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What Does This EKG Result Indicate?

Posted on Mon, 29 Sep 2014

Question: I just had a routine EKG done and requested a copy. It has these terms on my EKG.

Left anterior Fascicular Block
Incomplete right bundle branch block
QRS (T) contour abnormality
consider anteroseptal myocardial damage
abnormal left axis deviation
I am 58 year old female with hypertension taking meds.
Is this Serious?

Answered by Dr. Lilit Baghdasaryan (20 minutes later)

Brief Answer:
Need ECG for full answer

Detailed Answer:
Dear Mrs,

1. Incomplete right bundle branch block can be seen in healthy adults, it is not abnormality
2. left anterior fascicular block and abnormal left axis deviation can be caused from your hypertension. If you have adequate blood pressure control, you shouldn't worry
3. for giving explanation of "QRS (T) contour abnormality" and "consider anteroseptal myocardial damage" I must see your ECG. It is desirable to see your previous ECG also for the complete answer.

Regards,

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

Follow up: Dr. Lilit Baghdasaryan (1 hour later)

Dear Dr Baghdasaryan,

Thank you so much for your answers to my EKG questions.

I have attached a scan of my EKG I was referring to today for the myocardial damage and contour abnormality questions if that helps you any.

Sincerely,

XXXXX

Answered by Dr. Lilit Baghdasaryan (44 minutes later)

Brief Answer:
Need echocardiography

Detailed Answer:
Dear Mrs XXXXXX,

I would advise you to undergo echocardiography.
The ECG is inconclusive in this case. There are ECG changes but if we want to know the accurate reason for the changes we need echo.

Regards,

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