Brief Answer:

I would explain as follows:

Detailed Answer:

Hello,

I carefully reviewed your uploaded ECG and would like to explain that your ECG parameters seem to be within normal ranges, except for a poor progression of R wave in the precordial leads V1-V3 and a shift of the transitional R/S zone to V4.

This may mimic anteroseptal myocardial infarction, but in fact is a nonspecific finding seen in several disorders like myocardial hypertrophy (increased interventricular septum thickness), chronic pulmonary disorders, QRS axis deviation in the horizontal plane, etc.

Coming to this point, it is necessary to correlate with your clinical symptomatology and additional medical tests like

- cardiac ultrasound,
- chest X ray study,
- pulmonary function tests

Your medical history is important to investigate for possible ischemic chest pain and potential coronary risk factors (like hypertension, diabetes, heredity for CAD, dyslipidemia, smoking, etc.)

You should discuss with your doctor on the above-mentioned tests.

If suspicions are raised after that, provocative imagine cardiac tests would be helpful to conclude on the presence of cardiac ischemia.

Hope I have answered your query. Let me know if I can assist you further.

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Brief Answer:

I would explain:

Detailed Answer:

Hello,

As I explained you before, those mild ECG changes are nonspecific and could be also a normal variant related to cardiac positioning within the chest.

That's why I recommended performing those tests just to be sure that nothing wrong is present.

ECG should always be interpreted considering also the specific clinical scenario of the patient.

Hope I have answered your query.

Take care

Regards,
Dr Ilir Sharka, Cardiologist

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