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How Can ECG Reports For Elderly People Be Interpreted?

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Posted on Wed, 12 Jul 2023
Question: Dear Sir,

Please Assist me in the Attached ECG of 2 different members.
Male 70 and Female 65 years.
doctor
Answered by Dr. Sagar Makode (32 minutes later)
Brief Answer:
Please see the description

Detailed Answer:

Hello,

For the patient with ID 0000-2
It's SINUS RHYTHM with SINUS BRADYCARDIA and RBBB with leftward axis.
This patient needs echo and stress test if echo is normal. Also, he ll need HOLTER MONITORING, THYROID PROFILE due to sinus BRADYCARDIA. Such changes are usually seen in hypertensive patients or even with age, but POSSIBILITY of ischemic heart disease should be ruled out in such patients with above mentioned tests.

For patient with ID 0000-1
SINUS RHYTHM with leftward axis (suggestive of Left anterior fascicular block), T wave inversions in V1-6, II III AVF. This is suggestive of Ischemic heart disease. Evaluation is recommended with echo and if normal then stress test like stress thallium or CT coronary angiography. He may need conventional angiography if any these tests reveal abnormalities. He should also be started on anti-platelets and statin like ecosprin AV.

All the best.

Regards
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by : Dr. Vaishalee Punj
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Answered by
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Dr. Sagar Makode

Cardiologist

Practicing since :2013

Answered : 1867 Questions

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How Can ECG Reports For Elderly People Be Interpreted?

Brief Answer: Please see the description Detailed Answer: Hello, For the patient with ID 0000-2 It's SINUS RHYTHM with SINUS BRADYCARDIA and RBBB with leftward axis. This patient needs echo and stress test if echo is normal. Also, he ll need HOLTER MONITORING, THYROID PROFILE due to sinus BRADYCARDIA. Such changes are usually seen in hypertensive patients or even with age, but POSSIBILITY of ischemic heart disease should be ruled out in such patients with above mentioned tests. For patient with ID 0000-1 SINUS RHYTHM with leftward axis (suggestive of Left anterior fascicular block), T wave inversions in V1-6, II III AVF. This is suggestive of Ischemic heart disease. Evaluation is recommended with echo and if normal then stress test like stress thallium or CT coronary angiography. He may need conventional angiography if any these tests reveal abnormalities. He should also be started on anti-platelets and statin like ecosprin AV. All the best. Regards