She has ectopic right kidney which is small in size with reduced almost only 15% functioning ( as per renal scan). patient to ascertain the importance of the ECG findings. whats this mean? It is a NORMAL finding in someone on that drug. Video chat with a U.S. board-certified doctor 24/7 in less than one minute for common issues such as: colds and coughs, stomach symptoms, bladder infections, rashes, and more. WebThe normal ST segment is flat and isoelectric. Answered in 5 minutes by: 9/24/2021. of age? WebCardiac complications can also result from the therapeutic effects of digitalis and include the following: Increased risk for ventricular tachycardia and ventricular fibrillation in patients with Wolff-Parkinson-White syndrome and atrial fibrillation. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. Ventricular Rate: 87 Atrial Rate: 87 PR Interval: 142 QRS Duration: 78 QT/QTc: 366/440 ms P-R-T Axis: 26 : 17 : 112 degrees. 27 abnormal ECG Never delay seeking advice or dialling emergency services because of something that you have read on HealthUnlocked. Educational text answers on HealthTap are not intended for individual diagnosis, treatment or prescription. in which the ECG changes are found than by the particular changes themselves. The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. Please ignore computer generated diagnosis like that on an ECG sheet. SAD - ST abnormality, probably digitalis NSD - Nonspecific ST depression, could be normal MSDS - Marked T depression, possible septal subendocardial injury . It is often most prominent in the left precordial leads V4-6 plus leads I, II and aVL. Acute intoxication: usually in the young as accidental ingestion or intentional overdose. You have posted a question to a very old thread. Dr. Carisa Hines answered Palliative Care 23 years experience Abnormal EKG: I would discuss findings with your PCP or oxalis flower meaning / millenia mall news today / st abnormality possible digitalis effect. Any cookies that may not be particularly necessary for the website to function and is used specifically to collect user personal data via analytics, ads, other embedded contents are termed as non-necessary cookies. There has been no response to vagal stimulation. Normal sinus rhythm Nonspecific T wave abnormality Abnormal ECG When compared with ECG of 05-JUN-2021 20:27, No significant change was found. Do Not Sell or Share My Personal Information. WebFactors affecting the ST-T and U wave configuration include: Intrinsic myocardial disease (e.g., myocarditis, ischemia, infarction, infiltrative or myopathic processes) Drugs (e.g., digoxin, quinidine, tricyclics, and many others) Electrolyte abnormalities of potassium, magnesium, calcium. I have that kind of symptoms, I try to diagnosis it by myself! This website uses cookies to improve your experience while you navigate through the website. This pattern suggests the presence of a left ventricular aneurysm due to a prior anteroseptal MI. st abnormality possible digitalis effect. salvador dali mustache ekg. Web68 causes of T wave, ST segment abnormalities | Learn the Heart - Healio Find out in this article from Missouri Medicine. Out of these cookies, the cookies that are categorized as necessary are stored on your browser as they are essential for the working of basic functionalities of the website. Doctors typically provide answers within 24 hours. Basic Concept: the specificity of ST-T and U wave abnormalities is provided more by the clinical circumstances Pulmonary hypertension is *suspected* based on an echo reporting pulmonary pressure higher than 35 or so. Heart Disease and Saturated Fat: Do the Dietary Guidelines Have It All Wrong? It is a NORMAL finding in someone on that drug. Sinus tachycardia means that your heart rate is too fast while your heart rhythm is normal (sinus). The arrhythmia subsides spontaneously: ECG 2 Diagnosis. In this example, the ST segment is depressed in a downsloping manner with a gradually increasing depression and more rapid return of the depressed segment to the baseline. qt/qtc 378/441, p-r-t 58/50/53. Ask Your Own Medical Question. short pr. I had horrible side effects, went back in, explained to her that I was exercising sometimes when I called the events in and she said "well it is typed right here 'sinus tachycardia' so yes, you have that", then she sent me to a specialist today (a cardiologist specializing in EP stuff) who looked over it, interviewed me, took some more EKG samples from me, asked me about the times I called events in, and told me nothing looked abnormal at all. Secondary ST-T changes occur when abnormal depolarization causes abnormal repolarization. Web68 causes of T wave, ST segment abnormalities | Learn the Heart - Healio margin-right: 10px; Online Marketing For Your Business st abnormality possible digitalis effect Non-specific ST abnormality means he ST segme You are reading off values from a computerized ECG reading. they are directed opposite to the main vector of the QRS complex. HealthTap uses cookies to enhance your site experience and for analytics and advertising purposes. Webst abnormality possible digitalis effectsour milk bread recipes no yeastsour milk bread recipes no yeast Normal sinus rhythm Nonspecific T wave abnormality Abnormal ECG When compared with ECG of 05-JUN-2021 20:27, No significant change was found. The ST Segment represents the interval between ventricular depolarization and repolarization. short pr. WebMost electrolyte and endocrinologic abnormalities can affect the heart rate and ST-segment and T-wave changes on a resting ECG, and they may affect the patient's ability to exercise as well. Long story short I've a healthy heart, never had a heart attack in the past etc etc. In addition to my previous comment - also do you know anything about pulmonary hypertension? my st segment looked lowered. it merely indicates that the patient is taking digoxin! WebHypokalemia potentiates the effects of digitalis owing to impaired Na +-K + pump function. Please note, we cannot prescribe controlled substances, diet pills, antipsychotics, or other abusable medications. 3 years ago I had a normal echo. width: auto; I was going through some old personal papers recently and came across this ER discharge sheet going back to 2011 when I was officially diagnosed with afib - the sheet included a couple of ECG printouts, a chadsvasc 0 score and the and in a diagnostic section, the words nonspecific ST abnormality probably digitalis effect - I don't recall noticing this before and wondered if anyone else ever had this diagnosis and if so what specifically it means? WebFactors affecting the ST-T and U wave configuration include: Intrinsic myocardial disease (e.g., myocarditis, ischemia, infarction, infiltrative or myopathic processes) Drugs (e.g., digoxin, quinidine, tricyclics, and many others) Electrolyte abnormalities of potassium, magnesium, calcium. Thanks. The transition from ST segment to T-wave is smooth, and not abrupt. Digitalis shortens refractoriness and speeds conduction in accessory AV conducting pathways. Ventricular pacing (with a pacing wire in the right ventricle) causes ST segment abnormalities identical to that seen in LBBB. Fish oil, folic acid, vitamin C. Find out if these supplements are heart-healthy or overhyped. Webperth telegram drug groups st abnormality possible digitalis effect st abnormality possible digitalis effect What is your age and sex? The ECG report indicated that there had been no change since 9/2005 so maybe it's not something that is progressing. The changes may be seen in all or most of the leads (diffuse changes), or they may be present contiguous leads, such as the inferior, lateral, or anterior leads. Learn how your comment data is processed. This is an excellent and concise article. If I could offer a quick comment, in the Left Ventricular Hypertrophy (LVH) section, under the ECG there is a note. WebThe Dig effect does not mean that you have a problem!! There is normal sinus rythm. Low serum K + concentrations increase the binding of digitalis to myocardium. May be normal variant ST Abnormality, possible digitalis effect Abnormal ECG. Nonspecific ST abnormality, probably digitalis effect - anyone else encountered this. margin-top: 20px; There is ST elevation with deep Q waves and inverted T waves in V1-3. Electrocardiography in Emergency, Acute, and Critical Care, Critical Decisions in Emergency and Acute Care Electrocardiography, Chous Electrocardiography in Clinical Practice: Adult and Pediatric, https://litfl.com/digoxin-effect-ecg-library/, Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License, Downsloping ST depression with a characteristic reverse tick or Salvador Dali sagging appearance, Peaking of the terminal portion of the T waves, Shortening of the atrial and ventricular refractory periods producing a short QT interval with secondary repolarisation abnormalities affecting the ST segments, T waves and U waves, Increased vagal effects at the AV node causing a prolonged PR interval, This is the classic picture of digoxin effect, with , Sagging ST segments are most evident in the lateral leads V4-6, I and aVL, The sagging morphology is most evident in V6 and in the lead II rhythm strip, There is still downsloping ST depression but it is slightly more angular, in comparison to the sagging ST segments from the previous examples, Also, there is J-point depression in V4-6, which mimics the appearance of, The short QT interval, the sagging appearance in the inferior leads, and the lack of voltage criteria for LVH indicates that this is digoxin effect rather than LVH, Sagging ST depression is clearly evident in leads I, II, III, aVF and V5-6. The possibility of any problem may be due digitalis which is a powerful cardiac stimulant. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. I was 47 at the time. Nonspecific t wave abnormality now evident in inferior leads mean? It is associated with extensive myocardial damage and paradoxical movement of the left ventricular wall during systole. For potential or actual medical emergencies, immediately call 911 or your local emergency service. All rights reserved. Connect with a U.S. board-certified doctor by text or video anytime, anywhere. Many digoxin side effects are dose dependent and happen when blood levels are over the narrow therapeutic range. Webst abnormality possible digitalis effect. Show More. its discordant in extremity leads or negative in chest leads. By Posted 1250 wssp on demand In living in church stretton Dr. Susan Rhoads and another doctor agree. Digitalis shortens refractoriness and speeds conduction in accessory AV conducting pathways. What ever became of yours? The way in which I would describe ST-T wave appearance in this ECG is that there are, diffuse, nonspecific ST-T wave abnormalities with (as per Dr. Smith) ST segment scooping with a short QTc, that is most prominent in the lateral chest leads. WebEkg says abnormal ekg, st abnormality, possible digitalis effect. Rhythm analysis indicates atrial fibrillation with nonspecific ST segment and T wave abnormalities, consistent with digitalis effect.. It can be depressed by ischemia low potassium depressed and rounded in border: none; Is pulmonary hypertension related to the blood pressure or it causes blood pressure raise or low? My ECG results: Normal sinus rhythm Normal ECG When compared with ECG of 11-AUG-2017 11:28, Nonspecific T wave abnormality now evident in Inferior leads What does this mean? Nonspecific ST abnormality, probably digitalis effect - anyone else encountered this. The ST segment is the flat, isoelectric section of the ECG between the end of the S wave (the J point) and the beginning of the T wave. What is your age and sex? clear: left; its discordant in extremity leads or negative in chest leads. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. There is reciprocal ST depression and PR elevation in leads aVR and V1. MedHelp is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. WebCoronary artery disease (CAD) affects over 600 000 Australians and is implicated in approximately one in 5 deaths. Im 32 female. Supraventricular tachycardia (SVT), rate 214/min, followed by one sinus-originated complex and a short run of aberrantly conducted SVT (left bundle branch block pattern) during episodes of chest pain. Webst abnormality possible digitalis effect. Therefore, digoxin side effects can be avoided by keeping blood levels within the therapeutic level. The first thing to do is to compare it with previous ones. border: none; Show Less. Mine came back (the event monitor) saying I was having sinus tachycardia up to 150 bpm all the time. ST depression localised to the inferior or high lateral leads is more likely to represent reciprocal change than subendocardial ischaemia. The transition from ST segment to T-wave is smooth, and not abrupt. Here is what it said: This doesnt mean anything, most EKG reports that come out of the computer have a list of number of things that could POSSIBLY be abnormal about the ekg just to help the doctor out a little bit. Ask Your Own Medical Question. The ST Segment represents the interval between ventricular depolarization and repolarization. He has a passion for ECG interpretation and medical education | ECG Library |, MBBS (UWA) CCPU (RCE, Biliary, DVT, E-FAST, AAA) Adult/Paediatric Emergency Medicine Advanced Trainee in Melbourne, Australia. The T-wave may diminish in amplitude (flat T-waves), become negative (T-wave inversion) or ST depression due to subendocardial ischaemia may be present in a variable number of leads and with variable morphology. reading which can indicate something is wrong but also can be as it says nonspecific and 'no big deal'. It means that you are on the drug Digoxin (Lanoxin, Digitek, Digitalis) and it changes the EKG in a very slight way. short pr. } Rhythm analysis indicates atrial fibrillation with nonspecific ST segment and T wave abnormalities, consistent with digitalis effect.. Brugada Syndrome is an inherited channelopathy (a disease of myocardial sodium channels) that leads to paroxysmal ventricular arrhythmias and sudden cardiac death in young patients. WebDigitalis has effects on the ECG, including depression of the PR and sagging of the ST segments, decrease in T-wave amplitude, shortening of the QT interval, qt/qtc 378/441, p-r-t 58/50/53. The normal T-wave is: Concordant in extremity leads; Positive in chest leads; The main abnormality of the T-wave is that it is inverted, i.e. She has ectopic right kidney which is small in size with reduced almost only 15% functioning ( as per renal scan). Ventricular Rate: 87 Atrial Rate: 87 PR Interval: 142 QRS Duration: 78 QT/QTc: 366/440 ms P-R-T Axis: 26 : 17 : 112 degrees. Your thoughts are greatly appreciated. The ECG features of digoxin effect are seen with therapeutic doses of digoxin and are due to: Remember, the presence of digoxin effect on the ECG is not a marker of digoxin toxicity. ST identifies the area as lower heart chambers. Video chat with a U.S. board-certified doctor 24/7 in less than one minute for common issues such as: colds and coughs, stomach symptoms, bladder infections, rashes, and more. 27 abnormal ECG what does this mean? These st abnormalities are seen in multiple leads. Learn what happens before, during and after a heart attack occurs. I had to go through numerous tests including a TEE test where they put a tube down your throat into your chest to see your heart/ heart valves/ and any kind of damage. Coved ST depression Digitalis effect (not digitalis toxicity) Primary T-wave abnormalities. Thus, digoxin causes false-positive ST depression detected by ambulatory monitoring. Advertisement cookies are used to provide visitors with relevant ads and marketing campaigns. Weblorraine chase suffolk. Thanks! The possibility of any problem may be due digitalis which is a powerful cardiac stimulant. 79. #mergeRow-gdpr { Coved ST depression Digitalis effect (not digitalis toxicity) Primary T-wave abnormalities. Fish oil, folic acid, vitamin C. Find out if these supplements are heart-healthy or overhyped. Webst abnormality possible digitalis effectsour milk bread recipes no yeastsour milk bread recipes no yeast #mergeRow-gdpr fieldset label { We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Registered users can save articles, searches, and manage email alerts. All this time, they are telling me I am not a heart attack risk, and to not worry, well, geez, who wouldn't, I was absolutely petrified. If you are having a lot of anxiety over it, definitely give your doctor a call or go in to discuss it further. There is ST elevation and partial RBBB in V1-2 with a coved morphology the Brugada sign. Therefore, digoxin side effects can be avoided by keeping blood levels within the therapeutic level. short pr. We offer this Site AS IS and without any warranties. Thanks so much. Concave saddleback ST elevation in leads I, II, III, aVF, V5-6 with depressed PR segments. 4) ST abnormality, possible digitalis effect. Top answers from doctors based on your search: Created for people with ongoing healthcare needs but benefits everyone. Get prescriptions or refills through a video chat, if the doctor feels the prescriptions are medically appropriate. Hypokalaemia causes widespread downsloping ST depression with T-wave flattening/inversion, prominent U waves and a prolonged QU interval. There are two classical clinical scenarios associated with digitalis toxicity: the acute intoxication and the chronic intoxication. Ecg shows a nonspecdific st abnormality, normal sinus rhythm, abnormal ecg. Performance cookies are used to understand and analyze the key performance indexes of the website which helps in delivering a better user experience for the visitors. The terminal positive deflection may be peaked, or have a prominent U wave superimposed upon it. Can depression and anxiety cause heart disease? Anyway, they did another ECK, and more blood work later, and all was well, I do not know what the other ECG said, but, they told me if it was no worse or even better, they would send me home, which they did. Possible inferior infarction , age undetermined Press question mark to learn the rest of the keyboard shortcuts Please note, we cannot prescribe controlled substances, diet pills, antipsychotics, or other commonly abused medications. Acute intoxication: usually in the young as accidental ingestion or intentional overdose. Therefore, digoxin side effects can be avoided by keeping blood levels within the therapeutic level. Cardiac stress testing is useful in the risk stratification of chest pain; noting that 1539% of angiograms performed The results read:Normal Sinus Rhythm, Right Atrial Enlargement, ST Abnormality, possible Digitalis Effect, Abnormal ECG. Hypomagnesemia reduces the activity of membrane Na + ,K + -ATPase and may increase kaliuresis and cause hypokalemia. interventions on my afib journey have led to this. It means that you are on the drug Digoxin (Lanoxin, Digitek, Digitalis) and it changes the EKG in a very slight way. Also note the ST depression in leads with tall R waves most apparent in I and aVL. Fish Oil Capsules and Supplementation for Heart Disease: The Benefits and Side Effects. A US doctor answered Learn more Common reading: "abnormal" because there are non-specific changes which are not specific enough to meet a true diagnosis, but not normal enough to say normal, so somewhat of a soft call or indecisive read, but very common and does not necessarily mean anything. Editor-in-chief of the LITFL ECG Library. The Dig effect does not mean that you have a problem!! There is normal sinus rythm. What is your age and sex? There has been so significant change since 9/29/05 ECG. This encounter shows an irregular rhythm with no P waves present. I have St segment depression on EKGs and it is considered a normal variant since I have had a nuclear stress test that shows that I have no ischemia. Thus, digoxin causes false-positive ST depression detected by ambulatory monitoring. ST abnormalities - effects of digitalis - on ECG -Doctors Lounge (TM) Medical Specialty >> Cardiology Doctors Lounge - Cardiology Answers Back to Cardiology Answers List If you think you may have a medical emergency, call Left Ventricular Hypertrophy (LVH) causes a similar pattern of repolarization abnormalities as LBBB, with ST elevation in the leads with deep S-waves (usually V1-3) and ST depression/T-wave inversion in the leads with tall R waves (I, aVL, V5-6). Normal sinus rhythm Nonspecific T wave abnormality Abnormal ECG When compared with ECG of 05-JUN-2021 20:27, No significant change was found. Ischemia affects the plateau phase (phase 2) and the rapid repolarization phase (phase 3), which is why ischemia causes changes to the ST segment and T-wave (ST-T changes). The ST segment may be either elevated or depressed. It is mandatory to procure user consent prior to running these cookies on your website. ECG changes are transient, reversible with vasodilators and not usually WebCardiac complications can also result from the therapeutic effects of digitalis and include the following: Increased risk for ventricular tachycardia and ventricular fibrillation in patients with Wolff-Parkinson-White syndrome and atrial fibrillation. findings include hyperkalemia, high digoxin levels, bradydysrhythmias, and AV blocks. There is normal sinus rythm. The ecg features of digoxin effect are seen with therapeutic doses of digoxin and It is the responsibility of the clinician providing care for the Whats this mean? I have been told by other docs to not worry, that these new ECG machine give false readings, but, I am a worrier, and I worry all the time. Raised Intracranial Pressure (ICP) (e.g. Nonspecific ST abnormality, probably digitalis effect - anyone else encountered this. This Benign Early Repolarization (BER) causes mild ST elevation with tall T-waves mainly in the precordial leads. WebNonspecific ST abnormality possible digitalis effect; ECG 2. BER is a normal variant commonly seen in young, healthy patients. The first thing to do is to compare it with previous ones. ST segment deviation (elevation, depression) is measured as the height difference (in millimeters) between the J point and the baseline (the PR segment). I've no more faith in the new computerized EKG's and refuse to have another one taken. Many digoxin side effects are dose dependent and happen when blood levels are over the narrow therapeutic range. Patient has a history of coronary artery and cerebral vascular disease. There has been no response to vagal stimulation. What causes ST and T wave abnormality? To view profiles and participate in discussions please. Your thoughts are greatly appreciated. If you have frequent or prolonged ventricular premature complexes, this may reduce your hearts ability to pump blood efficiently. Coronary vasospasm (Printzmetals angina), ABC of clinical electrocardiography: Acute myocardial infarction-Part II, T/QRS ratio best distinguishes ventricular aneurysm from anterior myocardial infarction, Electrocardiography in Emergency, Acute, and Critical Care, Critical Decisions in Emergency and Acute Care Electrocardiography, Chous Electrocardiography in Clinical Practice: Adult and Pediatric, Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License. These cookies help provide information on metrics the number of visitors, bounce rate, traffic source, etc. But it is not giving any problems & will not require any medical or surgical intervention unless there is some severe infection. To learn more, please visit our, "abnormal" because there are non-specific changes which are not specific enough to meet a true diagnosis, but not normal enough to say normal, so somewhat of a soft call or indecisive read, but very common and does not necessarily mean anything. This category only includes cookies that ensures basic functionalities and security features of the website. The site may continue to function, but may not display properly. I was going through some old personal papers recently and came across this ER discharge sheet going back to 2011 when I was officially diagnosed with afib - the sheet included a couple of ECG printouts, a chadsvasc 0 score and the and in a 27 abnormal ECG Is this concerning? The morphology of the ST segment depression is highly characteristic of the digoxin effect. HealthTap uses cookies to enhance your site experience and for analytics and advertising purposes. }, #FOAMed Medical Education Resources byLITFLis licensed under aCreative Commons Attribution-NonCommercial-ShareAlike 4.0 International License. margin-top: 20px; Pulmonary hypertension is *suspected* based on an echo reporting pulmonary pressure higher than 35 or so. Secondary ST-T changes occur when abnormal depolarization causes abnormal repolarization. i went to the er which had said a left atrial hypertropthy right ventricular enlargement and normal sinus rythym but the doc said it was fine and my pcp said it was perfect, the only reason it lists some of these other things for me was becuase my heart rate was going at a 120 bpm from a panic attack! The ST Segment represents the interval between ventricular depolarization and repolarization. But opting out of some of these cookies may have an effect on your browsing experience. The possibility of any problem may be due digitalis which is a powerful cardiac stimulant. Hypomagnesemia reduces the activity of membrane Na + ,K + -ATPase and may increase kaliuresis and cause hypokalemia. Three subjects (6%) had ST depression that was detected on the ambulatory recording only at times other than during the stress test. Twitter: @rob_buttner. } Rhythm analysis indicates atrial fibrillation with nonspecific ST segment and T wave abnormalities, consistent with digitalis effect.. The ecg features of digoxin effect are seen with therapeutic doses of digoxin and WebThe classic change associated with digitalis effect is the concave, sagging, coved, or scooped STsegment depression seen best in those leads with prominent R waves. May see PR segment depression, a manifestation of atrial injury, Left ventricular hypertrophy (in right precordial leads with large S-waves), Left bundle branch block (in right precordial leads with large S-waves), Hypothermia (prominent J-waves or Osborne waves), Pseudo-ST-depression (wandering baseline due to poor skin-electrode contact), Physiologic J-junctional depression with sinus tachycardia (most likely due to atrial repolarization), Hyperventilation-induced ST segment depression, Subendocardial ischemia (exercise induced or during angina attack - as illustrated below), ST segment depression is often characterized as "horizontal", "upsloping", or "downsloping", Reciprocal changes in acute Q-wave MI (e.g., ST depression in leads I & aVL with acute inferior MI), RVH (right precordial leads) or LVH (left precordial leads, I, aVL), Secondary ST segment changes with IV conduction abnormalities (e.g., RBBB, LBBB, WPW, etc). WebIschemic ST-T changes. May be normal variant ST Abnormality, possible digitalis effect Abnormal ECG. Is a low-fat diet really that heart healthy after all? oxalis flower meaning / millenia mall news today / st abnormality possible digitalis effect. These st abnormalities are seen in multiple leads. Created for people with ongoing healthcare needs but benefits everyone. All registration fields are required. #mergeRow-gdpr { Show More. Thank you. ER said I'm OK. Thank you. ST elevation during acute STEMI is associated with simultaneous ST depression in the electrically opposite leads: Acute posterior STEMI causes ST depression in the anterior leads V1-3, along with dominant R waves (Q-wave equivalent) and upright T waves. Preference cookies are used to store user preferences to provide content that is customized and convenient for the users, like the language of the website or the location of the visitor. Three subjects (6%) had ST depression that was detected on the ambulatory recording only at times other than during the stress test. I'm a little freaked out please tell me what this means? WebThe ST segment depression on the ECG was felt to result from the digoxin effect. Analytical cookies are used to understand how visitors interact with the website. I had a pre-op ECG with abnormal results citing nonspecific ST abnormality and a normal sinus rhythm.