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What Does This EKG Report Indicate?

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Posted on Wed, 3 Sep 2014
Question: EKG Result
H.Rate 82
PR 126
QT/QTc: 354/394
P Axis 25
T Axis -1
Misc: Sinus Rythym
Misc: P.QRS - 1:1 Normal P Axis, H Rate 82
Misc: Nonspecific T-Abnormality

Result: Abnormal

What does this all mean?
doctor
Answered by Dr. Anantharamakrishnan (2 hours later)
Brief Answer:
Get examined / investigated

Detailed Answer:
Dear friend,
Welcome to Health Care Magic

There are certain ‘changes’ in the ‘septal’ leads (V1-3)
Very often, this could be a normal variant, in many people…
It may, at times, point to an abnormality – right sided heart or reduced blood supply to some segments

ECG – any investigation for that matter – should be interpreted in relation to the total clinical picture / not in isolation
You need physical examination…
ECHOcardiogram is necessary to see the heart valves (Mitral Valve Prolapse) / heart muscle (Cardiomyopathy) and heart function (Ejection fraction, wall motion abnormality)...
TMT – Treadmill exercise ECG (may be with thallium isotope) – is necessary to evaluate ischemia (reduced blood flow / Coronary Artery Disease)

More to rule out – rather than to rule in
See your cardiologist

Take care
Good luck
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Anantharamakrishnan (6 minutes later)
Understood, but in looking at the images, what is meant by T wave abnormally based on the images I sent.
doctor
Answered by Dr. Anantharamakrishnan (7 minutes later)
Brief Answer:
Inverted T waves

Detailed Answer:
Hi

The waves are facing down - in more than one / consecutive leads

Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Anantharamakrishnan (3 minutes later)
Knowing that if ur wife had the same results what would u advise her to do, especially since she is scheduled for a hysterectomy in two days. Her fibroid is getting a biopsy.
doctor
Answered by Dr. Anantharamakrishnan (15 minutes later)
Brief Answer:
Yes

Detailed Answer:
YES
The investigators should be done - before surgery, as a part of pre-operative assessment.

Good luck

POSTSCRIPT -
We do not have double standards!
It will be the same - for my wife or mother!!
As a matter of fact, my wife had a similar issue / investigated / had uneventful hysterectomy!!!

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Anantharamakrishnan (4 minutes later)
Thank u very much for ur time
doctor
Answered by Dr. Anantharamakrishnan (1 minute later)
Brief Answer:
Thanks

Detailed Answer:
God bless you

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

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Anantharamakrishnan

Cardiologist

Practicing since :1966

Answered : 4505 Questions

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What Does This EKG Report Indicate?

Brief Answer: Get examined / investigated Detailed Answer: Dear friend, Welcome to Health Care Magic There are certain ‘changes’ in the ‘septal’ leads (V1-3) Very often, this could be a normal variant, in many people… It may, at times, point to an abnormality – right sided heart or reduced blood supply to some segments ECG – any investigation for that matter – should be interpreted in relation to the total clinical picture / not in isolation You need physical examination… ECHOcardiogram is necessary to see the heart valves (Mitral Valve Prolapse) / heart muscle (Cardiomyopathy) and heart function (Ejection fraction, wall motion abnormality)... TMT – Treadmill exercise ECG (may be with thallium isotope) – is necessary to evaluate ischemia (reduced blood flow / Coronary Artery Disease) More to rule out – rather than to rule in See your cardiologist Take care Good luck