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Suggest Treatment For Ischemia

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Posted on Mon, 20 Apr 2015
Question: I got two abnormal EKG. I attached the results as following.
My email is YYYY@YYYY
Could you tell me what happened to my heart.
Thanks.
Hanjiang

Ventricular Rate            74      
Atrial Rate            74      
P-R Interval            184      
QRS Duration            84      
Q-T Interval            386      
QTC Calculation(Bezet)            428      
P Axis            51      
R Axis            30      
T Axis            212      
Diagnosis            Normal sinus rhythm      
Diagnosis            ST & T wave abnormality, consider inferolateral
ischemia      
Diagnosis            Abnormal ECG      
Diagnosis            When compared with ECG of 27-MAR-2015 10:58,      
Diagnosis            No significant change was found      
Diagnosis            Confirmed by Ramrakhiani M.D., Cheena (3656) on
3/30/2015 1:32:32 PM
doctor
Answered by Dr. Prof. Kunal Saha (2 hours later)
Brief Answer:
You need to be on regular medicines.If that does not help angiography neede

Detailed Answer:
Thanks for asking on Health Care Magic.

The report points towards ischemia which occurs when the blood supply to the heart is not adequate and the heart cries in pain due to inadequate oxygen supply. In your case itvis involving the inferior wall or the lower surface of the heart.

Such a condition can be treated but makes you more prone to heart attacks. You need to be on regular medicine. In a subsequent stage angiography might be required. I do not think that treadmill test is needed since ischemia has already been found. There is no need for exercise for generation of ischemia.

Hope that helps.

Regards
Dr. Kunal Saha
Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Prof. Kunal Saha

General & Family Physician

Practicing since :1954

Answered : 4467 Questions

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Suggest Treatment For Ischemia

Brief Answer: You need to be on regular medicines.If that does not help angiography neede Detailed Answer: Thanks for asking on Health Care Magic. The report points towards ischemia which occurs when the blood supply to the heart is not adequate and the heart cries in pain due to inadequate oxygen supply. In your case itvis involving the inferior wall or the lower surface of the heart. Such a condition can be treated but makes you more prone to heart attacks. You need to be on regular medicine. In a subsequent stage angiography might be required. I do not think that treadmill test is needed since ischemia has already been found. There is no need for exercise for generation of ischemia. Hope that helps. Regards Dr. Kunal Saha