Dr. Sagar Ramesh Makode
Cardiology
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
Answered by
Medically reviewed by
Patient's Query
Hi doctor,
My symptoms include sudden onset of weakness, dizziness, low oxygen saturation during low efforts, palpitations, increased pulse rate (sitting: from 70 to 76 to 80 to 90 beats per minute), and hypertension after a period of chest pain. No previous history of cardiac problems. Currently, I am taking the tablet Sotalol. I got the ECG done and some other laboratory investigations also. All other values are within the normal range except for serum calcium, which is 10.2 or 10.3 mg/dL, whose normal upper limit is 10 mg/dL. Please read the attached ECG.
Hi,
Welcome to icliniq.com.
Why was the tablet Sotalol started? All your ECGs (electrocardiograms) show incomplete to complete RBBB (right bundle branch block). No significant ST, T wave or rhythm abnormalities are seen. Unusual waveforms in the second ECG are artifacts, or noise due to body movements, which machine was not able to filter out (attachments removed to protect the patient's identity). RBBB might be related to hypertension or age. So, all your ECGs are more or less same. There are no major abnormalities noted other than in RBBB. However, considering your symptoms, you should go for cardiac evaluation. It includes echocardiography and 24 hours of Holter monitoring, if you did not have it in the past. You may require TMT (treadmill test) if chest pain is classical of CAD (coronary artery disease), like chest pain occurring on exertion and relieving at rest. Hope this helps you, and get back to me if you have more doubts or more information to share.
Patient's Query
Hi doctor,
Thank you for your response. I have a question regarding ECG 1 and ECG 2. The single depression of ST segment in lead v6, is it normal or could be a sign of something wrong? Also, I forgot to mention that I had a cardiac evaluation which included echocardiography. The echocardiogram showed SV = 60 ml underlined as wrong on photos that were given to me, but the doctor said nothing to worry about. Also, is it possible to send you the files of thoracic CT? Do you have specialists that can read the CT, regarding the heart? Thank you.
Hi,
Welcome back to icliniq.com.
ST depressions are not significant. It is intermittent in the first ECG (electrocardiogram), and due to artifact. SV is stroke volume and it is normal. Regarding CT (computed tomography) scan, radiologists are the expert. All the best.
Was this conversation helpful?
Same symptoms don't mean you have the same problem. Consult a doctor now!
Cardiology
Related Questions
ECG shows RBBB and marked left ventricular hypertrophy. What does it mean?
ECG report shows down spikes with heart palpitations. Please explain my report.
Chest pain since 15 days. ECG & TMT reports are normal. What could be the problem?
Can chest pain have other reasons than heart attack?
Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.
This website uses cookies to ensure you get the best experience on our website. iCliniq privacy policy
