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Dear Sir, Kindly Opine On Attached ECG Of 60 Years

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Posted on Sun, 2 Jun 2019
Question: Dear Sir,
Kindly opine on attached ECG of 60 years Female with no co-morbidities
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Answered by Dr. Sagar Makode (52 minutes later)
Brief Answer:
Ecg needs to be repeated

Detailed Answer:
Hello,
There is extreme right axis deviation and is likely due to lead reversal in arms. Also, there are q waves in v1-2 and poor r wave progression . And there are no significant St t abnormalities seen in precordial leads.
So, firstly Ecg should be repeated with correct lead position in arms and patient will need echo to rule out possibility of old asymptomatic anterior wall ischemia.
Hope this helps you and get back if you have any doubts.
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Above answer was peer-reviewed by : Dr. Nagamani Ng
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Answered by
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Dr. Sagar Makode

Cardiologist

Practicing since :2013

Answered : 1867 Questions

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Dear Sir, Kindly Opine On Attached ECG Of 60 Years

Brief Answer: Ecg needs to be repeated Detailed Answer: Hello, There is extreme right axis deviation and is likely due to lead reversal in arms. Also, there are q waves in v1-2 and poor r wave progression . And there are no significant St t abnormalities seen in precordial leads. So, firstly Ecg should be repeated with correct lead position in arms and patient will need echo to rule out possibility of old asymptomatic anterior wall ischemia. Hope this helps you and get back if you have any doubts.