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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Done ECG Test. Having Controlled High Cholesterol. Taking Simvastatin. Non Smoker. Regular Exerciser. Will I Have Any Significant Heart Problems?

I had a routine ECG done as part of my annual physical showing changes from last years tracing - NSR, RSR (QR) in V1/V2 consistent with right ventricular conduction delay and minimal S-T depression 90.025mV) in II, aVF, V4-V6. Because of the s-T depression, my PCP thinks I should see a cardiologist for evaluation. I am a 68 y/o female with no appreciable health problems. I have familial high cholesterol , well-controlled on 20 mg simvastatin daily. Total choleterol 171, trigycerides 112, HDL 95, LDL 54. I am 5ft., 2in, 107 lbs, non-smoker. I exercise by treadmill, light weights, and bicycling at 4-5 times per week without cardiac sxs or SOB. There is no hx of cardiac problems in my family. Any comments as to significance?
Fri, 2 Aug 2013
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Cardiologist 's  Response
Respected Ma'm
Thanks for writing to us.
An ST change is best commented upon by looking at the ECG. However theoretically if the depression is only 0.025mV and you have no symptoms on treadmill and exercise, it not likely to be a serious issue. The cardiologist opinion is sought to be doubly sure about this. As this can be best judged by looking at your ECG and your examination.
Sincerely
Sukhvinder
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Done ECG Test. Having Controlled High Cholesterol. Taking Simvastatin. Non Smoker. Regular Exerciser. Will I Have Any Significant Heart Problems?

Respected Ma m Thanks for writing to us. An ST change is best commented upon by looking at the ECG. However theoretically if the depression is only 0.025mV and you have no symptoms on treadmill and exercise, it not likely to be a serious issue. The cardiologist opinion is sought to be doubly sure about this. As this can be best judged by looking at your ECG and your examination. Sincerely Sukhvinder