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Dear Sir, Request to find the attached ECG and comment.

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Posted on Sun, 30 Dec 2018
Question: Dear Sir, Request to find the attached ECG and comment.
Patient: Roma/53 year old female.
PMH: Nil.
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Answered by Dr. Sagar Makode (31 minutes later)
Brief Answer:
Likely Ischemic heart disease

Detailed Answer:
Hello,
It's left bundle branch block, left axis deviation, Poor r wave progression in precordial leads with QS complex. All these changes raise the possibility of ischemic heart disease.
So, patient should be evaluated further with echo, and if abnormal then may need angiography, or if normal then will need stress test like stress thallium or CT coronary angiography.
So, it's likely ischemic heart disease, rarely some the changes may occur with age, but it should be evaluated.
Regards
Above answer was peer-reviewed by : Dr. Remy Koshy
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Answered by
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Dr. Sagar Makode

Cardiologist

Practicing since :2013

Answered : 1830 Questions

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Dear Sir, Request to find the attached ECG and comment.

Brief Answer: Likely Ischemic heart disease Detailed Answer: Hello, It's left bundle branch block, left axis deviation, Poor r wave progression in precordial leads with QS complex. All these changes raise the possibility of ischemic heart disease. So, patient should be evaluated further with echo, and if abnormal then may need angiography, or if normal then will need stress test like stress thallium or CT coronary angiography. So, it's likely ischemic heart disease, rarely some the changes may occur with age, but it should be evaluated. Regards