HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

question-icon

Noticed BP 102/65. On Diovan. Experienced Nausea And Fever. EKG Indicated Abnormal Left Axis Deviatin. Do I Suffer Heart Attack?

default
Posted on Fri, 12 Jul 2013
Question: I am a 61 male yr old male.
I noticed that my blood pressure (BP) became low 102/65. I am on diovan for high BP.
Last week I experience mild naucea symptoms, fever etc.
My physician performed an EKG which indicated: "abnormal left axis deviatin QRS(T) contour abnormality consistent with inferior infraction. He asked me to go to the cardiologist.
Does this mean I suffered a heart attack?
doctor
Answered by Dr. Anantharamakrishnan (2 hours later)
Hi friend,
Welcome to Health Care Magic

Axis deviation is a term used in EKG interpretation...
Left axis deviation may mean several things – Position of the heart / Muscle hypertrophy / Chamber enlargement / Nerve (conduction system) of the heart / inferior wall Infarction (heart attack) and so on...
Your symptoms do not suggest infarction... / you do have risk factors...

The most probable cause in this situation is from blood pressure...yet, you need further assessment and assistance....ECHOcardiogram / TMT (Treadmill exercise ECG) / LABORATORY work-up – may all be necessary for further assessment and assistance.
The treating doctor may suggest them depending on need, based on his assessment of the situation.

Take care
Wishing speedy recovery
God bless
Good luck

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Anantharamakrishnan (25 minutes later)

I understand the general possibilities, But my question is "does inferior infraction" mean that I suferred a heart attack?

Could this inferior infraction cause drop of the blood pressure?
I usually had high blood pressure and I was taking diovan to control it.
doctor
Answered by Dr. Anantharamakrishnan (21 minutes later)
Hi

Inferior infarction is one of the several possibilities...

You might have suffered heart attack / It can not be excluded / yet it is not certain...
An attack is not always symptomatic
EKG is not always confirmatory / it needs further work up to confirm or exclude - enzymes, wall motion anomalies (ECHO), stress test (especially thallium) are necessary -of course, angio is the gold standard...

Infarction certainly can cause drop of blood pressure

Regards
Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Anantharamakrishnan

Cardiologist

Practicing since :1966

Answered : 4505 Questions

premium_optimized

The User accepted the expert's answer

Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
Noticed BP 102/65. On Diovan. Experienced Nausea And Fever. EKG Indicated Abnormal Left Axis Deviatin. Do I Suffer Heart Attack?

Hi friend,
Welcome to Health Care Magic

Axis deviation is a term used in EKG interpretation...
Left axis deviation may mean several things – Position of the heart / Muscle hypertrophy / Chamber enlargement / Nerve (conduction system) of the heart / inferior wall Infarction (heart attack) and so on...
Your symptoms do not suggest infarction... / you do have risk factors...

The most probable cause in this situation is from blood pressure...yet, you need further assessment and assistance....ECHOcardiogram / TMT (Treadmill exercise ECG) / LABORATORY work-up – may all be necessary for further assessment and assistance.
The treating doctor may suggest them depending on need, based on his assessment of the situation.

Take care
Wishing speedy recovery
God bless
Good luck