caret icon Back to all discussions

Abnormal ECG, Do I have heart faliure.

Male white 6ft 27 yo very obese 26 stone. UK

This last week and manily past few days been having reaaly bad shortness of breathe feels like im being restricted and when lying down its very bad aswell.

Just walking around I feel VERY out of breath, I am convinced I got massive heart issues and heart faliure due to lying down and being short of breath.

I have had

2 x Echo done 3 months ago both "Normal"

48 Hour ecg last week which was abnormal, I had 17 atrial ectopics ( < 0.01 % burden) presenting as isolated beats.

Had a normal resting ecg which was normal "Today"

and Stress test also "Today" which came back normal.

See below for reports if it helps

Anyone ideas. Would what I have done so far rule out anything serious such as HF would I need more tests to be done.

" The dominant rhythm is sinus rhythm. Minimum sinus rate 61 bpm on Day 2 / 12:13:02 , maximum sinus rate 162 bpm on Day 1 / 22:37:00 , average rate 92 bpm. Normal diurnal and nocturnal variation in heart rate seen across the recording period. Diurnal sinus tachycardia observed with gradual onset/offset. 17 atrial ectopics ( < 0.01 % burden) presenting as isolated beats. Examples to include aberrant conduction. No evidence of ventricular ectopy. Diary returned with symptoms of nocturnal palpitations reported. ECGs correlate with sinus rhythm with rates between 82 - 91 bpm with isolated

" The echo images were limited due to your size. As you can appreciate for patients with a larger BMI the image quality becomes compromised. Nevertheless the scan shows the pumping action of the heart to be normal and the aortic and mitral valves were working as they should. "

Also see https://imgur.com/a/yNltX5Y
for STRESS TEST WHICH I HAD DONE TODAY

  1. Hi. Thank you for your post and for your very good question. As you may know, we cannot provide medical advice over the Internet -- and we also cannot diagnose -- and this is for your own safety of course. However, based on the symptoms that you are experiencing, I do think that your doctor ordered the right tests. These tests (the EKG, echo, and stress test) can give your doctors lots of information about how your heart is functioning. I think it is neat that your test results are available to you. Did you get these off your online chart, such as MYChart? I think now that you have this information, that it may be a great idea to pose your question to your doctor. Your doctor knows you best and should be able to give you a proper interpretation of these results - and also give you an answer to your question: "Do I have heart failure?" I think you can call your doctor's office. Or, if you are good with emailing, most doctors have an email for you on your MyChart. You should be able to pose your question there. And either your doctor or a qualified nurse will give you the response you deserve. If your doctor says you are not in heart failure, then he/she would want to search for other causes of your shortness of breath. That said, I am concerned about you saying you are "really bad shortness of breathe." Did your doctor address this? Are you feeling better now? John. heart-failure.net community moderator.

    1. I’m sorry you are feeling ill. I had very severe shortness of breath while I was lying down before my heart failure diagnosis. I had several EKGs done over many months and the all came back “normal”. I had an ambulance come to my home and the EMTs stated that everything was “normal…everything looks fine” this was 3 days before I was admitted to the hospital in which they didn’t believe I was going to survive the night. Some tests are very deceiving. Please continue to demand further help for a definitive diagnosis. Make sure you have blood work done that may find heart issues. I’ll be praying for you.

      Please read our rules before posting.