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EKG Reading
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EKG Reading

I saw my cardiologist last week....I'm always nervous in a doctors office...Anyway, EKG was done in office...When he came in he compared EKG to one i had done in ER when i went there for palpitations last year...He said they were practically identical, both said sinus tachycardia...We talked briefly about some things then he had to leave office for a few minutes before returning...When he was away, i picked up copy of my EKG..Top line said sinus tachycardia, however the 2nd line read biatrial enlargement....I got concerned (the word enlargement is not good when it comes to the heart)....The funny thing is he didn't say anything about it, i only saw it because i scanned the printout while he was gone,,,,His reply was basically "your echo was perfectally normal" (2 years ago) and he didn't think another echo or any other test was warranted, as i asked...He was not concerned at all about the biatrial enlargement reading....

1. What is the signifcance of biatrial enlargement, & does the echocardiogram present a more accurate status of ones atria?....Again, i asked about doing a repeat echo, and his reply was a resounding NO....

Thanks
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1685247_tn?1305573085
The echocardiogram provides a more direct measure of atrial dimensions than ECG.  Atrial enlargement can be associated with ECG changes, however the ECG criteria for atrial enlargement are neither sensitive nor specific. An echocardiogram can also provide information on the cause of atrial enlargement. For example, certain types of valve disease, elevated pressures in your heart or lungs, or heart muscle disease can cause atrial enlargement. If your echocardiogram was normal 2 years ago, and your clinical situation has not changed, there may be no indication for a repeat echocardiogram, despite the ECG finding of possible atrial enlargement.
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