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What Causes Abnormal QRS In An ECG Report?

Posted on Tue, 18 Feb 2014

Question: good evening. I am male aged 35 years. I am on medication for high BP taking concor am5mg/day. Recently in the morning i experienced a light chest pain and upper back pain. Doctor ordered an ECG . It showed QRS(T) abnormality consistent with inferior infarct probably old. Immediately i took the report to doctor. He saw that and told nothing wrong in the ECG and dont worry about the result believe me. Next day i went to the cardiologist, he also told the same thing and did 2D echo which showed normal. Out of fear, i took another ECG on the next day at the same hospital which showed normal. Then can u please help me out why the initial ECG showed that result? Is it machine problem or i really got a heart attack previously? I did not experience any abnormalities previously

Answered by Dr. Anantharamakrishnan (25 minutes later)

Brief Answer: NO heart attack Detailed Answer: Dear friend, Welcome to Health Care Magic Obviously you did NOT have an attack… If there was, it will be detected in ECHO, as wall motion anomaly / another ECG will not be normal... Inferior wall ‘changes’ in ECG may at times occur from position of the heart – which in turn may be influenced by breathing. Repeating the ECG with a deep breath and holding it might change this. Generally, the machine is not to fault... / It is man? - another person's ECG might have come to you, by mistake... You may aim to bring down LDL or bad cholesterol (to 70) by diet / if necessary, statins HDL or good cholesterol may increase by regular exercise… Follow up with your cardiologist You are in good hands Good luck Take care Wishing all well God bless

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

Follow up: Dr. Anantharamakrishnan (43 hours later)

Thank you very much for the answer. But i am experiencing nausea,dizziness since recent days. Is this anything related to my heart or anything serious?

Answered by Dr. Anantharamakrishnan (2 hours later)

Brief Answer: Likely to be an unrelated - different issue Detailed Answer: Hi Dizziness is vague term / lightheadedness; unsteadiness. If there is definite sense of rotation, it is vertigo. If it is from getting up from bed, it may be from postural hypo-tension.. Did you check your BP – standing and lying? It can be from anaemia – what is your haemoglobin? The body's balancing mechanism is in the inner ear. An ENT (Ear Nose Throat) specialist is the one to see - they have special tests to confirm or exclude the contribution of the ear. This If the ear is excluded, you have to be followed up by a neurologist. / MRI may be needed. MRA (MRI angiography) shows blood vessels and is generally done at the same sitting. If there are no clues, you have to be investigated by a Cardiologist! HOLTER (24 to 48 hour ambulatory monitoring – for arrhythmia) may be done. Regards

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