What Does My ECG Test Result Indicate?

Posted on Wed, 1 Jun 2016

Question: Hello, my ecg has: sinus rhythm, ventricular premature complexes, r-s transition zone in V leads displaced to the left, QRS (T) contour abnormality, cannot rule out anteroseptal myocardial damage, prolonged QT. What does it mean? Thank you and greetings.

Answered by Dr. Ilir Sharka (27 minutes later)

Brief Answer:
These findings are not specific for cardiac ischemia.

Detailed Answer:
Hello!

Welcome on HCM!

Regarding your concern, I would like to explain that your ECG should be reviewed in the light of the clinical symptomatology, performed medical lab tests (including cardiac enzymes CK-MB, Troponin) and your possible chronic health disorders (hypertension, previously cardiomyopathy, etc).

A premature ventricular complex present in your resting ECG doesn't mean you are suffering from any clinically significant cardiac arrhythmia.

If you are experiencing frequent heart palpitations (irregular fast heart beats) it would be necessary to undergo an ambulatory 24 to 48 hours ECG monitoring (to properly quantify the amount and pattern of any present arrhythmic events).

R-S transition zone pattern is highly influenced not only by clinical findings like heart hypertrophy, pulmonary disorders, but also by cardiac electrical axis (greatly affected by heart positioning within the thorax, thorax consitution, etc.).

So, it doesn't mean myocardial ischemia is present.

Regarding QRS (T) contour abnormality and QT prolongation interpretation by ECG machines it is quite a nonspecific assumption. It is necessary to directly review that pattern.

Please, could you upload your ECG reconding here for me to give a more concrete professional opinion?

Could you describe your potential complaints?

I remain at your disposal for further discussions.

Kind regards,

Dr. Iliri

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

Follow up: Dr. Ilir Sharka (3 hours later)

Hello, I have uploaded the fotos from ecg. I have pain and I am feeling me very tired and faint. Thank you very much for answer. Greetings.

Answered by Dr. Ilir Sharka (2 hours later)

Brief Answer:
Opinion as follows:

Detailed Answer:
Hello again,

I reviewed your uploaded resting ECG, and would explain that there is no QRS or ST segments pattern compatible with cardiac ischemia. There is no ECG evidence of anteroseptal myocardial damage.

So, relax!

Coming to this point, I recommend discussing with your doctor for checking some additional tests as follows:

- cardiac ultrasound,
- chest X ray study,
- ambulatory 24 to 48 hours ECG monitoring (Holter),
- cardiac enzymes (CK-MB, Troponin),
- complete blood count,
- blood electrolytes level,
- fasting blood glucose,
- blood lipid profile

If you have evidence of coronary risk factors, like hypertension, dyslipidemia, diabetes, are a smoker or have strong heredity for coronary artery disease, then a cardiac stress test would be advisable to clarify the nature of your chest pain.

In case of any further uncertainties, feel free to ask me again!

Regards,

Dr. Iliri

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

Follow up: Dr. Ilir Sharka (20 minutes later)

Thank you very much. Tomorrow I will go to the cardiologist and he makes the other analyses and says, what I must to do. It is good to know, that it is not dangerous diseace.

Answered by Dr. Ilir Sharka (39 minutes later)

Brief Answer:
You are welcome!

Detailed Answer:

Please let me know the results of your diagnostic work up, when available.

I remain at your disposal for further discussions.

Greetings!

Dr. Iliri

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

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