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What Does The EKG Results Mean?
My EKG today showed ectopic atrial rhythm, inferior infarct, QS in aVF with Q in II, moderate inferior repolarization disturbance secondary to infarct, negative T in aVF with negative T in II III I m not sure what that means. I have done some research but it s all bits and pieces. Is would be nice if someone could give me worst case scenario
Mon, 28 Sep 2015
Greetings! Thank you for your question and welcome to HCM. I understand your concern.
Giving opinion in prediction and prognosis, at this moment, and having only this information, can be a little speculative. Some further tests are required to do such a thing.
First, let us go through your EKG. These findings indicate that you have had a remote or recent, but at least more than 24 hours, of myocardial infarction (heart attack). The part of the heart muscle that suffered the damage is the inferior (diaphragmatic) part. The culprit of this problem probably is the right coronary artery, but left circumflex artery cannot be ruled out as a culprit.
Therefore, I recommend first an echocardiogram to be performed. This examination is done to precisely assess the size of the heart chambers, the motility of ventricles and if there is any part of the heart that is not moving (which would confirm the infarction), and the remaining function of the heart after the heart attack. If ten days have passed from the infarction, a cardiac stress test with low workload would be in order, to assess if there is further coronary artery disease. If I were your treating doctor, I would also perform a coronary angiogram, to quantitavely assess the blockage(s) within your coronary arteries, and choose the best strategy to treat it(them), with the aim on symptom relief and span of life.
I hope I was helpful with my answer.
Kind regards,
Dr. Meriton
Giving opinion in prediction and prognosis, at this moment, and having only this information, can be a little speculative. Some further tests are required to do such a thing.
First, let us go through your EKG. These findings indicate that you have had a remote or recent, but at least more than 24 hours, of myocardial infarction (heart attack). The part of the heart muscle that suffered the damage is the inferior (diaphragmatic) part. The culprit of this problem probably is the right coronary artery, but left circumflex artery cannot be ruled out as a culprit.
Therefore, I recommend first an echocardiogram to be performed. This examination is done to precisely assess the size of the heart chambers, the motility of ventricles and if there is any part of the heart that is not moving (which would confirm the infarction), and the remaining function of the heart after the heart attack. If ten days have passed from the infarction, a cardiac stress test with low workload would be in order, to assess if there is further coronary artery disease. If I were your treating doctor, I would also perform a coronary angiogram, to quantitavely assess the blockage(s) within your coronary arteries, and choose the best strategy to treat it(them), with the aim on symptom relief and span of life.
I hope I was helpful with my answer.
Kind regards,
Dr. Meriton
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