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What Does This ECG Report Indicate?
Question: Hi. I have just had an ECG at my work place as part of a health check and the result came back with;
QRS(T) Contour abnormality consider anterospetal myocardinal damage.
My ECG readings are as follows:
Intervals: PR 866 ms, P 102ms, PR 122 ms, QRS 96ms, QT 342ms, QTC 450ms
Axis: P 29, QRS -18, T 11
I am a 54 year old man with diabetes.
Can you please tell me if I need to do something about the ECG?
Thanks
XXXX
QRS(T) Contour abnormality consider anterospetal myocardinal damage.
My ECG readings are as follows:
Intervals: PR 866 ms, P 102ms, PR 122 ms, QRS 96ms, QT 342ms, QTC 450ms
Axis: P 29, QRS -18, T 11
I am a 54 year old man with diabetes.
Can you please tell me if I need to do something about the ECG?
Thanks
XXXX
Brief Answer:
Your ECG seems within normal ranges.
Detailed Answer:
Hello dear XXXX!
Thank you for asking on HCM!
Regarding your concern, I am glad to confirm you that your resting ECG looks within normal ranges.
It is normal sinus rhythm, and doesn't show any presence of arrhythmia, conduction and repolarization abnormalities.
It is only very mild sinus tachycardia (12 bpm), and all the other parameters, including, P wave, PR interval, QRS and even QTc are within normal ranges. Nothing to worry about.
Thee isn't a true QRS(T) contour abnormality, and there are no signs of anteroseptal myocardial damage.
So, it is an ECG machine artefact, because the only existent finding on precordial leads is a delayed transitional zone (V5).
This is explained with a clockwise rotation of the ventricular vector on the horizontal plane. You don't have to worry about that (it may be related to the body constitution, sometimes to pulmonary implications, etc).
I would recommend you to perform a cardiac ultrasound (to rule out any structural heart abnormalities, especially the right heart), and a chest X ray study (to investigate the lungs).
You also need to be careful about your coronary risk factors (diabetes, probable hypertension, dyslipidemia, avoid smoking contacts, etc).
So, I advice to check fasting blood glucose, HBA1c, total lipid profile, and monitor your blood pressure. Modify your life style to a healthy one (a lot of physical activity, and a healthy diet).
Just discuss with your doctor about these issues.
Hope to have been helpful to you.
Feel free to ask me whenever you need.Greetings! Dr. Iliri
Your ECG seems within normal ranges.
Detailed Answer:
Hello dear XXXX!
Thank you for asking on HCM!
Regarding your concern, I am glad to confirm you that your resting ECG looks within normal ranges.
It is normal sinus rhythm, and doesn't show any presence of arrhythmia, conduction and repolarization abnormalities.
It is only very mild sinus tachycardia (12 bpm), and all the other parameters, including, P wave, PR interval, QRS and even QTc are within normal ranges. Nothing to worry about.
Thee isn't a true QRS(T) contour abnormality, and there are no signs of anteroseptal myocardial damage.
So, it is an ECG machine artefact, because the only existent finding on precordial leads is a delayed transitional zone (V5).
This is explained with a clockwise rotation of the ventricular vector on the horizontal plane. You don't have to worry about that (it may be related to the body constitution, sometimes to pulmonary implications, etc).
I would recommend you to perform a cardiac ultrasound (to rule out any structural heart abnormalities, especially the right heart), and a chest X ray study (to investigate the lungs).
You also need to be careful about your coronary risk factors (diabetes, probable hypertension, dyslipidemia, avoid smoking contacts, etc).
So, I advice to check fasting blood glucose, HBA1c, total lipid profile, and monitor your blood pressure. Modify your life style to a healthy one (a lot of physical activity, and a healthy diet).
Just discuss with your doctor about these issues.
Hope to have been helpful to you.
Feel free to ask me whenever you need.Greetings! Dr. Iliri
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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