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EKG Shows Anterior Fascicular Block And Possible Anterior Infarct. Should I Be Concerned?

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Posted on Wed, 21 Aug 2013
Question: just had to ekgs. one on 6/12 and one on 7/22. first one showed left anterior fascicular block, axis to left, abnormal ekg. the second showed possible anterior infarct, axis to right. is this serious and should I be concerned?
I had neck surgery on 6/18 to have c4-c6 vertebrae removed and titanium rods and screws inserted. could the anterior infarct have been a possible blood clot from the surgery? Should I be worried about this or is this type of thing no big deal?
doctor
Answered by Dr. Sukhvinder Singh (1 hour later)
Respected Ma'm
1. What led you to get an EKG done? I mean What were your symptoms between the two tests? Do you have diabetes/ high blood pressure/ history of smoking? Was there any episode of chest pain/ shortness of breath/ severe vertigo between the two EKGs?
2. Please upload both of your EKGs by the facility available on right upper corner of this page.
3. If you have any other medical problem, please let me know.
I'll discuss in detail once I get your ECGs.
Sincerely
Sukhvinder Singh
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Sukhvinder Singh (21 minutes later)
the first ekg was done pre-surgical. came back abnormal, with left anterior fascicular block, axis to the left. the second one was done post-surgical, also came back abnormal, but this one said possible anterior infarct. axis to the right.

I have no history of heart disease, not diabetic, not high blood pressure, i don't smoke. All the pain I had between the ekgs, I associated with the post surgical recovery pain. nothing I could pin point that did not tie in with post surgical stuff. I cannot get copies of the actual ecgs...all i have is the final page with these diagnosis on it.
doctor
Answered by Dr. Sukhvinder Singh (11 minutes later)
Respected Ma'm
It is virtually impossible to make a conclusion without actually looking at ECGs as the computer only generates the report as per pre-feeded algorithms. It does not have a brain of its own. It is common for left anterior hemiblock/ fascicular block to have poor progression of R wave in anterior leads which may be interpreted as anterior infarct by computer. But this is only a speculation, definite comments can not be made without looking at EKG. Moreover, Why they discharge you if you really had a new infarction?
Anyway, best way out is to discuss it out with the physician who has seen your ECGs.
Etiology or cause of infarct should be discussed only if it is established that you had one.
Sincerely
Sukhvinder Singh
Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Sukhvinder Singh

Cardiologist

Practicing since :1998

Answered : 1306 Questions

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EKG Shows Anterior Fascicular Block And Possible Anterior Infarct. Should I Be Concerned?

Respected Ma'm
1. What led you to get an EKG done? I mean What were your symptoms between the two tests? Do you have diabetes/ high blood pressure/ history of smoking? Was there any episode of chest pain/ shortness of breath/ severe vertigo between the two EKGs?
2. Please upload both of your EKGs by the facility available on right upper corner of this page.
3. If you have any other medical problem, please let me know.
I'll discuss in detail once I get your ECGs.
Sincerely
Sukhvinder Singh