Heart Problem II

Nurses General Nursing

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I went and had my echo done yesterday and was told that my T sinus rhythm was abnormal. She told me that my heart was not in rhythm. Can somebody tell me what this means? Is this corrected by medication?

Hissy :o)

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It is very difficult to even begin to answer this without more information.

For instance. Many people have a 'sinus arrhythymmia' that is totally benign. Why did they do an echo to begin with?? Are you otherwise healthy but developed symptoms.

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Medication is used only with symptomatic patients with heart dysrythmias, Normal Sinus Rhythm is normal, an elevated or depressed T can represent a variety of things but as long as you don't have any symptoms of decreased cardiac output you should be monitored and reassessed as needed.

Qoute:

Why did they do an echo to begin with??

Ditto??

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Also you may want to post this in the Cardiac Nursing Forum

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An earlier post

I went to my doctor yesterday cause I have been having chest pains and sob. I just thought it was stress...Found out that my atrial valves are not working properly. She wants me to see a cardiologist. She states that since I was on the phentermine diet pills, she was sure this caused my problems. I just left a message with her nurse to see if we can go ahead and schedule an echo like we talked about, so the physician would have the results in time for my appt. My EKG came back abnormal. Does anybody have any advice for me?
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Specializes in CCU/CVU/ICU.

A T-wave abnormality and an arrythmia are two completely different animals....and are not 'seen' on an echo.

It sounds to me like someone gave you an ECG report rather than an Echo's. Echocardiograms describe the structure of the heart and how well it's functioning mechanically. It can pick up regional wall motion abnormalities, valve-condition, and estimte LV-function.(among other things...)

Abnormal t-waves can be serious if seen on 12-leads in certain situations. If the t-wave problem is seen on a patient's first (or: 'baseline') ecg, then further investigation should be considered. However, this is not a 'rythm problem'....

A 'sinus rythm' (or any rhythm for that matter)cannot be determined by an echo. again, a 12-Lead ECG is where you would see this...

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Specializes in ICU, CM, Geriatrics, Management.

Hissy -- Most common arrythmia is AFib. Agree with East that this is very often benign (lone AF). But what are your symptoms and are they persistent?

Larry

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Sorry guys I may gave you some wrong information. The EKG showed my valves not working right according to the doctor. We went ahead and orded an echo and the tech was the one that told me the mital valve was leaking. I go tomorrow for the holter monitor.

I am a normal healthy person other than asthma. Recently I started experiencing more sob and chest pains. I have been having dull pains in the chest and sometimes have sharp pains that feels like someone is sticking a pin in my chest. I have been having headaches and just feel really tired. I finally made an appt with my doctor and that is where I am now.

Hissy

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Specializes in ICU, CM, Geriatrics, Management.

Hissy -- MVP can be a very mild condition.

Please keep us posted.

All the best to ya!

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Specializes in CCU/CVU/ICU.

At 34, the odds are greatly in your favor that the chest pains you're experiencing are non-anginal. However, some people DO develope significant coronary disease by their 30's. The most accurate 'predictor'(sp?) for early CAD is genetic. Have any of your blood-relatives had cardiac trouble in their 30's-40's?

It's unlikely your leaky-valve is causing angina...

(usually, in acute MV-dysfunction, the cause is ischemic...and your doc's would've hit upon that early...as it only really happens w/acute MI)

hope this helps...and i hope you start feeling better!

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