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What Do Probable Left Atrial Enlargement And Borderline Repolarization Abnormality Mean In An ECG Report?

Hello. I saw a cardiologist for the first time this past week. They did and ecg and also will be doing a stress test. Here are the results of the ecg: Probable left atrial enlargement Low voltage pericardial leads Abnormal r-wave progression, early transition Borderline repolarization abnormality Can you tell me what this means?
Tue, 3 Oct 2023
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Internal Medicine Specialist 's  Response
Hi,

The terms in your ECG report suggest several findings:

1. **Probable left atrial enlargement:** This indicates that the left atrium of your heart may be larger than normal. Enlargement of the left atrium can be caused by various heart conditions and might affect the heart's functioning.

2. **Low voltage pericardial leads:** "Low voltage" suggests that the electrical signals recorded by the ECG are weaker than expected. Pericardial leads refer to specific electrode placements on the chest. Low voltage can be caused by several factors, including fluid around the heart (pericardial effusion) or obesity.

3. **Abnormal r-wave progression, early transition:** The normal pattern of R-waves (a part of the ECG wave) across the chest leads might be abnormal, indicating potential issues with the electrical conduction system of the heart.

4. **Borderline repolarization abnormality:** Repolarization refers to the phase when the heart muscle relaxes. A borderline abnormality suggests a subtle change in this process, which could be due to various factors, including electrolyte imbalances or medications.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Diwashish Biswas, Internal Medicine Specialist
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What Do Probable Left Atrial Enlargement And Borderline Repolarization Abnormality Mean In An ECG Report?

Hi, The terms in your ECG report suggest several findings: 1. **Probable left atrial enlargement:** This indicates that the left atrium of your heart may be larger than normal. Enlargement of the left atrium can be caused by various heart conditions and might affect the heart s functioning. 2. **Low voltage pericardial leads:** Low voltage suggests that the electrical signals recorded by the ECG are weaker than expected. Pericardial leads refer to specific electrode placements on the chest. Low voltage can be caused by several factors, including fluid around the heart (pericardial effusion) or obesity. 3. **Abnormal r-wave progression, early transition:** The normal pattern of R-waves (a part of the ECG wave) across the chest leads might be abnormal, indicating potential issues with the electrical conduction system of the heart. 4. **Borderline repolarization abnormality:** Repolarization refers to the phase when the heart muscle relaxes. A borderline abnormality suggests a subtle change in this process, which could be due to various factors, including electrolyte imbalances or medications. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Diwashish Biswas, Internal Medicine Specialist