Can An Abnormal ECG Cause High BP And Breathlessness?
I would explain as follows:
Detailed Answer:
Hello!
Welcome and thank you for asking on HCM!
Regarding your concern, I would explain that every ECG finding should be considered in correlation with the clinical symptoms of the patient and cardiac enzyme levels.
Did they perform cardiac enzyme levels in the ER?
I would like to directly review your ECG report if you can upload if you can upload it for a more professional opinion.
Anyway, considering the fact that you suffer from high blood pressure, which is a known cardio-vascular risk factor, I would recommend consulting with your cardiologist and performing a cardiac ultrasound and an exercise cardiac stress test to investigate for possible coronary artery disease.
Besides, it is very uncommon at your age to suffer from high blood pressure values.
For this reason, it is necessary performing some tests to investigate for other secondary causes of high blood pressure:
- a chest X ray study and pulmonary function tests
- complete blood count for anemia
- thyroid hormone levels for thyroid dysfunction
- cortisol and aldosterone plasma levels for adrenal gland dysfunction
- blood electrolytes
- kidney and liver function tests for possible dysfunction
- fasting glucose for diabetes
- urinary metanephrines for possible pheochromocytoma.
You should discuss with your doctor on the above tests.
If any possible underlying cause of secondary hypertension is found, it should be treated properly, in order to help manage your blood pressure values.
Some changes to your anti-hypertensive therapy are also necessary to avoid these spikes in blood pressure values.
Hope you will find this answer helpful!
I remain at your disposal for further questions, whenever you need.
Kind regards,
Dr. Iliri
I would explain as follows:
Detailed Answer:
Hello again dear,
Thank you for the additional information.
In fact, I would like to review the ECG images for a more professional opinion.
From the other hand, considering the fact that your potassium levels were low, this could contribute to the changes in the ECG.
Anyway, as your troponin levels have resulted normal, this means that no cardiac ischemia was present and those ECG changes have no clinical significance.
But, considering these high blood pressure values, I would recommend performing further tests (besides thyroid hormone levels ) to investigate for possible metabolic disorders, which may lead to secondary hypertension:
- cortisol and aldosterone plasma levels for adrenal gland dysfunction
- urinary metanephrines for possible pheochromocytoma
- PCR and ESR for inflammation
- a chest X ray study and pulmonary function tests to exclude a lung disorder.
Hope you will find this answer helpful!
Let me know about everything!
Wishing good health,
Dr. Iliri
My answer as follows:
Detailed Answer:
Hello again!
I am glad to have been helpful to you!
You should discuss with your cardiologist on the above issues and tests.
Wishing all the best,
Dr. Iliri