Conversation: The conversation between human and AI assistant.
[|Human|] how long does it take to develop left atrial abnormality?, which is what patient s initial evaluation EKG showed. do EKG, with other labwork, to determine any underlying medical issues. can it be caused by a low dose of elavil after only 1.5 weeks?, don t believe it to be the elavil but want to make sure secondary to its known cardiac side effects. patient also history of chronic pain and long history prescribed opiates for that pain, and long history of insomnia
[|AI|]  Hello, Would like to directly review his ECG report for a more professional opinion.  There are many types of left atrial disorders. But, it is necessary for performing a cardiac ultrasound in order to examine better the left atrium, because the ECG is not a specific tool for heart structure abnormalities.  Regarding Email, it can lead to conduction disorders, but not any left atrial abnormalities.  Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor.