What Does The Following ECG Test Report Indicate?
 
                                    
                                    
                                          
                                               Posted on
                                          
                                            
                                         
                                           Tue, 8 Nov 2016
                                           
                                        
                                        
                                        
                                            Medically reviewed by
                                            
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                                                Tue, 8 Nov 2016
                                                
                                            
                                                Answered on
                                             
                                            
                                                
                                                Tue, 29 Nov 2016
                                                
                                                
                                                Last reviewed on
                                             
                                            Question : My 18 year old son had a ecg which saids T wave reduced V2-V3 
Large complexes
Also had an echo
Which saids mild concentric LVH
Trivial TR
Normal LV systolic function
Normal RV systolic function
Should I be worried ?
                            Large complexes
Also had an echo
Which saids mild concentric LVH
Trivial TR
Normal LV systolic function
Normal RV systolic function
Should I be worried ?
                                    Brief Answer:
My answer as follows:
Detailed Answer:
Hello!
Welcome and thank you for asking on HCM!
First of all, I would explain that reduced T wave in V2-V3 is not a matter of concern.
The main concerning problem is the mild concentric LVH.
Does he suffer from high blood pressure? Mild concentric LVH is usually related to uncontrolled high blood pressure.
What are his actual complaints?
Could you please upload the full Echo report and ECG, so I can directly review it for a more professional opinion?
Hope you will find this answer helpful!
Kind regards,
Dr. Iliri
                                    
                            My answer as follows:
Detailed Answer:
Hello!
Welcome and thank you for asking on HCM!
First of all, I would explain that reduced T wave in V2-V3 is not a matter of concern.
The main concerning problem is the mild concentric LVH.
Does he suffer from high blood pressure? Mild concentric LVH is usually related to uncontrolled high blood pressure.
What are his actual complaints?
Could you please upload the full Echo report and ECG, so I can directly review it for a more professional opinion?
Hope you will find this answer helpful!
Kind regards,
Dr. Iliri
 Above answer was peer-reviewed by :
                              
                            
                                  
                                      Dr. Chakravarthy Mazumdar
                                  
                              
                                         
 
                                    
                                    
                                
 
                                    He has recently been diagnosed with graves disease , although on propranolol his blood pressure can be high at times , but this isnt being followed up or treated ! 
                                
                            
                                    Brief Answer:
My answer as follows:
Detailed Answer:
Hello again!
Thank you for the additional information.
In such case these echo findings are related to uncontrolled high blood pressure.
I recommend you to discuss with his doctor on the possibility of optimizing his thyroid treatment and start treatment with anti-hypertensive agents if his blood pressure values are still high.
A close monitoring of his blood pressure values (frequently during the day) is necessary.
A good management of high blood pressure is the best thing to stop the progression of these cardiac changes.
You should discuss with his doctor on the above issues.
Wishing all the best,
Dr. Iliri
                                    
                            My answer as follows:
Detailed Answer:
Hello again!
Thank you for the additional information.
In such case these echo findings are related to uncontrolled high blood pressure.
I recommend you to discuss with his doctor on the possibility of optimizing his thyroid treatment and start treatment with anti-hypertensive agents if his blood pressure values are still high.
A close monitoring of his blood pressure values (frequently during the day) is necessary.
A good management of high blood pressure is the best thing to stop the progression of these cardiac changes.
You should discuss with his doctor on the above issues.
Wishing all the best,
Dr. Iliri
 Above answer was peer-reviewed by :
                              
                            
                                  
                                      Dr. Chakravarthy Mazumdar
                                  
                              
                                         
 
                                    
                                    
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