What Cannot be diagnosed with an EKG?

An EKG Has Limits
It measures heart rate and rhythm—but it doesn't necessarily show blockages in the arteries unless they are causing acute loss of blood flow to the heart muscle.
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What are the limitations of an EKG?

That said, an ECG has its limitations: The ECG reveals the heart rate and rhythm only during the few seconds it takes to record the tracing. If an arrhythmia (heart rhythm irregularity) occurs only intermittently, an ECG might not pick it up, and ambulatory monitoring may be required.
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Can EKG detect all heart problems?

A study shows that EKG fails to detect two out of three heart attacks. Even if it could be identified, that is not until it is too late. EKG may not alone detect heart attack; with other tests, the doctor can accurately assess your heart functions and detect heart attacks.
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Which type of heart attack Cannot be diagnosed by an EKG?

A non-ST segment elevation myocardial infarction (NSTEMI) is a type of heart attack that does not show a change in the ST segment elevation on an electrocardiogram and that results in less damage to the patient's heart.
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Can an EKG show an old heart attack?

Past Heart Attacks

An EKG can tell you if you've had a heart attack in the past. While heart attacks often cause significant symptoms that prompt patients to seek immediate medical attention, in 45% of cases, symptoms are so mild that patients don't realize there's anything wrong with their hearts.
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What Does an Abnormal EKG Mean?



Can a heart attack go undetected on an EKG?

ECGs are quick and inexpensive, but they can miss a prior unrecognized heart attack or produce false positives, meaning they find evidence of a heart attack when there actually wasn't one.
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Does a normal EKG mean your heart is OK?

You may have a perfectly normal ECG, yet still have a heart condition. If your test is normal but your doctor suspects that you have a heart problem, he may recommend that you have another ECG, or a different type of test to find out for sure.
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Can an EKG detect a blood clot?

An EKG records the heart's electrical activity. When there is a blood clot near the heart, the heart has to work harder to circulate the blood, which can sometimes be detected by an EKG. My EKG results showed that I had a massive pulmonary embolism, which is a blood clot in the lungs.
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Can anxiety cause abnormal EKG?

Additionally, some manifestations of anxiety disorders can lead to abnormal ECG readings. When false positives occur for rhythm irregularities or other concerns, preexisting anxiety or even test-invoked nervousness may be factors.
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Can EKG Miss heart failure?

An electrocardiogram (ECG) is often abnormal in patients with heart failure, although up to 10% of patients may have a normal ECG. Natriuretic peptides are a useful biomarker for heart failure and a negative result can rule out the diagnosis. This can be helpful in determining who should be referred for echocardiogram.
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Can an EKG give a false negative?

It turns out that EKGs frequently identify problems that don't really exist, results known as “false positives.” Clinical studies have shown that EKGs actually indicate far more false positives than “false negatives” (where the test fails to identify a real problem).
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What is the most common EKG abnormality?

The most common ECG abnormalities were T-wave abnormalities. Average heart rate corrected QT interval was longer in women than men, similar in whites and blacks and increased with age, whereas the average heart rate was higher in women than men and in blacks than whites and decreased with age.
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Can an EKG show lung problems?

Electrocardiography (ECG) is a useful adjunct to other pulmonary tests because it provides information about the right side of the heart and therefore pulmonary disorders such as chronic pulmonary hypertension and pulmonary embolism.
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What 5 abnormalities can be found on the echocardiogram?

The echocardiogram can help detect:
  • Abnormal heart valves.
  • Congenital heart disease (abnormalities present at birth)
  • Damage to the heart muscle from a heart attack.
  • Heart murmurs.
  • Inflammation ( pericarditis ) or fluid in the sac around the heart (pericardial effusion)
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Can a EKG detect a stroke?

Can an ECG detect stroke? Yes. ECG can detect a heart problem that might lead to a stroke or even uncover a past problem such as a previous heart attack. Such ECG results would be classified as abnormal ECG.
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Can you have blocked arteries with a normal EKG?

Yes. An EKG cannot show other abnormalities in your circulatory system, such as blockages in your arteries. The arteries and veins that carry blood to and from the organs in your body can accumulate plaque or fatty deposits, reducing their blood-carrying capacity.
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What is the best test to check for heart problems?

A coronary angiogram is a type of X-ray used to examine the coronary arteries supplying blood to your heart muscle. It's considered to be the best method of diagnosing coronary artery disease - conditions that affect the arteries surrounding the heart.
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Can an EKG detect a blockage?

A health care provider might use an electrocardiogram to determine or detect: Irregular heart rhythms (arrhythmias) If blocked or narrowed arteries in the heart (coronary artery disease) are causing chest pain or a heart attack.
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What causes chest pain if EKG is normal?

It could be a lung disorder, such as a blood clot to the lungs, known as a pulmonary embolism. Additionally, other causes of chest discomfort include spasm of the esophagus, diseases of the aorta, gastroesophageal reflux disease, musculoskeletal pain, fast heart rhythm abnormalities and costochondritis.
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Can you have heart failure with a normal echocardiogram?

Heart failure in patients with a normal ejection fraction is generally referred to as heart failure caused by LV diastolic dysfunction (ie, diastolic failure). Such a clinical definition of diastolic failure requires (1) the presence of signs and symptoms of heart failure and (2) a normal LV ejection fraction.
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What are the signs of a silent heart attack in a woman?

This is called a silent heart attack. It means you don't even know you're having one. But it's still dangerous — and even life-threatening.
...
Four Signs of a Silent Heart Attack
  • Chest Pain, Pressure, Fullness, or Discomfort. ...
  • Discomfort in other areas of your body. ...
  • Difficulty breathing and dizziness. ...
  • Nausea and cold sweats.
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What is a mini heart attack?

In a “mini” heart attack, blood flow to the heart is partially blocked. Symptoms include chest pain and are similar to those of a heart attack, but there is less damage to the heart. The technical term for a “mini” heart attack is a non-ST elevation myocardial infarction (NSTEMI).
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How accurate are EKGs?

The pooled accuracy for pretraining assessments was 42.0% (95% CI, 34.3%-49.6%; n = 24 studies; I2 = 99%) for medical students, 55.8% (95% CI, 48.1%-63.6%; n = 37 studies; I2 = 96%) for residents, 68.5% (95% CI, 57.6%-79.5%; n = 10 studies; I2 = 86%) for practicing physicians, and 74.9% (95% CI, 63.2%-86.7%; n = 8 ...
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