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What Does This EKG Report Indicate?

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Posted on Mon, 14 Sep 2015
Question: How can I determine and anterior infarct on an EKG
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Answered by Dr. Panagiotis Zografakis (56 minutes later)
Brief Answer:
no infarct on the ECG

Detailed Answer:
Hello,

although the automated diagnosis suggests possible anterior infarct, there are no solid electrocardiographic signs of it. ECG is not the most sensitive or specific way to approach potential ischemic damage. Negative troponin assays a few hours after the event make sure that the event was not an infarction.

I suppose the automated diagnosis is based on some minor q waves in the anterior wall. These q waves cannot be considered positive without doubt. They are too brief and too short and there are no other signs besides them.

I can't tell you everything about ECG in a few lines. I suppose your real question is whether this ECG is suspicious for anterior wall infarction or not. According to my opinion, it is not! If you had symptoms suggestive of infarction though, you should be also tested for serum troponin levels.

I hope you find my comments helpful!
You can contact me again, if you'd like any clarification or further information.

Kind Regards!
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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Panagiotis Zografakis

Internal Medicine Specialist

Practicing since :1999

Answered : 3815 Questions

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What Does This EKG Report Indicate?

Brief Answer: no infarct on the ECG Detailed Answer: Hello, although the automated diagnosis suggests possible anterior infarct, there are no solid electrocardiographic signs of it. ECG is not the most sensitive or specific way to approach potential ischemic damage. Negative troponin assays a few hours after the event make sure that the event was not an infarction. I suppose the automated diagnosis is based on some minor q waves in the anterior wall. These q waves cannot be considered positive without doubt. They are too brief and too short and there are no other signs besides them. I can't tell you everything about ECG in a few lines. I suppose your real question is whether this ECG is suspicious for anterior wall infarction or not. According to my opinion, it is not! If you had symptoms suggestive of infarction though, you should be also tested for serum troponin levels. I hope you find my comments helpful! You can contact me again, if you'd like any clarification or further information. Kind Regards!