i just had a copd flair up ,the ecg said consider rt ventricular hypertrophy,it says rt atrial abnormality,1st degree av block,it says abnormal ecg,sinus tachycardia rate says 100,i have dysnea,i have all the goodies that go with copd but was also told i had a touch of emphysema,that was a couple yrs ago pcp told me could hear it what does all this mean do i need to follow up with a cardiologist?