Should I Be Worried Slight High Lateral Depolarization Disturbance, Consider Ischemia?

Posted on Tue, 4 Mar 2025

Question: Had an ekg . The doctor said I had a slight murmur. He ordered an echocardiogram Age 34. Question Common hood of people having this at my age and 15 year outcome?

slight high lateral repolarization disturbance, consider ischemia, lv overload or apsecfic change borderline ecg

Pr: 114/176ms
Qrs:106ms
Qt/QTc: 402/418ms
P/qrs/ t axis: 48/ -25/ 105 deg

Bpm :65

Make 34, 196lbs, no diagnosed diabetes but got tested around 140 after fasting and about 200 after meals

Answered by Dr. Ilir Sharka (37 minutes later)

Brief Answer:
I would explain as follows:

Detailed Answer:
Hello,
I understand your concern and would explain that a resting ECG is a helpful tool to investigate for heart disease, but it is not very specific.

For this reason, it is important to correlate ECG changes with the clinical symptomatology of the patient and cardiac enzymes levels.

I would like to know your complaints and the reason why you performed a resting ECG. Did you have chest pain, shortness of breath or any other symptoms?

Could you please upload a photo of the ECG for me to review?

I would recommend performing a cardiac ultrasound, in order to examine your heart function and structure.

If you have shortness of breath or chest pain, especially during physical exertion, I would recommend performing a cardiac stress test in order to investigate for possible coronary artery disease.

I hope you will find this information helpful!

I remain at your disposal for any further questions whenever you need!

Kind regards,

Dr.Ilir Sharka, Cardiologist

Above answer was peer-reviewed by : Dr. Arnab Banerjee

Follow up: Dr. Ilir Sharka (3 hours later)

I started having palpations about 6 months ago and lately been having them a lot more.I think it had to do with my circulation and an injury I had like 5 years ago torn ligaments or muscle severe ankle sprain that hasn’t been corrected causing my right side of my leg to feel flaccid therefore muscle not contracting. Therefore more work on the heart to pump blood. That’s been my suspicion. I did have an incident like 2 weeks when I had pressure on my head and upper back. I never expirenced that before.and did have shortness of breath like a couple days later or last Thursday when I stood for a 5 minutes. I thought I got COVID-19. Took 2 test that wasn’t the case. So basically that’s why I had a ekg done at my yearly check up. My heart does feel like it skips a beat when I stand at times becoming more common of late. I have been at home the last 2 weeks quit my job. Now just waiting on a echocardiogram and arterial, carotid and venous ultrasound. On the 26th of February they said.

Answered by Dr. Ilir Sharka (21 hours later)

Brief Answer:
Opinion as follows:

Detailed Answer:
Hello again!

You are right that physical injury, especially chest trauma may lead to subsequent impact on heart function because of possible myocardial or valves injury.

Anyway, it us important to first investigate for any possible structural heart disease. That's why cardiac ultrasound is necessary. Cardiac magnetic resonance imaging test may be considered for a more precise information.

An ambulatory ECG monitoring is required to investigate for possible cardiac arrhythmia (suspicions raised due to palpitation).

You could load your tests here for a second professional opinion at any time.

Wishing you good health!

Regards,

Dr. Iliri

Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Raju A.T