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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does My EKG Scan Report Indicate?

My last EKG Report 12/28/15 shows an old value: Sinus Rhythm -consider old anterior infarct. ABNORMAL New Value: Sinus Rhythm Normal EKG No significant changes ince the previous record of 11/21/14 Question: Should I consult a cardiologist. I m female age 78.
Fri, 5 Feb 2016
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Diabetologist,  's  Response
Hi,

Thanks for your question.
After going through your question, I can understand your concern.

Consider old anterior infarct means there may be ECG findings denoting past heart attack (Myocardial Infarction) involving anterior (frontal) wall of left ventricle.

As in 2014 ECG showed no significant changes.
There may be chance of Myocardial infarction (heart attack) which may have no symptoms or minor symptoms which may not have required medical attention.

For better opinion I want to know -
- Any past medical diseases like diabetes (chances of silent MI more common in diabetics), blood pressure problem, cholesterol problem.
- Habits like smoking.
- For what purpose have you done ECG recently.

In such case I may suggest to do 2DEcho of heart, which will help in confirming the ECG findings.
Depending upon 2DEcho findings and detailed clinical evaluation further treatment (like antiplatelet therapy, need for coronary angiography) may or may not be needed.

Better to consult cardiologist as early as possible.

Hope this helps you, if so do vote as helpful.
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What Does My EKG Scan Report Indicate?

Hi, Thanks for your question. After going through your question, I can understand your concern. Consider old anterior infarct means there may be ECG findings denoting past heart attack (Myocardial Infarction) involving anterior (frontal) wall of left ventricle. As in 2014 ECG showed no significant changes. There may be chance of Myocardial infarction (heart attack) which may have no symptoms or minor symptoms which may not have required medical attention. For better opinion I want to know - - Any past medical diseases like diabetes (chances of silent MI more common in diabetics), blood pressure problem, cholesterol problem. - Habits like smoking. - For what purpose have you done ECG recently. In such case I may suggest to do 2DEcho of heart, which will help in confirming the ECG findings. Depending upon 2DEcho findings and detailed clinical evaluation further treatment (like antiplatelet therapy, need for coronary angiography) may or may not be needed. Better to consult cardiologist as early as possible. Hope this helps you, if so do vote as helpful.