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What Is The Prognosis When An ECG Shows Changes Suggestive Of The Possibility Of Ischemic Heart Disease?

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Posted on Tue, 19 Apr 2022
Question: Dear Sir,
Please opine on attached ECG
46 Female without any co morbidity
doctor
Answered by Dr. Sagar Makode (17 minutes later)
Brief Answer:
NEEDS ECHO

Detailed Answer:

Hi,

It's SINUS RHYTHM with heart rate of around 75 BPM, NORMAL AXIS. There are T wave inversions in III AVF V3-6.
So these changes suggest the possibility of ISCHAEMIC HEART DISEASE. So needs echo and if normal then stress test like Stress thallium/TMT or CT coronary angiography.
However such changes may be in hypertension or with age, but possibility of ISCHAEMIC HEART DISEASE should be ruled out.

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

Above answer was peer-reviewed by : Dr. Vaishalee Punj
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Answered by
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Dr. Sagar Makode

Cardiologist

Practicing since :2013

Answered : 1867 Questions

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What Is The Prognosis When An ECG Shows Changes Suggestive Of The Possibility Of Ischemic Heart Disease?

Brief Answer: NEEDS ECHO Detailed Answer: Hi, It's SINUS RHYTHM with heart rate of around 75 BPM, NORMAL AXIS. There are T wave inversions in III AVF V3-6. So these changes suggest the possibility of ISCHAEMIC HEART DISEASE. So needs echo and if normal then stress test like Stress thallium/TMT or CT coronary angiography. However such changes may be in hypertension or with age, but possibility of ISCHAEMIC HEART DISEASE should be ruled out. Regards