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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does The ECG Report Mean?

Sir, I have undergone ECG today, the report says "ST & T wave abnormality consistent with anteolateral ischemia[-0.5+MV T wave in I/AVL/V3-V6] ST & T wave abnormality, possible inferior ischemia [-0.1+MV T wave in II/AVF] Treadmill effort tolerance is good. I take BP medicine (Covance 25). I drink alcohol. I have no chest pain but some times slight giddiness experienced.What is your advice please?
Fri, 19 May 2017
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Pulmonologist,  's  Response
Hello
welcome to HCM.
your ECG reports suggests possibility of lack of blood supply or ischemia of the anterior and inferior walls of the heart. So you should get evaluated for the same. As you mentioned TMT effort tolerance is good. But what is more important in a treadmill test is whether it is positive or negative. A positive treadmill test increases the possibility of heart blockages. An negative stress test implies no detectable blockages in the heart.
Please also do a 2d echo to see the contractile function of the heart, the valves and the flow between the valves.
Please specify the treadmill result, and do a 2d echo. If treadmill is negative and 2d echo is normal then you need not worry about it. If either treadmill is positive or 2d echo shows regional wall motion abnormality, you should visit your cardiologist and get an angiography done.
Wishing you good health.
Regards
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What Does The ECG Report Mean?

Hello welcome to HCM. your ECG reports suggests possibility of lack of blood supply or ischemia of the anterior and inferior walls of the heart. So you should get evaluated for the same. As you mentioned TMT effort tolerance is good. But what is more important in a treadmill test is whether it is positive or negative. A positive treadmill test increases the possibility of heart blockages. An negative stress test implies no detectable blockages in the heart. Please also do a 2d echo to see the contractile function of the heart, the valves and the flow between the valves. Please specify the treadmill result, and do a 2d echo. If treadmill is negative and 2d echo is normal then you need not worry about it. If either treadmill is positive or 2d echo shows regional wall motion abnormality, you should visit your cardiologist and get an angiography done. Wishing you good health. Regards