the domains of cardiology

Nadim Al-Mubarak

Nadim Al-Mubarak

Doctor

49 satisfied customers

MD at University Hospital Case Medical Center

< Previous | Next >

Related Cardiology Questions
I just found out that my EKG revealed Septal Infarct - age
I just found out that my EKG revealed Septal Infarct - age undetermined, and have found out that one explanation is an error in my EKG. If it is confirmed, however, what generally is the treatment reg… read more
Dr. Jon
Dr. Jon
Attending Physician
MD
318 satisfied customers
REASON FOR STUDY: AFIB CONCLUSIONS: Atrial flutter with 2 to
REASON FOR STUDY: AFIB CONCLUSIONS: Atrial flutter with 2 to 1 block Left axis deviation Right bundle branch block Septal infarct , age undetermined Abnormal ECG No previous ECGs available Ventricular… read more
Dr .Saeed ahmed
Dr .Saeed ahmed
Doctor
Master's Degree
774 satisfied customers
I've had chest discomfort for over a month now. It's not
I've had chest discomfort for over a month now. It's not really pain, just a feeling like someone was touching my chest, sometimes burning feeling. A couple weeks ago I went to the emergency room. The… read more
Dr. Muneeb Ali
Dr. Muneeb Ali
Senior Registrar Critical Care Medicine
Doctoral Degree
8,557 satisfied customers
I was at the ER earlier - I haven't slept much in two days
I was at the ER earlier - I haven't slept much in two days and haven't eaten much due to a lot of acid reflux type pain on the inside. My EKG apparently showed AV Block with a 230 ms interval. Most ot… read more
Dr. Chip
Dr. Chip
M.D.
13,098 satisfied customers
I had an ECG with numerical printout but it did not show
I had an ECG with numerical printout but it did not show what would be normal readings. Is there a place to look where I can see acceptable range? At the bottom it said "Abnormal ECG" but did not indi… read more
Dr. Chip
Dr. Chip
M.D.
13,098 satisfied customers
I recently had an ekg and had some questions abou it, no
hello i recently had an ekg and had some questions abou it … read more
Dr. Chip
Dr. Chip
M.D.
13,098 satisfied customers
I had an ECG...what Next? Ventricular Rate 68 BPM Atrial
I had an ECG...what Next? Ventricular Rate 68 BPM Atrial Rate 68 BPM P-R Interval 186 ms QRS Duration 82 ms QT 394 ms QTc 418 ms P Axis 44 degrees R Axis -46 degrees T Axis 15 degrees Diagnosis Line S… read more
Vakul Aren
Vakul Aren
Doctor
4,613 satisfied customers
Please tell me if I should agree to a cardiac cath to both
Please tell me if I should agree to a cardiac cath to both sides of my heart and why.10/31/16 NT-proBNP 463 11/10/16 BNP 143 The following tests have been done because I need imdur daily as well as fa… read more
Vakul Aren
Vakul Aren
Doctor
4,613 satisfied customers
Below are 3 ecg's I have had. Is this most recent one cause
Below are 3 ecg's I have had. Is this most recent one cause for alarm? If so, why? I take cardizem and emdur for fast heart rate and chest pain that responds to nitro. Stress test last year was ok. My… read more
Dr. Mo
Dr. Mo
Board Certified Physician
MD
2,004 satisfied customers
I have abnormal results on my EKG and I need to understand
I have abnormal results on my EKG and I need to understand what they mean. Ventricular Rate: 66 BPM Atrial Rate: 66 BPM P‐R Interval: 172 ms QRS Duration: 90 ms Q‐T Interval: 432 ms QTC Calculation(Be… read more
Anthony Bray, MD
Anthony Bray, MD
Doctoral Degree
9,226 satisfied customers
Looking for better intrepation of my 4 year old daughters
hi looking for better intrepation of my 4 year old daughters ekg Report … read more
Dr. Phil, MD
Dr. Phil, MD
Medical Doctor
Doctoral Degree
4,124 satisfied customers
Sinus tachycardia 427.89 ST & T wave abnormality 794.31,
Sinus tachycardia 427.89 ST & T wave abnormality 794.31, consider inferolateral ischemia (chronic) 414.8 consider inferolateral ischemia (acute) 410.2 Abnormal ECG When compared with ECG of 26-JUN-201… read more
Dr. Phil, MD
Dr. Phil, MD
Medical Doctor
Doctoral Degree
4,124 satisfied customers
I was in the ER on 1/23 with weakness & nausea, probably a
I was in the ER on 1/23 with weakness & nausea, probably a virus, but they did a 12 Lead ECG just in case it was my heart, and I am curious about the meanings. Note: I have recovered from the virus, b… read more
Dr. Phil, MD
Dr. Phil, MD
Medical Doctor
Doctoral Degree
4,124 satisfied customers
I was in the ER on Wednesday morning (12/31/14) with chest
I was in the ER on Wednesday morning (12/31/14) with chest pain and shortness of breath. I've been to the ER and my primary doctor quite a bit over the last 5 years or so with complaints of chest pain… read more
wieyedoc
wieyedoc
Ophthalmologist & Retina Specialist
Doctoral Degree
970 satisfied customers
I recently had the following EKG results and I'm wondering
I recently had the following EKG results and I'm wondering if the "Septal infarct" reading means that at some time in the past I had a heart attack and didn't realize??? Component/ Your Value/ Units V… read more
Dr. Phil, MD
Dr. Phil, MD
Medical Doctor
Doctoral Degree
4,124 satisfied customers
I had a ecg and was told that it was borderline. I was given
I had a ecg and was told that it was borderline. I was given the report and I don't know what the numbers mean. It indicates "Sinus arrhythmia with PVC(s) The technician told me that my heart rate of … read more
Dr. Phil, MD
Dr. Phil, MD
Medical Doctor
Doctoral Degree
4,124 satisfied customers
I recently had an EKG with abnormal t waves - the EKG was
I recently had an EKG with abnormal t waves - the EKG was rated as borderline. My family doctor says she's not concerned. What does this indicate? Thank you.… read more
Dr. Phil, MD
Dr. Phil, MD
Medical Doctor
Doctoral Degree
4,124 satisfied customers
I recently had a near syncopal episode. I ended up at the
I recently had a near syncopal episode. I ended up at the ER. During my visit at the ER,I had an ECG.My vent.rate was 60 BPM Normal sinus rhytmn, PR interval 172 ms,QRS duration 88 ms Nonspecific T wa… read more
The Cardiologist
The Cardiologist
MB, MRCP(UK), MCPS(Medicine)
Master's Degree
126 satisfied customers
Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Show MoreShow Less

Ask Your Question

x