What Does My ECG Report Result Indicate?

Posted on Tue, 30 May 2017

Question: Hello
My echocardiogram showed normal size of the cardiac chambers. The right ventricular function appeared to be well preserved. The doppler study showed evidence of mild mitral regurgitation and mild tricuspid regurgitation, minimal aortic insufficiency and mild pulmonic insufficiency. I was told that everyone has regurgitation. But is it normal to have regurgitation for all 4 valves?

Answered by Dr. Ilir Sharka (27 minutes later)

Brief Answer:
I would explain as follows:

Detailed Answer:
Hello!

Welcome and thank you for asking on HCM!

I passed carefully through your question and would explain that these finding can occur in healthy persons and have no clinical relevance.

They are not going to interfere with your well-being, your daily activity and your life expectancy.

It is quite a physiological finding the presence of mild regurgitation in the right heart chambers (tricuspid and pulmonic valve regurgitation).

Also mild mitral valve regurgitation is frequently detected in apparently normal individuals.

Regarding mild aortic insufficiency it is considered trivial and it is not going to have any adverse effects on your cardiac function and clinical symptomatology.

So, to conclude in my opinion you have nothing to worry about.

I remain at your disposal if you have any further questions!

Wishing good health,

Dr. Iliri

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Ilir Sharka (4 hours later)

Thank you! I also had a question regarding an abnormal T-wave. When I arrived to the E.R. my chief complaint was chest pain and dizziness. I received a EKG during my assesment. It reads EKG showed normal sinus rhythm with a T wave abnormality in the precordial leads. On the report of my Stress test it reads, resting EKG showed sinus rhythm with non-specific T wave abnormality in inferior lateral leads. I have also had on 2 separate occasions, once after surgery, the CRNA told me I needed to get my heart looked at because my T wave was abnormal and once on separate visit to the E.R. for chest pain, the doctor told me my T wave was abnormal, as well as my magnesium being low. He did give me a the EKG and told me to give it to my Endocrinologist because I have Hypothyroidism. Can you tell me what could be the cause, is it related to my hypothyroidism?

Answered by Dr. Ilir Sharka (11 hours later)

Brief Answer:
My opinion as follows:

Detailed Answer:
Hello again!

Regarding your T wave abnormal pattern, I could explain that it is true that hypothyroidism may alter ECG parameters and lead to several finding such as bradycardia, T wave abnormalities like T wave inversion; also may be seen QT prolongation, low QRS voltage, etc.

These may be due to myxoedematous deposits within the myocardium.

In addition, low plasma magnesium levels may lead to non-specific T wave changes; from the other hand hypomagnesemia is not rarely seen in hypothyroidism and is frequently associated with hypocalcaemia, too.

As your cardiac tests have concluded normal; it is quite probable that those T wave changes be as a result of hypothyroidism.

Coming to this point, a careful review of your actual thyroid function (thyroid hormones level) and blood electrolytes level should be performed.

If laboratory abnormalities are detected, then a prompt intervention by starting thyroid hormones supplements and electrolytes if necessary is recommended.

I would like to directly review your ECG recordings if possible.

Please, could you upload your ECG here for a direct review?

I remain at your disposal in case of any further questions.

Regards,

Dr. Iliri

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

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar