
Dear Sir, Please Refer 2 ECGs Attached And Opine Regarding

Question: Dear Sir,
Please refer 2 ECGs attached and opine regarding prognosis. Also, opine regarding recent 2 D Echo report.
Patient is a 46 yrs old Female.
Please refer 2 ECGs attached and opine regarding prognosis. Also, opine regarding recent 2 D Echo report.
Patient is a 46 yrs old Female.
Brief Answer:
it's abnormal
Detailed Answer:
Hello,
I assume all ECGs belong to the same person.
Out of the three ECGs, first and last shows ischemic changes in the form of ST depression in inferolateral leads. And middle ECG is normal.
The echo is also normal.
If the patient is hypertensive then such changes may be seen, however considering normal echo, the possibility of ischemic heart disease should be ruled out with further evaluation. So, the patient should undergo CT coronary angiography or stress thallium.
So, there are some changes in some ECGs that need further evaluation to rule out the possibility of blockages.
Hope this helps you.
Do get back if you have any doubts.
it's abnormal
Detailed Answer:
Hello,
I assume all ECGs belong to the same person.
Out of the three ECGs, first and last shows ischemic changes in the form of ST depression in inferolateral leads. And middle ECG is normal.
The echo is also normal.
If the patient is hypertensive then such changes may be seen, however considering normal echo, the possibility of ischemic heart disease should be ruled out with further evaluation. So, the patient should undergo CT coronary angiography or stress thallium.
So, there are some changes in some ECGs that need further evaluation to rule out the possibility of blockages.
Hope this helps you.
Do get back if you have any doubts.
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Arnab Banerjee

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