Hello Sir, Mrs XXXXXXX Is Conducting Health Check Up Every

Posted on Mon, 17 Feb 2020

Question: Hello Sir,
Mrs XXXXXXX is conducting health check up every year & everytime in ECC doctors find some changes & they advise ECHO reports. ECHO report is normal as suggested by Doctor. Doctor has advised to walk.
we require your guidance of following

are their any abnormal changes in ECGs ?
what could be cause of changes in attached ECGs ?
Does it require any treatment ?

Here i am attached ECG & ECHO reports of last five years.

Answered by Dr. Bhanu Partap (30 minutes later)

Brief Answer:
Needs evaluation

Detailed Answer:
Hello

These ecg changes could be due to two reasons
1. Ischemia
2. Non specific t wave inversions

As her ecg is showing these changes every time and also the resting echo is coming to be normal all the time so further evaluation is must to rule out underlying coronary disease.

An angiogram or stress echocardiogram is advisable the complete evaluation.

Kind Regards

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Above answer was peer-reviewed by : Dr. Nagamani Ng