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My Mother Had The Following ECG Output Following A 12

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Posted on Tue, 21 May 2019
Question: My mother had the following ECG output following a 12 lead ECG last week. The report shows normal sinus rhythm, anterior infract, age undetermined, abnormal ECG, Unconfirmed.
The technician did not perform another ECG to confirm findings and I am worried about the report! Can anyone please confirm or dismiss these findings.
doctor
Answered by Dr. Ilir Sharka (1 hour later)
Brief Answer:
I would recommend as follows:

Detailed Answer:
Hello!

Welcome to Ask a Doctor service!

I reviewed carefully your ECG report and would explain that it shows only some nospecific repolarization changes in all the leads.

These changes are non specific for myocardial infarction and would be related to other cardiac disorders like pericardial effusion, etc. .

Anyway, you should know that a resting ECG is not the most specific tool to diagnose the myocardial infarction or any other cardiac disorders. ECG findings should be always correlated with the patients clinical symptoms and other tests (myocardial enzymes, cardiac ultrasound, etc..).

For this reason, I would recommend performing a cardiac ultrasound in order to examine the heart function and structure better.

Another more specific test would be a cardiac MRI, if suspicion of myocardial ischemia are raised.

You should discuss with her doctor on the above tests.

Hope you will find this answer helpful!

I remain at your disposal for any further questions whenever you need!

Kind regards,

Dr. Ilir Sharka, Cardiologist
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Ilir Sharka (20 minutes later)
so can anterior mi be ruled out? and she did have one bout of sharp chest pain, which she originally went to the dr%E2%80%99s for, thus prompting this ECG. However if the ECG does not show typical findings of anterior infract, this is very relieving! May you explain a possible reason for the inverted t waves, is this normal?
Thank you so much!
doctor
Answered by Dr. Ilir Sharka (10 minutes later)
Brief Answer:
Opinion as follows:

Detailed Answer:
Hello again!

As I explained you your mother's ECG shows some nonspecific diffuse repolarisation changes (T wave flattening or inversion. This can be due to cardiac ischemia or other causes.

To rule our important cardiac ischemia specific lab tests like cardiac enzymes (CK-MB, Troponin) should be done.

In addition, a cardiac ultrasound would be helpful.

The strategy would depend on your mother's symptomatology: If the pain persists or had been present until last day(s) It is necessary to perform immediately the cardiac enzymes.

Otherwise imagine tests (cardiac ultrasound and if necessary cardiac magnetic resonance) would be a rationale choice.

Let me know how things are going on.

Best regards,

Dr. Iliri

Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Ilir Sharka

Cardiologist

Practicing since :2001

Answered : 9529 Questions

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My Mother Had The Following ECG Output Following A 12

Brief Answer: I would recommend as follows: Detailed Answer: Hello! Welcome to Ask a Doctor service! I reviewed carefully your ECG report and would explain that it shows only some nospecific repolarization changes in all the leads. These changes are non specific for myocardial infarction and would be related to other cardiac disorders like pericardial effusion, etc. . Anyway, you should know that a resting ECG is not the most specific tool to diagnose the myocardial infarction or any other cardiac disorders. ECG findings should be always correlated with the patients clinical symptoms and other tests (myocardial enzymes, cardiac ultrasound, etc..). For this reason, I would recommend performing a cardiac ultrasound in order to examine the heart function and structure better. Another more specific test would be a cardiac MRI, if suspicion of myocardial ischemia are raised. You should discuss with her doctor on the above tests. Hope you will find this answer helpful! I remain at your disposal for any further questions whenever you need! Kind regards, Dr. Ilir Sharka, Cardiologist