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Ecg finding abnormalities
Hi i was having some palpitations and chest pain so i completed this ecg in an emergency they give me sorbitrae 10 mg but after that my heart rate became 175 then after they given metoprolol 5 mg iv so that heart rate reduced they advised me to do cardiac markers results came normal...please advise is there any abnormalities in this ecg any ST segment present,?please advise coz they told me the same for heart attack i m attaching the images for the same.
Answers (22)
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Hello
I’ve carefully gone through your description — you did the right thing by seeking emergency care. Let me explain what’s likely happening:
1. Your episode sounds like a case of tachyarrhythmia (probably SVT or sinus tachycardia), not a heart attack.
A heart rate of 175 bpm responding well to IV Metoprolol strongly points toward a rate-related issue rather than blocked arteries.
2. Since your cardiac markers (like Troponin I or T) came normal, that’s an excellent sign — it means no heart muscle damage.
3. About your ECG:
Without seeing it directly, I can say that in such cases, doctors often get cautious because ST changes can appear temporarily during fast heart rates — but that doesn’t always mean a heart attack.
Once the rate normalizes, these changes usually disappear.
4. What you should do now:
Continue monitoring your pulse.
Avoid caffeine, stress, or dehydration.
Get a repeat ECG and 2D Echo if not already done.
You may also need thyroid function and electrolyte tests, as imbalances can trigger palpitations.
You seem to have experienced an SVT or anxiety-related tachycardia, not a true MI — but I’d like to review your ECG image personally to confirm this and explain it clearly to you.
You can message me directly on WhatsApp — nine three two six zero two zero five three six and share your ECG photo.
I’ll analyze it for ST segment changes myself and guide you step-by-step so you can be completely sure about your heart’s condition.
You’ll get a clear answer within minutes, without unnecessary panic or confusion.
— Dr. Shivam Mishra, MBBS
Emergency & Internal Medicine | Ex-Registrar, Cooper BMC Hospital, Mumbai
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ECG does not show any symptoms of heart attack , it only shows high heart rate.
Cardiac markers were normal.
Diagnosis of heart attack depends on other factors also, may be you had symptoms consistent with heart attack.
Better to see a cardiologist woth all reports and plan a TMT and 2D Echo.
Next Steps
Pay attention to symptoms like severe chest pain like someone crushing the chest, radiating to left or both arms and neck, sudden fatigue, breathlessness and sweating.
if any if these symptoms occur, go to the hospital immediately.
Health Tips
Lifestyle modification
Avoid smoking, drinking, oily fried foods.
Exercise regularly
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Given the history and cardiac markers are being normal, I recommend having a repeat ECG without being in panic.
Also to evaluate the ECG, require certain more information.
Consult online to discuss further.
Next Steps
If the symptoms recur, do not waste time and reach nearest hospital having cardiac care unit.
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Hey, relax. What's ur age? Any habits? High BP, diabetes or thyroid issues? Family history? Need detailed medical history. This ECG has changes. If u have any previous ECG, share. Kindly consult with me on 94 two six eight six 78 nine six.
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Except for fast heart rate, ecg looks normal.
To investigate better, get thyroid profile, 2d echo and TMT done, share details of your symptoms and results of investigations.
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Your Cardiac markers are normal and as of ECG it doesnt show any st changes
Increased heart rate might be due to stress, panic or any other trigger factor calm yourself first
Next Steps
Get done with 2D Echo so that you will know the health of your heart properly
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