Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
What Do ECG Test Results Indicate?
Question: My 64 year oldhusband had a rapid onset of counterclockwise spinning dizziness followed by profuse sweating and vomiting. Went to er and had a ecg with following results
Vent rate. 53bpm. Sinus bradycardia
PR interval 152 ms. Left axis deviation
QRS duration. 96ms. Inferior infarct, ag undetermined
QT/QTc. 418/392 ms. Abnormal egg.
P-R-T axes. 8. -49. -6
He has had previous egg that has shown the inferior infarct. Prior to this event, he has had several episodes of spinning and dizzy, but not to the degree when he went to er. He has a family history of cad with a brother having two heart attacks and 10 stents in his body although he did smoke. His maternal aunt died of mi at age 63 and her son at age 56 with another cousin with cad. He does not smoke. Any reason for concern
Vent rate. 53bpm. Sinus bradycardia
PR interval 152 ms. Left axis deviation
QRS duration. 96ms. Inferior infarct, ag undetermined
QT/QTc. 418/392 ms. Abnormal egg.
P-R-T axes. 8. -49. -6
He has had previous egg that has shown the inferior infarct. Prior to this event, he has had several episodes of spinning and dizzy, but not to the degree when he went to er. He has a family history of cad with a brother having two heart attacks and 10 stents in his body although he did smoke. His maternal aunt died of mi at age 63 and her son at age 56 with another cousin with cad. He does not smoke. Any reason for concern
Brief Answer:
Coronary angiogram
Detailed Answer:
Hello. Thank you for your question and welcome to HCM. I understand your concern.
My opinion is that you husband should take a cardiac stress test and, most probably a coronary angiogram. It should be performed based on the complaints, low heart rate and the EKG description, because it is the most exact manner to clearly depict if there is something wrong with the coronary arteries (arteries that provide the heart muscle with oxygen and other nutrients).
According to his age of 64 years, and the above mentioned features, I think the coronary angiogram is indicated.
If the heart rate of 53 beats per minute is the result of a significant blockage in the right coronary artery, which would explain all the symptoms, then a stent implanted there could solve the issue.
If this is not the case, combining a heart rate of under 60 beats per minute with symptoms such as weakness, dizziness, blurry vision, a permanent pacemaker implantation may be warranted.
Of courss, this remains my opinion and recommendation, it is up to his curing cardiologist to decide whether these steps are needed or not.
I hope my answer is helpful to your situation. If you have follow-up questions, I am happy to help.
Kind regards,
Dr. Meriton
Coronary angiogram
Detailed Answer:
Hello. Thank you for your question and welcome to HCM. I understand your concern.
My opinion is that you husband should take a cardiac stress test and, most probably a coronary angiogram. It should be performed based on the complaints, low heart rate and the EKG description, because it is the most exact manner to clearly depict if there is something wrong with the coronary arteries (arteries that provide the heart muscle with oxygen and other nutrients).
According to his age of 64 years, and the above mentioned features, I think the coronary angiogram is indicated.
If the heart rate of 53 beats per minute is the result of a significant blockage in the right coronary artery, which would explain all the symptoms, then a stent implanted there could solve the issue.
If this is not the case, combining a heart rate of under 60 beats per minute with symptoms such as weakness, dizziness, blurry vision, a permanent pacemaker implantation may be warranted.
Of courss, this remains my opinion and recommendation, it is up to his curing cardiologist to decide whether these steps are needed or not.
I hope my answer is helpful to your situation. If you have follow-up questions, I am happy to help.
Kind regards,
Dr. Meriton
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Arnab Banerjee
Answered by
Get personalised answers from verified doctor in minutes across 80+ specialties
