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I Had An Ekg That Came Up With Anteior Infract

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Posted on Mon, 20 Jul 2020
Question: I had an ekg that came up with anteior infract and minimal right precordial repolarization disturbance comsider ischemia. It said abnormal EKG unconfirmed report. My Doctor sent me to the ER and they allowed me to go home but said I had to see a cardiologist immediately. What does this mean?
doctor
Answered by Dr. Bhanu Partap (43 minutes later)
Brief Answer:
Kindly upload your ekg

Detailed Answer:
Hello

After going through the medical query raised by you I would like to tell you that as per the information which you have provided about the ekg it means you have had a heart attack and a minor conduction abnormality (repolarisation).

But let me tell you one thing here, the results that come out printed on an ekg are most of the times not correct as it’s just a machine interpretation and requires clinical correlation and assessment. So kindly upload the image of your ekg so that I can guide you properly.

Kind Regards
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Bhanu Partap (1 hour later)
Unfortunately the ER kept the copy I had. I’m seeing a cardiologist this upcoming week. My PCP explained something about having Q waves which she explained was concerning her. The ER did another EKG which seemed good but explained it’s just a small clip and they could not rule out a MI and agreed that I need to follow up with a Cardiologist.
doctor
Answered by Dr. Bhanu Partap (1 hour later)
Brief Answer:
Hello again

Detailed Answer:
Oh that’s unfortunate because without having a look at the ECG I won’t be able to tell whether those changes which your primary care physician has explain to you I specific and relevant or not however as you are quite young and a female ( gender advantage) so the possibility of having a heart attack without any significant symptoms of chest pain and breathing difficulty along with sweating are very less.

Q wave on ekg represents infract (infarct means damaged cardiac muscles of some particular area) which happen after an heart attack. But these ekg findings needs to be correlated clinically as well with the help of detailed medical history and other cardiac tests like echocardiogram or troponin I.

I hope this will help you understand.

Kind Regards
Above answer was peer-reviewed by : Dr. Kampana
doctor
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Follow up: Dr. Bhanu Partap (48 hours later)
I was able to attach a copy of the ekg. It will be about 3 weeks before I see the cardiologist so would like it if you could give me some more information. My doctor did diagnose bradycardia as my resting heart rate is in the 50s and sometimes 40s. Thanks for your time
doctor
Answered by Dr. Bhanu Partap (1 hour later)
Brief Answer:
Hello again

Detailed Answer:
Thanks for the feedback. It’s a qs pattern in leads v1 and v2 which in majority of the cases are artifacts due to improper lead placement.

Also if we analyse your complete clinical picture these changes in ecg only seems non specific. However we should give it a benefit of doubt, it’s advisable to get an echocardiogram done to rule out any wall motion abnormality on echocardiogram. If that also come normal then we can rest assured there is no cardiac issue.

Kind Regards
Note: For further follow up on related General & Family Physician Click here.

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

Cardiologist

Practicing since :2010

Answered : 4732 Questions

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I Had An Ekg That Came Up With Anteior Infract

Brief Answer: Kindly upload your ekg Detailed Answer: Hello After going through the medical query raised by you I would like to tell you that as per the information which you have provided about the ekg it means you have had a heart attack and a minor conduction abnormality (repolarisation). But let me tell you one thing here, the results that come out printed on an ekg are most of the times not correct as it’s just a machine interpretation and requires clinical correlation and assessment. So kindly upload the image of your ekg so that I can guide you properly. Kind Regards