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What Causes Sinus Rhythm With Left Axis Deviation And Nonspecific ST T Changes In Lateral Precordial Leads?
Question: Dear Sir,
Help me with the ECG, k/c/o HTN
What causes sinus rhythm with left axis deviation and nonspecific ST T changes in lateral precordial leads?
Help me with the ECG, k/c/o HTN
What causes sinus rhythm with left axis deviation and nonspecific ST T changes in lateral precordial leads?
Brief Answer:
Nonspecific ST T changes
Detailed Answer:
Hello,
Technically, Its sinus rhythm, with left axis deviation likely due to left anterior fascicular block which is likely due to hypertension. Also, there are nonspecific ST T changes in lateral precordial leads which are likely a strain pattern due to hypertension.
In simple terms, all these changes may be due to hypertension. However, we should rule out coronary artery disease in such patients. So he should get echo done and if normal then stress test like stress thallium or TMT. If echo shows decreased function then needs angiography.
So overall, doesn't appear to be worrisome changes but should be evaluated.
Regards
Nonspecific ST T changes
Detailed Answer:
Hello,
Technically, Its sinus rhythm, with left axis deviation likely due to left anterior fascicular block which is likely due to hypertension. Also, there are nonspecific ST T changes in lateral precordial leads which are likely a strain pattern due to hypertension.
In simple terms, all these changes may be due to hypertension. However, we should rule out coronary artery disease in such patients. So he should get echo done and if normal then stress test like stress thallium or TMT. If echo shows decreased function then needs angiography.
So overall, doesn't appear to be worrisome changes but should be evaluated.
Regards
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Prasad
Answered by
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