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What Does My Pre-operation ECG Test Report Indicate?

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Posted on Mon, 27 Apr 2015
Question: My preop ECG indicated left ventricular strain and I will be seeing a cardiologist next week to see if I should go ahead with bilateral knee replacement. I am 65 and have BP averaging 143/80 and no symptoms of LVH.

Please advise how concerned I should be regarding the op not going ahead and about the condition of my heart generally. Apart from my knees I am otherwise in excellent health
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Answered by Dr. Ilir Sharka (42 minutes later)
Brief Answer:
No increased risk to pursue with surgery

Detailed Answer:
Hello XXXX! Thank you for asking on HCM!

Regarding your concern I would explain that LVH pattern seen on ECG, even if it is confirmed by a cardiac ultrasound, doesn't impose any elevated risk of complications during periprocedural period. So, don't worry!

It is advisable to perform a physical examination, and a careful cardiac auscultation by the cardiologist to rule out a possible left ventricular outflow tract obstruction. If the later is suspected than a cardiac ultrasound is necessary.

Nevertheless, facing your clinical status and ECG there is nothing to worry about. You can pursue with your bilateral knee replacement surgery, without any increased probability of dangerous complications.

Hope to have been helpful!
Feel free to ask me whenever you need.
Greetings!
Dr. Iliri
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. Ilir Sharka

Cardiologist

Practicing since :2001

Answered : 9529 Questions

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What Does My Pre-operation ECG Test Report Indicate?

Brief Answer: No increased risk to pursue with surgery Detailed Answer: Hello XXXX! Thank you for asking on HCM! Regarding your concern I would explain that LVH pattern seen on ECG, even if it is confirmed by a cardiac ultrasound, doesn't impose any elevated risk of complications during periprocedural period. So, don't worry! It is advisable to perform a physical examination, and a careful cardiac auscultation by the cardiologist to rule out a possible left ventricular outflow tract obstruction. If the later is suspected than a cardiac ultrasound is necessary. Nevertheless, facing your clinical status and ECG there is nothing to worry about. You can pursue with your bilateral knee replacement surgery, without any increased probability of dangerous complications. Hope to have been helpful! Feel free to ask me whenever you need. Greetings! Dr. Iliri