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Are Ischemic Changes Mentioned In An ECG Report A Serious Concern?

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Posted on Fri, 5 Jan 2024
Question: Kindly go through attach ECG & provide your opinion as it is showing ischemic changes. Is this serious thing. Is additional test require or not
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Answered by Dr. Sagar Makode (25 minutes later)
Brief Answer:
Raises the possibility of ischemia..needs TMT or stress thallium

Detailed Answer:
Hello,
Gone through the ecg. Its showing T wave Inversion in lead AVL, some flattening in 1. These changes raise the possibility of lateral wall ischemia. He should get echo followed by stress test like TMT or stress thallium done whichever is available to confirm the ischemia. Also, he should be started on Tab Ecosprin AV 75/20 mg bedtime till evaluation is complete.
There is also LEft anterior fascicular block which is causing left axis deviation.
Regards
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Above answer was peer-reviewed by : Dr. Nagamani Ng
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Answered by
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Dr. Sagar Makode

Cardiologist

Practicing since :2013

Answered : 1867 Questions

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Are Ischemic Changes Mentioned In An ECG Report A Serious Concern?

Brief Answer: Raises the possibility of ischemia..needs TMT or stress thallium Detailed Answer: Hello, Gone through the ecg. Its showing T wave Inversion in lead AVL, some flattening in 1. These changes raise the possibility of lateral wall ischemia. He should get echo followed by stress test like TMT or stress thallium done whichever is available to confirm the ischemia. Also, he should be started on Tab Ecosprin AV 75/20 mg bedtime till evaluation is complete. There is also LEft anterior fascicular block which is causing left axis deviation. Regards