Hello. My husband had a biopsy today to confirm cholangiocarcinoma
The ECG shows old heart attack
This is Dr Sameer cardiologist.
The ECG report says that the patient has a old heart attack.
It would be better if you send the tracing of ECG.
I will recommend 2D Echo for further evaluation.
Thanks and regards
I have sent the ECG tracing.
Please explain about:
1. Sinus bradycardia
2. Changes in initial forces of anteroseptal leads
3. New T wave abnormality in anterior leads
4. Low voltage QRS
5. And can you tell how long ago the heart attack occurred?
How bad is this ECG? He will be seeing a cardiologist this week, I am making the appointment today.
Thank you very much for your help. :)
Please see detailed answer
First of all you didn't send the ECG tracing, it is just the reporting. I was asking for the graph.
To answer your questions
1) Sinus bradycardia is normal rhythm of the heart which is below 60 beats/min. It is normal until the heart rate becomes very low (usually <40bpm).
2) The rest of the things written are technical terms used to describe a ECG. Low force means R wave is not prominent which usually means he might be having a weak heart. New T wave abnormality in any lead generally signifies ischemia (decreased blood supply to a part of heart).
It is very difficult to estimate how long is the duration of heart only by seeing a ECG. We make a approximation by correlating start of symptoms and new change in ECG.
I recommend you to get a 2D Echo done soon to diagnose exactly whether he has a weak heart or a underlying heart attack.
Thanks and regards
The User accepted the expert's answer
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