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What Does The Following ECG Report After Child Birth Indicate?

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Posted on Tue, 7 Mar 2017
Question: Hello doctor,thank you so much for the very informative videos on YouTube.i am 29 years old i live in Australia , i had my first baby in May last year through c section. After delivery i had to have an ICU admission due to uterine endometrial infection.i was told i was tachycardic(and had tachypnoea,SOB) i developed blood pressure too after the delivery. I had high fever and shivers and after the course of antibiotics got over, i got alright.I was on lebatalol twice a day for my BP and i stopped it after 3 months,after consulting my GP (after my BP normalized). My BP is back to normal now for the past 4 months.My heart rate during the course of infection was around 150 but it came back to my normal heart rate after the antibiotics got over.my ECG , Ct scan,chest xray and echo scan were taken then and was told are normal . My normal resting heart rate has been around 110 bpm for the past few years, i first had my ECG taken 3 years back as suggested by my GP during a routine consultation (nothing related to heart issue )as she was concerned about my heart rate being above 100 at rest during a normal viral fever ,the ECG report came back normal then and the report said i had sinus tachycardia.

After my delivery , i was very anxious due to the complications i had and i had a detailed consultation with a cardiologist in my hometown in XXXXXXX , who again took my echo scan and ECG and was advised that its completely normal (only sinus tachycardia) and i had nothing to worry about.But the ECG report says the ECG could be abnormal, slight depression in the st segment . I saw it only after i got back home but the doctor said nothing about it.my report also said sinus tachycardia and the resting heart rate during both my ecgs(present one and the one taken 3 years back) showed 110 bpm. doctor also said that my echo scan results are perfectly fine.i have never had any breathlessness or chest pain . My BMI is normal and the cholesterol levels are fine too.
I have been very much worried ever since i saw the ECG report with the slight st segment depression, though i don't know what it means.could you please tell me if its normal to have slight st segment depression with sinus tachycardia(or could something be wrong with my heart although my echo scan is normal) and is there any cause of worry. I have not been able to stay calm at all ,after this.I would be really very grateful if i could i get a reply from you .

thank you once again,

XXXX
doctor
Answered by Dr. Sagar Makode (1 hour later)
Brief Answer:
Yes it can occur normally

Detailed Answer:
Hello,

I have gone through your detailed description and my impression is you are absolutely fine and no need to worry at all.

First, it must be a report interpreted by ECG machine. Many a times these are not accurate. Slight ST- depression can occur normally, with or without tachycardia. None of the symptoms nor age predisposes you to such kind of illness which will cause such ECG changes.

So please stop worrying about it. Also, for little high heart rate, I guess your thyroid and hemoglobin is normal. Also, anxiety could be a another reason for it, especially during taking ECG, it's leading to tachycardia. So try to measure your resting pulse rate at HOME, to confirm your actual heart rate. Sometimes at doctor it may be more than 100 due to anxiety and exertion.

You just have uploaded echo report and if possible upload ECG as well.

Do get back if you have any further doubts.
Regards


Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
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Follow up: Dr. Sagar Makode (1 hour later)
Thank you very much for finding time to reply to me doctor,
My resting pulse usually stays between 90-100, but it goes even upto 150 when i catch a cold ,but my ecg always shows sinus tachycardia,is that anything to be worried about ?do i need to take any further tests?
i dont have any trouble( no breathlessness or fatigue or palpitations), so is there any specific need to take tablets to lower my heart rate.
Unfortunately i dont have the ecg report with me now.
thyroid is normal and hemoglobin level is 13.4 gm/dl. tsh 3.87uiu/ml
Could you please advise if there any ways to bring down the heart rate apart from medicine.
thank you very much once again

doctor
Answered by Dr. Sagar Makode (6 minutes later)
Brief Answer:
Don't worry

Detailed Answer:
You don't snore or have any sleep problems like interrupted sleep, daytime sleepiness etc ? right. Sleep problem is one of the cause for it.
90-100 is fine and rising in between is also a normal phenomenon. For lowering it further, you should try meditation, deep breathing exercises and yoga. Also, daily brisk walking will help reducing resting heart rate etc.

Above answer was peer-reviewed by : Dr. Kampana
doctor
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Follow up: Dr. Sagar Makode (20 hours later)
I don't seem to have any sleep issues

I have decided to start walking on the treadmill to try to lower the heart rate


Thank you once again for finding time to reply doctor.may god bless you.

can infection alone cause high fever, shivers , rapid heart rate, shortness of breath and decreased oxygen saturation.
doctor
Answered by Dr. Sagar Makode (12 minutes later)
Brief Answer:
Yes, it can cause

Detailed Answer:
Hello again,

Yes if it's a lung infection then it can cause all those symptoms you've mentioned. Also, severe infection of any site can also cause these symptoms.

Take care
Regards
Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
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Follow up: Dr. Sagar Makode (30 minutes later)
doctor, is there any need for me to take a treadmill stress test
doctor
Answered by Dr. Sagar Makode (2 hours later)
Brief Answer:
Not really needed

Detailed Answer:
As such there is no need of stress test as well. It can unnecessarily show false positive results and further testing after that. But just to relieve your anxiety you can have it.
Prior to that, you get one ecg done and let me have a look at it because I haven't seen your ecg yet.
Above answer was peer-reviewed by : Dr. Remy Koshy
doctor
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Follow up: Dr. Sagar Makode (17 minutes later)
thank you very much doctor.i will get the ecg done and will email it through
doctor
Answered by Dr. Sagar Makode (3 minutes later)
Brief Answer:
Your welcome

Detailed Answer:
your welcome.
In general, continue having healthy lifestyle like avoiding fatty, oily and high calorie diet. Have low salt diet and monitor blood pressure regularly. Regular exercises like brisk walking, jogging according your capacity atleast 30 min a day and 5 days a week. Lots of green leafy vegetables, fruits, fish once or twice a week, avoid meat. Avoid smoking and alcohol if any. There shouldn't be any abdominal fat deposition or obesity.
Above answer was peer-reviewed by : Dr. Kampana
doctor
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Follow up: Dr. Sagar Makode (1 hour later)
thank you doctor for the reassurance ,its been quite a relief
i will get back to you after i get the report .

doctor
Answered by Dr. Sagar Makode (11 minutes later)
Brief Answer:
Sure

Detailed Answer:
Sure, you are welcome.
Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Kampana
doctor
Answered by
Dr.
Dr. Sagar Makode

Cardiologist

Practicing since :2013

Answered : 1867 Questions

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What Does The Following ECG Report After Child Birth Indicate?

Brief Answer: Yes it can occur normally Detailed Answer: Hello, I have gone through your detailed description and my impression is you are absolutely fine and no need to worry at all. First, it must be a report interpreted by ECG machine. Many a times these are not accurate. Slight ST- depression can occur normally, with or without tachycardia. None of the symptoms nor age predisposes you to such kind of illness which will cause such ECG changes. So please stop worrying about it. Also, for little high heart rate, I guess your thyroid and hemoglobin is normal. Also, anxiety could be a another reason for it, especially during taking ECG, it's leading to tachycardia. So try to measure your resting pulse rate at HOME, to confirm your actual heart rate. Sometimes at doctor it may be more than 100 due to anxiety and exertion. You just have uploaded echo report and if possible upload ECG as well. Do get back if you have any further doubts. Regards