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What Does This ECG Report Indicate?
Question: hi,
please find attached ECG and give opinion on possible complication and how early they can occure
Case Details:
46yrs male h/o Hypertension on treatment with dyslipidemia.
please find attached ECG and give opinion on possible complication and how early they can occure
Case Details:
46yrs male h/o Hypertension on treatment with dyslipidemia.
Brief Answer:
please see below
Detailed Answer:
Dear Sir
1. Any ECG is best interpreted in light of clinical details. Following interpretation is purely for the given graph without knowledge of your clinical details. I would recommend you to detail your problems including the history of a heart attack.
2. The ECG shows normal sinus rhythm, right bundle branch block, left posterior hemiblock and normal PR interval. It also shows significant Q waves in V3-V6 with coved ST segment and T wave inversion. this possibly signify antero-lateral myocardial infarction (heart attack), if clinically correlating. If RBBB has developed along with infarction, it is likely to be due to proximal occlusion of left anterior descending artery. If it is pre-existing, then it does not carry much prognostic value.
Rest of discussion will depend upon your clinical details.
Waiting for your reply.
Sincerely
Sukhvinder
please see below
Detailed Answer:
Dear Sir
1. Any ECG is best interpreted in light of clinical details. Following interpretation is purely for the given graph without knowledge of your clinical details. I would recommend you to detail your problems including the history of a heart attack.
2. The ECG shows normal sinus rhythm, right bundle branch block, left posterior hemiblock and normal PR interval. It also shows significant Q waves in V3-V6 with coved ST segment and T wave inversion. this possibly signify antero-lateral myocardial infarction (heart attack), if clinically correlating. If RBBB has developed along with infarction, it is likely to be due to proximal occlusion of left anterior descending artery. If it is pre-existing, then it does not carry much prognostic value.
Rest of discussion will depend upon your clinical details.
Waiting for your reply.
Sincerely
Sukhvinder
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Hello Sir,
Good Morning.
patient dont have any history of MI, however since there are q waves in ECG we want your opinion on possible further treatment on this.
Good Morning.
patient dont have any history of MI, however since there are q waves in ECG we want your opinion on possible further treatment on this.
Brief Answer:
please see details
Detailed Answer:
Dear Sir
1. I would again ask you to detail if this patient has any symptoms or not? If patient is totally asymptomatic why this ECG was done?
2. Next logical step in evaluation of such patients (with this kind of ECG abnormality) is to get a cardiac ultrasound or ECHO done. That tells us that if there is any structural heart disease or not.
3. Treatment can be decided only when a final diagnosis is established. Even a presumptive treatment can only be started after correlating ECG findings with history.
Sincerely
Sukhvinder
please see details
Detailed Answer:
Dear Sir
1. I would again ask you to detail if this patient has any symptoms or not? If patient is totally asymptomatic why this ECG was done?
2. Next logical step in evaluation of such patients (with this kind of ECG abnormality) is to get a cardiac ultrasound or ECHO done. That tells us that if there is any structural heart disease or not.
3. Treatment can be decided only when a final diagnosis is established. Even a presumptive treatment can only be started after correlating ECG findings with history.
Sincerely
Sukhvinder
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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