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My Ecg Are Always Found To Be Normal When A

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Posted on Mon, 13 May 2019
Question: My ecg are always found to be normal when a doctor speaks to me. On this most recent ecg which if you look at my history you can review in the analysis results it says : Abnormal findings for 18-39 male , sinus rythm, possible atrial enlargement [0.25 mV P wave] and non specific T wave abnormality. What significance is this?
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Follow up: Dr. Ilir Sharka (6 minutes later)
I’ve been told by doctors that my left ventricle is enlarged but normal for my age as well. Yet excersice makes me feel ill and I have high BP at age 32 I’ve had it for a while maybe age 27 it was discovered. I’m not overweight , high Bp does moderately run in the family . Is there something doctors are missing or can I live a normal life and excersice and rule it all out to anxiety ?
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Answered by Dr. Ilir Sharka (2 hours later)
Brief Answer:
I would recommend performing some tests:

Detailed Answer:
Hello!

Welcome to Ask a Doctor service!

I passed carefully through your question and would explain that resting ECG is not a specific test to examine the atrial and other cardiac structure dimensions.

In this regard, I would recommend performing a cardiac ultrasound in order to examine better your heart structure and function.

Another important issue is to investigate for other possible causes ( besides family history) underlying your arterial hypertension. For this reason I would recommend performing some tests if you have not already performed them:

- thyroid hormone levels for possible thyroid gland dysfunction
- fasting glucose
- blood lipid profile
- cortisol and aldosterone plasma levels for possible adrenal gland dysfunction
- kidney and liver function tests
- blood electrolytes for possible imbalance
- a Doppler ultrasound of the renal arteries in order to investigate for possible narrowing of these arteries.

You should discuss with your doctor on the above tests.

I would be glad to review your cardiac ultrasound and other tests as soon as you will be able to upload them for a second professional opinion.

Hope you will find this answer helpful!

Kind regards,

Dr.Ilir Sharka, Cardiologist

Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Vaishalee Punj
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Answered by
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Dr. Ilir Sharka

Cardiologist

Practicing since :2001

Answered : 9534 Questions

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My Ecg Are Always Found To Be Normal When A

I’ve been told by doctors that my left ventricle is enlarged but normal for my age as well. Yet excersice makes me feel ill and I have high BP at age 32 I’ve had it for a while maybe age 27 it was discovered. I’m not overweight , high Bp does moderately run in the family . Is there something doctors are missing or can I live a normal life and excersice and rule it all out to anxiety ?