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What Does This ECG Report Indicate?

Posted on Wed, 16 Dec 2015

Question: take look at ECG

Answered by Dr. Priyank Mody (49 minutes later)

Brief Answer:
inferior wall MI is a possibility, if symptoms present shift pt EMS

Detailed Answer:
Hello , I am Dr . Mody and I would be address your concern .
An isolated review of ecg many a time leads to erroneous diagnosis and it's always wise to clinically corelate .
Two important things
What is the clinical status of the patient and if he having any active chest pain , palpitation, breathlessness.
If I only consider tge ecg .
There is ST elevation in the inferior leads 2, 3 and avf, reciprocal changes in 1 avl 50-60. .
If there is active chest pain , risk factors like smoking , drugs , hypertension, diabetes , kidney issues , family history of heart problem than
I will strongly consider shifting the patients to EMS

A inferior wall Myocardial infartion is likely possibly and it's wise to keep patient in observation .
Other things like the rhythm, pr interval , q's duration , all looks normal and so no arrythmia at present .
Considering your age is too young , a 2 d echocardiography, blood test like troponin should be done .
However in heart times is muscle , wasting more times is not wise .
Let me know if any clarification needed.
Also more details will help me help you better .
Regards Dr Priyank Mody

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj

Follow up: Dr. Priyank Mody (54 minutes later)

Right now it is reg.

bp 124/64

Answered by Dr. Priyank Mody (17 minutes later)

Brief Answer:
Yes the rhythm is regular on gross review

Detailed Answer:
Hello , The small square are not exactly visible but if you are asking about the rhythm.

Yes on gross review it it Regular and the heart rate would be around 66- 68 , which too is normal .
The blood pressure mentioned is also normal .

Let me know if anything needed , I would be just on the other side .
Regards Dr Priyank Mody

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj

Follow up: Dr. Priyank Mody (3 hours later)

what would cause an inferior infract?
He still has pains and pulse rate increasing

Answered by Dr. Priyank Mody (19 hours later)

Brief Answer:
What is his present pulse rate , repeat ecg now if possible .

Detailed Answer:
Hello , The inferior wall infartion mean a that the inferior wall of the heart is not receiving enough blood causing a small heart attack .

Some background history about the patient . His age , medical history, and risk factors , what medication he is on will help me guide you better as what medication to take now and 2 at may be the reason of his symptoms

Also If possible and repeat ecg at present as already 20 hours have passed , so if Any dynamic change in the ecg are present we can know by comparing it with the previous one you had send .

Trust me guiding you without proper history will increase your anxiety , rather than being helpful.

If any trouble typing you can video call me .
Regards Dr. Priyank Mody

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj

Follow up: Dr. Priyank Mody (12 hours later)

Thanks they think it is smalal tack as well. I will try to get another ecg.

Answered by Dr. Priyank Mody (1 hour later)

Brief Answer:
Nearest hospital emergency would be ideal

Detailed Answer:
Hello ,
If the symptoms are persistent, going to nearest hospital emergency is the best means for getting the patient evaluated as in heart attack it's important not to waste time .
Do upload the ecg so I can interpret it for you .
Regards

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

Above answer was peer-reviewed by : Dr. Prasad