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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is Sinus Bradycardia, Possible Septal Infarct, Low QRS Voltages, Abnormal EKG Worrisome?

I have an ekg with sinus bradycardia, possible septal infarct--age undetermined, Low QRS voltages in precordial leads, abnormal ekg. My physician s assistant didn t seem very concerned about. Should I be worried? Thank you for any answer you can give me.
Wed, 31 Dec 2014
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Psychiatrist,  's  Response
Hi welcome to HCM.
I understand your query and concern.
Yes certainly you need to be concerned about your EKG.Sinus bradycardia in your case warrants further investigation like electrophysiological study of the heart to rule out conduction heart blocks.Low voltage QRS along with a possibility of a septal infarct warrants a screening 2 dimensional echocardiogram of the heart to assess the cardiac reserve and any regional wall motion abnormalities,which are harbingers of coronary ischemia which can predispose to heart attacks/infarcts.Based on the results of the above EKG, a coronary angiogram is strongly needed to document any stenotic lesions of the blood vessels.Based on the results,in situ stenting can be done.Discuss the above with your cardiologist.
Post your further queries,if any.
Thank you.
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Is Sinus Bradycardia, Possible Septal Infarct, Low QRS Voltages, Abnormal EKG Worrisome?

Hi welcome to HCM. I understand your query and concern. Yes certainly you need to be concerned about your EKG.Sinus bradycardia in your case warrants further investigation like electrophysiological study of the heart to rule out conduction heart blocks.Low voltage QRS along with a possibility of a septal infarct warrants a screening 2 dimensional echocardiogram of the heart to assess the cardiac reserve and any regional wall motion abnormalities,which are harbingers of coronary ischemia which can predispose to heart attacks/infarcts.Based on the results of the above EKG, a coronary angiogram is strongly needed to document any stenotic lesions of the blood vessels.Based on the results,in situ stenting can be done.Discuss the above with your cardiologist. Post your further queries,if any. Thank you.