Ecg abnormal - any cardiologists or drs here?

[CB1988]

Nurse said alot come back abnormal as computer v sensitive. Any drs and cardiologists can review ? I am a worrier!

copy and paste into Chat GPT and tell it your symptoms and why you were referred for ecg. Ask it to interpret. It might not be as good as speaking to a cardiologist on sight, but it might reassure you, hopefully!

Not a doctor. But I had an abnormal ECG before that the GP was quite panicky about when she was looking at the computer interpretation. She said she wasn't very experienced reading them. Long story short, the cardiologist said it was absolutely fine and, like you mention, the computer is just very sensitive to abnormalities.

Follow up with a doctor, but I wouldn't be too immediately concerned.

Thanks done chatgpt , going round in circles with it. 😂

What was the interpretation on the separate page?

Thanks i just have health anxiety that doesnt help but seeing abnormal and chatgpt etc. Doesnt help !

@Allseeingallknowing yes !

Sorry here you are :)

Have you posted that report into chat gpt?

I’m a GP. No one can interpret this for you without knowing why it was done and more about your general health. (That’s not an invitation to tell me more - sorry! - but you need to go back to your Dr on this). I will say that many, many ECGs (anecdotally I would say the majority) are reported abnormal by the machine when they are completely fine in a clinical context. If you feel fine and you were sent home after this ECG then you just need to follow up with your Dr. If you feel unwell then you need to seek further help, regardless of what the ECG says or shows.

I know health anxiety is horrible but, honestly, put the ECG away and try not to think about it beyond arranging appropriate follow up. Do something nice for yourself this evening.

This

I think the right branch bundle block means your heart is beating out of alignment. I know somebody who has that and they are well treated with medicine ( a bit of a cocktail but works well.

@Allseeingallknowing this has calmed me a bit. Thanks so much. Chatgpt was not helpful!!

@Prestissimo thank you i totally get your point. Altho the anxiety in me. You telling me to do something nice tonight makes me think it could be worse. 😥😆i know in a worrier when it comes to health.

@Catsandcheese whats the cocktail?

Op it looks normal to me. Bundle branch block does not mean beating out of alignment. It means a delay in conduction. See @Allseeingallknowing with the textbook definition. I really can’t see the BBB it’s pretty minimal. bBB are not treated with a “cocktail”. They aren’t treated at all they are watched with repeat EKG. There is some abnormality in your p wave and t wave in lead V1. But inversions are also not treated they too are often just watched. And anything isolated to one lead (V1) and not others is it as clinically significant because it’s isolated to one lead.

honestly I think it would
have been helpful for her to prep you with alcohol to remove all skin oils and move your leads a bit to see if she got another interpretation because despite this machine generated interpretation it looks normal to me.

Thanks so much @Lavenderandbrown x

I had similar at the Drs and they thought it may be a blood clot, I was sent to emergency unit and had bloods, xray and a further ecg all which were ok. I was then given a 24 hour monitor and had an echo done 3 weeks ago but still awaiting results! I only went into the drs because I keep getting heart palpitations. I have read not many from those machines are correct. Mine mentioned some fancy word for a heart attack which tipped me over the edge 😂

OP, this looks largely normal to me too, but agree with the sl abnormal P wave, though this is often not clinically significant.
These machines bring up numerous "observations ", many of which are simply that; they are not necessarily anything to worry about.
I do think these ECGs should always be reviewed by a clinician, though, and in the context of the clinical history, medications currently being taken, and any symptoms.
I would go back to your GP for a review of it and hopefully put your mind to rest.

My post should have said….anything isolated to one lead is NOT as clinically significant as seeing it repeated in multiple leads I won’t diagnose anything based on one lead.

did the person doing your ekg compare it to past ekgs? Do you have past ekgs? If “historical” ekgs exist its
important to compare. People
can have incomplete RBBB for years same as t wave inversion without any intervention.

i advise you to have a repeat ekg
preferably at the same place each time. Patients often tell me they think the “leads were on wrong” but honestly this is rare. The machine knows they are wrong. There is some nuance to textbook placement but if the technician was trained at all they should be fairly close to the mark. What I do see is….many doctors offices have old sometimes blantly jenky equipment. Old equipment hurried poorly trained staff can create an environment I call…haunted by a rogue EKG.