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Dr. Andrew Rynne

Family Physician

Exp 50 years

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

Answered by
Dr. Sagar Makode


Practicing since :2013

Answered : 1773 Questions

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

Detailed Answer:
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.
Above answer was peer-reviewed by : Dr. Remy Koshy

The User accepted the expert's answer

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