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The internist will make the call. It depends on why the ECG is abnormal. If it doesn't seem like a serious issue, the internist can begin treatment but if there could be a serious, underlying cause, you'll be sent to a cardiologist.
This just happened to me. I had a bad day Friday -- dizziness, palpitations, etc. I went to the walk-in clinic. I have Lupus and am already being treated for arrhythmia. The internist did an ECG, blood work and other tests and he called me Sunday morning when the test results came in. He's sending me ASAP to a cardiologist even though my labs came back good. The ECG showed my arrhythmia and my heart rate is very low (bradycardia) -- that and the fact that I have Lupus worried him. He called some cardiologists and got me an appointment for Thursday.
so sorry you have Lupus. Hopefully it is nothing serious going on.
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