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Had An EKG. What Are The Diagnosis?
Question: Hello,I had an ekg last week and they siad that i have borderline inferior q waves (PR 161) and borderline st elevation anterior leads (80) sinus bradtcaria rate of (48) i am 32 and in shape (workout crossfit 4 time per week) blood pressure 110/80
this was for a physical for employment is this an issue or within the normal range.
this was for a physical for employment is this an issue or within the normal range.
Brief Answer:
Yes sir, it could be an issue; need to investigate
Detailed Answer:
Hello sir and welcome.
Thank you for writing in.
Let me help you to understand your ECG (EKG) better by addressing each parameter and its meaning.
Borderline inferior 'Q' waves: I am sorry to inform you that 'Q' waves are seen when there is either a block in the heart; or due to a current or old myocardial infarction (MI), which is a heart attack; in the inferior leads of the heart
Borderline ST elevation: Is a characteristic feature of an MI, and when seen along with the presence of 'Q' waves, unfortunately MI is usually the cause
Sinus bradycardia: Is a slow heart rate; considered when the heart rate is lower than 60 beats per minute
Your blood pressure is normal at 110/80 mm Hg
In such a scenario, it is best to immediately check for cardiac enzymes (if they are elevated, this confirms a recent cardiac event). A repeat EKG would also be required, along with an echocardiography (which is a scan of the heart). The reason why these tests are recommended is because we will have to rule out a possible heart attack, and if god forbid it is diagnosed, then we will have to initiate treatment immediately. I hope you understand why this can be an issue sir.
Please re-visit your doctor at the earliest and request for the above investigations. You can also write back to me for any further clarifications.
Best wishes.
Yes sir, it could be an issue; need to investigate
Detailed Answer:
Hello sir and welcome.
Thank you for writing in.
Let me help you to understand your ECG (EKG) better by addressing each parameter and its meaning.
Borderline inferior 'Q' waves: I am sorry to inform you that 'Q' waves are seen when there is either a block in the heart; or due to a current or old myocardial infarction (MI), which is a heart attack; in the inferior leads of the heart
Borderline ST elevation: Is a characteristic feature of an MI, and when seen along with the presence of 'Q' waves, unfortunately MI is usually the cause
Sinus bradycardia: Is a slow heart rate; considered when the heart rate is lower than 60 beats per minute
Your blood pressure is normal at 110/80 mm Hg
In such a scenario, it is best to immediately check for cardiac enzymes (if they are elevated, this confirms a recent cardiac event). A repeat EKG would also be required, along with an echocardiography (which is a scan of the heart). The reason why these tests are recommended is because we will have to rule out a possible heart attack, and if god forbid it is diagnosed, then we will have to initiate treatment immediately. I hope you understand why this can be an issue sir.
Please re-visit your doctor at the earliest and request for the above investigations. You can also write back to me for any further clarifications.
Best wishes.
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Yogesh D
Answered by
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