Brief Answer:
I would explain as follows:

Detailed Answer:
Hello!

Welcome and thank you for asking on HCM!

I would like to directly review your ECG, if you can upload it, for a more professional opinion.

Have you experienced chest pain or shortness of breath before?

Do you suffer from high blood pressure, dyslipidemia or diabetes?

Do you smoke?

Anyway, a single resting ECG is not a very specific test for coronary artery disease.

For this reason, I would recommend performing further tests:

- a cardiac ultrasound to examine your heart function and structure
- an exercise cardiac stress test or perfusion stress test would help investigate for the presence of coronary artery disease.
- some blood lab tests are also needed to investigate for possible metabolic disorders which are associated to a higher cardio-vascular risk (fasting glucose, complete blood count, HbA1C for diabetes, blood lipid profile, kidney and liver function tests).

Further tests (coronary angiogram) may be needed if suspicions of coronary artery disease are raised based on the above mentioned test results.

Hope you will find this answer helpful!

I remain at your disposal for any further questions!

Kind regards,

Dr. Iliri

---

Brief Answer:
My opinion as follows:

Detailed Answer:
Hello again!

Thank you for uploading your ECG recordings!

Considering your ECG, it may be concluded that a differential diagnosis between several health conditions is necessary:

- a chronic pulmonary disorder (transitional QRS zone displaced to the right),
- structural heart disease (like hypertrophic cardiomyopathy, etc.),
- though you don't have known coronary risk factors (no hypertension, no diabetes, no smoking, etc.) and these ECG findings are not specific for cardiac ischemia (coronary artery disease), medical testing on such direction is also encouraged.

So, coming to this point, I would say that your ECG could not be considered a sufficient evidence for raising suspicions on ischemic heart disease (also no specific signs of myocardial infarction), because the ECG machine conclusions are generally based on some rigid predefined algorithms (they could not substitute the logical clinical judgement of the specialist).

That's why clinical correlations to the ECG findings are necessary.

In such case several tests are advisable:

- pulmonary X ray study coupled with pulmonary function tests (PFT) in case of achronic pulmonary disorder,
- a cardiac ultrasound to explore for possible structural cardiac disorders),
- a cardiac stress test or a nuclear perfusional cardiac stress test in case of sufficient suspicions on ischemic heart disease;


In addition, the above mentioned lab tests (at the beginning of our thread) would help in the differential diagnosis workup.

You should discuss with your attending physician on the above mentioned issues.

Hope to have clarified your point of concern!

Regards,

Dr. Iliri

---

Brief Answer:
You are welcome!

Detailed Answer:
I remain at your disposal for any further discussions in the future.

Best wishes,

Dr. Iliri

---