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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does Slight Left Pre Cordial Repolarization Disturbance Mean In An ECG Report While Having Chest Pain And Arrhythmia?

Hi. Went to the ER yesterday with chest pain. I have known arrhythmia. The ECG says ventricle axis, slight left pre cordial repolarization disturbance, consider ischemia. LV overload or a-specific change. I’m awaiting an appointment at the cardiologist. Could you please tell me what this means ?
Fri, 3 Nov 2023
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General & Family Physician,  's  Response
Hi,

Let me explain this to you. The ECG findings mentioned are as follows:

* Ventricular Axis: This refers to the direction of the electrical activity in the ventricles (lower chambers of the heart). A deviation from the normal axis can be indicative of various heart conditions.

* Slight Left Precordial Repolarization Disturbance: This suggests there may be some changes in the electrical activity of the heart in the precordial leads, which are specific electrode placements on the chest. Repolarization refers to the recovery phase of the heart's electrical cycle.

* Consider Ischemia: This is the reduced blood supply to the heart causing narrowed or blocked coronary arteries. This can cause damage to the heart leading to chest pain. The ECG suggests that there may be signs or changes that could be consistent with ischemia.

* LV Overload: LV stands for the left ventricle, the main pumping chamber of the heart. "LV overload" may indicate that the left ventricle is working harder than usual, which can be a result of various heart conditions.

* A-specific Change: This term suggests that there are changes in the ECG that are not clearly specific to a particular condition or diagnosis.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. H. Kay, General & Family Physician
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What Does Slight Left Pre Cordial Repolarization Disturbance Mean In An ECG Report While Having Chest Pain And Arrhythmia?

Hi, Let me explain this to you. The ECG findings mentioned are as follows: * Ventricular Axis: This refers to the direction of the electrical activity in the ventricles (lower chambers of the heart). A deviation from the normal axis can be indicative of various heart conditions. * Slight Left Precordial Repolarization Disturbance: This suggests there may be some changes in the electrical activity of the heart in the precordial leads, which are specific electrode placements on the chest. Repolarization refers to the recovery phase of the heart s electrical cycle. * Consider Ischemia: This is the reduced blood supply to the heart causing narrowed or blocked coronary arteries. This can cause damage to the heart leading to chest pain. The ECG suggests that there may be signs or changes that could be consistent with ischemia. * LV Overload: LV stands for the left ventricle, the main pumping chamber of the heart. LV overload may indicate that the left ventricle is working harder than usual, which can be a result of various heart conditions. * A-specific Change: This term suggests that there are changes in the ECG that are not clearly specific to a particular condition or diagnosis. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. H. Kay, General & Family Physician