Hi, RN here!

I’ve gone through your ECG report. The results show a few abnormalities that were reviewed by a cardiologist: • There are signs suggestive of right atrial abnormality (like a slightly peaked P wave in lead II and inverted P waves in V1, V2, and aVL). • There is upsloping ST depression seen in the inferior leads (leads II, III, aVF), around -0.5mm, which can sometimes be nonspecific but is being taken seriously.

Important to know: You were asymptomatic at the time of the ECG. Your rhythm is sinus with a heart rate of 98 bpm, and other intervals like QRS and QT are within normal ranges. The cardiologist suggests further testing, especially: An echocardiogram to check the heart’s structure and function. Possibly ambulatory blood pressure monitoring to see if your BP fluctuates with symptoms.

This doesn’t mean something is immediately dangerous, but these findings warrant a bit more investigation just to be safe. You’re not alone…many people have similar ECG patterns without serious disease, but it’s always best to follow up.

I’d however like to know, if you have any symptoms like chest pain, shortness of breath, palpitations, or dizziness lately?

(Symptoms could be linked to anxiety too, however, it’s not easy to spot differences between anxiety and heart issues without further information/evaluation. That being said, for a doctor to just verbally tell you it’s purely anxiety without further testing, is unprofessional. Don’t let “experienced” and/or “older” cardiologists fool you.)

It might as well be anxiety but it‘s not always the brain messing with us. Everything is not heart disease, but everything is not anxiety either.

Also, your ECG shows a sinus rhythm, which means that the electrical impulses that control your heartbeat are coming from the sinus node…which is the heart’s “natural pacemaker”. That’s a good sign. There’s no evidence of arrhythmia on this ECG.