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Dear Sir, Kindly Opine On Attached ECG

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Posted on Tue, 2 Oct 2018
Question: Dear Sir,
kindly opine on attached ECG
doctor
Answered by Dr. Sagar Makode (18 minutes later)
Brief Answer:
LIKELY IHD

Detailed Answer:
It's shows SINUS rhythm with left axis deviation due to Left anterior fascicular block with diffuse ST T CHANGES in limb leads. T wave inversion in V6. Also, there is incomplete LBBB pattern with reciprocal nonsignificant ST elevation in PRECORDIAL leads.
So this is suggestive of possibility of ISCHAEMIC HEART DISEASE VERSUS STRUCTURAL HEART DISEASE. So this patients echo and if normal then stress test or CT coronary angiography. Kindly correlate clinically.
Regards
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Above answer was peer-reviewed by : Dr. Yogesh D
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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

Brief Answer: LIKELY IHD Detailed Answer: It's shows SINUS rhythm with left axis deviation due to Left anterior fascicular block with diffuse ST T CHANGES in limb leads. T wave inversion in V6. Also, there is incomplete LBBB pattern with reciprocal nonsignificant ST elevation in PRECORDIAL leads. So this is suggestive of possibility of ISCHAEMIC HEART DISEASE VERSUS STRUCTURAL HEART DISEASE. So this patients echo and if normal then stress test or CT coronary angiography. Kindly correlate clinically. Regards