Hello doctor, I was in ER the other day with tachycardia that started about 20 to 30 minutes after eating. It nearly had the entire day and the next morning I went to the ER. They did some blood work and a chest X-ray and said I was okay and discharged me. The only abnormality on the blood tests was a potassium level of 3.2. All my CMB and CBC were normal. I noticed the ECG had non-specific ST-T wave changes and I told them I was concerned about it. They told me it is nothing and it is not the type of T wave changes they usually worry about. I am not sure they compared with previous ECGs however. I saw their lab write-up later on that they posted and the comparison between the two ECGs as written worries me greatly. They did not post the new ECG but based on the little research I did it seems to me like 3.2 potassium could not cause this great of a shift in the ST-T Segment. What is likely going on here? I am worried this could be ischemia that they neglected to thoroughly analyze because I am a repeat patient and they have not discovered it earlier. I have attached reports herewith. Please help.
Hello. I have gone through the attachments (attachment removed to protect patient identity) First of all, your ECG (echocardiogram) looks normal to me. But the symptoms you are having may be due to some inherited arrhythmia syndrome or channelopathy. If your symptoms persist, please do 24-hour Holter monitoring and echocardiography and review. Follow up with the Holter report. For more information consult a cardiologist online -->