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What Does The Following EKG Report Suggest?
Question: On a PST my EKG states normal sinus rhythm T wave abnormality, consider anterior ischmia. Abnormal ECG.
vent rate 70 bpm PR interval 120 ms, QRS duration 86 ms, QT/QTc 390/421 ms, P-R-T axes 33 1 67.
I have been told I need a sign off from a cardiologist before my MD will clear me for bladder surgery. What tests can I expect from the cardiologist ? I hope not a test involving Barium or injecting radioactive solutions. My surgery date is in 12 days.
vent rate 70 bpm PR interval 120 ms, QRS duration 86 ms, QT/QTc 390/421 ms, P-R-T axes 33 1 67.
I have been told I need a sign off from a cardiologist before my MD will clear me for bladder surgery. What tests can I expect from the cardiologist ? I hope not a test involving Barium or injecting radioactive solutions. My surgery date is in 12 days.
Brief Answer:
Following answer to your query...
Detailed Answer:
Hi and thank you for asking HCM!
The first thing that your doctor should do is a complete cardiac examinations and to check by himself your ECG. Keep in mind that an abnormal ECG isn't necessary a sign of disease.
Other examinations are needed to check your heart conditions. If you were my patients i would like to run the following examinations:
- Heart ultrasound
- Stress test
- ECG holter
Only if the mentioned examinations will result positive for ischemic heart disease than i will recommend further examinations which require contrast injection (cardiac CT angiography or coronary angiography ).
Hope this answer your query!
Dr. Benard
Following answer to your query...
Detailed Answer:
Hi and thank you for asking HCM!
The first thing that your doctor should do is a complete cardiac examinations and to check by himself your ECG. Keep in mind that an abnormal ECG isn't necessary a sign of disease.
Other examinations are needed to check your heart conditions. If you were my patients i would like to run the following examinations:
- Heart ultrasound
- Stress test
- ECG holter
Only if the mentioned examinations will result positive for ischemic heart disease than i will recommend further examinations which require contrast injection (cardiac CT angiography or coronary angiography ).
Hope this answer your query!
Dr. Benard
Above answer was peer-reviewed by :
Dr. Bhagyalaxmi Nalaparaju
what determines a positive for Ischemic heart disease from the above tests ? and how does this effect my going forward for surgery ? In other words, do i have to get a low score on stress test and what presents as evidence of Ischemic heart disease on heart ultrasound and ECG Holter ? thank you
Brief Answer:
Please follow the answer below...
Detailed Answer:
Hi back,
The diagnostic criteria for a positive ischemic heart disease (IHD)include:
- ST segment abnormalities in the ECG
- Miocardial segment motion anomalies (hypokinezia=moving slower than other segments of myocardium or akinezia= no movement at all) in the Cardiac ECHO
- positive stress test for induced myocardial ischemia
Angiography is advised if the test result positive for IHD, otherwise you can run safety bladder surgery.
Dr. Benard
Please follow the answer below...
Detailed Answer:
Hi back,
The diagnostic criteria for a positive ischemic heart disease (IHD)include:
- ST segment abnormalities in the ECG
- Miocardial segment motion anomalies (hypokinezia=moving slower than other segments of myocardium or akinezia= no movement at all) in the Cardiac ECHO
- positive stress test for induced myocardial ischemia
Angiography is advised if the test result positive for IHD, otherwise you can run safety bladder surgery.
Dr. Benard
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Raju A.T
Answered by
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