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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does A Septal Infarction In An EKG Report Indicate?

Hello, Dr. My mom is 66 yrs old. She was diagnosed as extensive anterior wall myocardial infarction 10 ys ago and had two stends in her heart. This year the septal infarction was detected from her EKG. What does this mean? Did this mean her heart condition worsen a lot? Is there any suggestions for this?
Thu, 18 Aug 2016
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Internal Medicine Specialist 's  Response
Thank you for the query.
As per the information provided, your mother is 66 years, with a history of extensive anterior wall myocardial infarction (or heart attack) 10 years ago. She has two stents in her vessels. It would have been helpful if you would have mentioned what medications she is on (aspirin or clopidogrel or both) and what type of stent was placed (bare metal or drug eluting). Septal infarction in the ECG denotes a heart attack, which has occurred in the septum (the wall separating the left and right side of the heart). I would suggest you to get an echocardiography done as this will point out the extent of damage due to the infarcts. Usually hypokinetic (or reduced) movements are seen in the walls or areas of the heart affected by the infarct. The pumping capability of the heart can also be assessed by an echo, by a parameter called the ejection fraction. If the cardiac function is jeopardised, the ejection fraction will reduce (less than 45%). If indicated, after an echo a coronary angiography may be repeated, to assess the status of the coronary vessels (the blood vessels supplying the heart muscle). and a restenting may be needed. I would suggest you to visit your physician/cardiologist at the earliest, for clinical examination and further management.
Hope this helps you
Regards
Dr Ayusmati Thakur
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What Does A Septal Infarction In An EKG Report Indicate?

Thank you for the query. As per the information provided, your mother is 66 years, with a history of extensive anterior wall myocardial infarction (or heart attack) 10 years ago. She has two stents in her vessels. It would have been helpful if you would have mentioned what medications she is on (aspirin or clopidogrel or both) and what type of stent was placed (bare metal or drug eluting). Septal infarction in the ECG denotes a heart attack, which has occurred in the septum (the wall separating the left and right side of the heart). I would suggest you to get an echocardiography done as this will point out the extent of damage due to the infarcts. Usually hypokinetic (or reduced) movements are seen in the walls or areas of the heart affected by the infarct. The pumping capability of the heart can also be assessed by an echo, by a parameter called the ejection fraction. If the cardiac function is jeopardised, the ejection fraction will reduce (less than 45%). If indicated, after an echo a coronary angiography may be repeated, to assess the status of the coronary vessels (the blood vessels supplying the heart muscle). and a restenting may be needed. I would suggest you to visit your physician/cardiologist at the earliest, for clinical examination and further management. Hope this helps you Regards Dr Ayusmati Thakur