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Heart Disease (Expert Forum)
Abnormal EKG - increased voltage
Answered by
Cleveland - OH
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Abnormal EKG - increased voltage
by Beshie Katie, Aug 14, 2005 12:00AM
This past week I had my first EKG as a standard procedure at a hematologist. It came back abnormal – increased voltage. He told me that I have significant MVP and that could be the cause of the abnormality. However, my materal grandfather and great-grandfather both died in their early fifties from IHSS and that has caused the hematologist some extra concern. I am scheduled to have an ECHO this next week.
I am 23 years old, female, 5’ 1”, 100 lbs, and adhere to a strict vegan diet. What is the possibility that the increased voltage is from MVP and what is the possibility that the increased voltage is due to IHSS? Also, what is the possibility that the EKG was a false positive?
Thank you for your help!
I am 23 years old, female, 5’ 1”, 100 lbs, and adhere to a strict vegan diet. What is the possibility that the increased voltage is from MVP and what is the possibility that the increased voltage is due to IHSS? Also, what is the possibility that the EKG was a false positive?
Thank you for your help!
Doctor's Answer
by Cleveland Clinic, Aug 14, 2005 12:00AM
, Aug 14, 2005 12:00AM
bechie,
ECG's are not scaled to thin women and the criteria on an ecg to diagnose LVH doesnt apply to you. Although your family history is concerning, I would wait for the echo. MVP shouldnt cause those findings on a ecg so I wouldnt worry too much about that now. Either way the echo will tell.
good luck
ECG's are not scaled to thin women and the criteria on an ecg to diagnose LVH doesnt apply to you. Although your family history is concerning, I would wait for the echo. MVP shouldnt cause those findings on a ecg so I wouldnt worry too much about that now. Either way the echo will tell.
good luck
I too have the mimimal voltage criteria for LVH, my echo shows only mild LVH, probably due to mild hypertension, I now have my B/P controlled at 100/60 most of the time. I have been assured by my cardio that LVH and HCM ,which is the same as IHSS as far as I know are completely different, HCM is mostly caused from genetic thickening of the heart muscle. I have no family history of HCM though my Dad and Mom both have LVH from hypertension and are alive. My Dad is in his late 70s and mom in her early 70s, both healthy without any cardiovascular problems though my dad has frequent PVCs to which he is completely unaware, I feel all of mine, wish I were like him.
I dont understand how you can have significant MVP unless confirmed by echo, a voltage criteria on ECG for LVH in young thin persons usually have turn out to be false positive unless a family history of HCM is present so I understand your docs concern as obviously you do have a family history.
I am very interested in LVH and HCM, though I am not an MD, just diagnosed with mild LVH myself and trying to keep it from progessing any further with strict B/P control.
Please keep us updated with your echo results. Good luck and I hope everything turns out just fine for you. Ticker.