25F, will I be able to have lipo/BBL with an "nonspecific ST abnormality" on EKG?

Question

No other findings, 25F, annd only other remark is "sinus rhythm". My surgery is scheduled for 8/12 and I am otherwise healthy

Semih Yildiz, MD, FEPOBRAS · Answer

A report of “sinus rhythm” with a “nonspecific ST abnormality” can sometimes be a minor or nonspecific finding, especially in a young healthy patient, but it cannot be cleared safely online. For an elective procedure such as liposuction and BBL, your surgeon and anesthesia team need to review the actual EKG, your medical history, medications, labs, and any symptoms.

The next step is to send the EKG report and tracing to your plastic surgeon’s office right away. They may accept it, repeat the EKG, ask for primary care clearance, or refer you to a cardiologist depending on the details. If they request clearance, it is better to complete that before surgery rather than hoping it will be ignored on the day of anesthesia.

If you have chest pain, shortness of breath, fainting, new palpitations, or a history of heart disease, you should be evaluated promptly and the elective surgery should wait until you are cleared. If you have no symptoms and the rest of your workup is normal, this finding may not necessarily prevent surgery, but that decision belongs to the anesthesia and surgical team.

Because BBL and liposuction are elective, postponing is the safer choice if there is any unresolved concern. A short delay for proper clearance is much better than taking an avoidable anesthesia risk.

Daniel Barrett, MD · Answer

Dear 1princesspeach1,
it is hard to tell for sure without an examination. You might need a clearance from your cardiologist prior to surgery. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Yily De Los Santos, MD · Answer

Thank you for your question. Every patient needs to be cleared for surgery before being admitted. The decision in cases like yours are taken by the Cardiologist. Since Plastic Surgery is optional and not medically necessary in most cases Doctors are more rigorous and careful to clear patients.

25F, will I be able to have lipo/BBL with an "nonspecific ST abnormality" on EKG?

Answers (3)

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