ECG shows 'early de (re?) polarisation - high take off of J point?

[TirednessOnToast]

What could cause this reading in an unfit person who has chest pressure/pain & general exhaustion please?

Cardiologist says: 'not to worry' but (for various reasons don't have confidence)

What could cause that is that it is your normal. Just because it is not 'normal' doesn't mean it is bad. I'm 5ft0, that's not normal but it doesn't mean it is a problem.

@sashhYou make a fair point about 'your normal'. I'm aware it can be seen on 1-13% of ecgs so is not 'rare' but is usually seen in athletes in training and that is not the case here. So, I was hoping to discuss other possible causes as having this combined with chest pressure/pain & exhaustion is certainly not normal.

on it's own it's a totally uninterpretable statement. ECGs have to be interpreted as a whole and with the context in which they were taken. The cardiologist is the best person to advise.

I've had something like this n a recent ecg but they've marked it as normal.

I've recently been diagnosed with ME CFS and going through menopause getting lots of palpitationsoblems so not sure if that is linked.

If you are having chest pain you should get checked out OP. I had that once called 111 and they took me into hospital for tests.

I mean the post is literally about them seeing a cardiologist so it is already being checked out.

Was that an automated comment from the machine or an analysis from a human being.

The machine analysis is generally ignored as unreliable.

@Greybeardy yes, but I do not have confidence in the Cardiologist.
@Orangesandlemons77Thank you.. I hope you are getting the correct help now x
@AnnaMagnaniit's in a letter from usual Cardiologist to GP. While on holiday recently had chest pain, paramedics took to A&E & had ecg & told it was a chronic change that needed discussion with Cardiologist upon returning home. Asked usual Cardiologist who said: 'all ok' then arranged 2nd ecg & wrote to GP saying: 'this change is showing on previous ecgs but I am confident all ok'.
This is a person who has been bed bound for 18m so not a 'young athletic person'. If it's just 'normal for them' it's odd that its never been mentioned before & was only picked up out of area (A&E called Cardiologist to review chart, as also oedema & scarring on heart)

Ah, Ok sorry. I must have missed that

If it helps any 111 were excellent OP and had paramedics here in like 5 mins doing an ECG in the bedroom, they then took me in in an ambulance and did tests like a d-dimer etc.

So don't hesitate if it worsens and you are worried. Mine turned out, embarrassingly to be a menopausal hot flush causing palpitations and high blood pressure and heart rate.

This is a person who has been bed bound for 18m interesting you say that as that is similar to me with my ME. Do you have a chronic illness like that OP?

Bed bound 18mo but been on holiday?

Mine says

004 Normal sinus rhythm 275 Abnormal repolarisation, possible coronary ischemia

@FoamShrimpsnot quite - tbf I did say 'holiday', what I meant was temporarily out of usual Cardiologists area. I just find it odd we were not told until then, then local guy qhen we asked dismissed it, then did a fresh ecg, suddenly 'found it' then said it was always there & doesn't signify. It may not of course, but we only have his word.

the cardiologist will be much better able to put what your j-point looks like into the context of the rest of your ecg morphology and assess whether it's significant than any google search or person on here. There are lots of other subtle things that ECGs show that help to decide whether any finding is an innocent thing or a problem. It really isn't that unusual a thing to see, but literally no one on here can advise you because you cannot interpret ECGs based on just one sentence.

@Greybeardy I understand that. As I said, I do not have confidence in the Cardiologist. Therefore I am interested in finding out whether a high take off of J point (all anterior leads plus V5 & V6) in a person who is not a young athlete could hold any significance, in general. It seems, from Googling, that it can? Like Google, info from MN is obviously not to be taken as any sort of medical advice, but in the absence of access to a reliable Cardiologist it is helpful to be able to ask & possibly discuss in the hope of becoming better informed.

Call the British Heart Foundation on Monday. They have a helpline staffed by nurses who can talk you through your results.
https://www.bhf.org.uk/informationsupport/heart-helpline?_gl=11fvb9tx_upMQ.._gaMTIxMzU2OTEwMi4xNzcwNDIzMzEz_ga_L1TRS9RE0M*czE3NzA0MjMzMDYkbzEkZzAkdDE3NzA0MjMzMDYkajYwJGwwJGgw

Oedema and scarring do not show on n ECG.

Just a question, those of you who have things like, 'high J point' had an automatic diagnosis printed on it? They are worse than useless, please don't take any notice of it.

Particularly when an actual cardiologist.

@sashhperhaps I wasn't clear but the odema & scarring had been shown on a recent MRI. This was not available at the out of area A&E the patient attended (for chest pressure & pain & gave history at that time) They chose to 'run the ecg by a Cardiologist as the ecg also showed chronic changes'.
None of this was automated.

What would also be helpful to know is whether an NHS Consultant, consulted via, say, Spire, can access a patients NHS scans?

@TirednessOnToast Thanks for the clarification.