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What Does The Following ECG Report Indicate?

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Posted on Mon, 23 Jan 2017
Question: my ecg report is attacheced below is any abnormality is there please expalian if there
PR:155 and coment is probable left ventricular hypertrophy
QRSD:87 lateral infract,acute(LAD).......ST >.10mv,vs v6 I avl
QT:390 Anterior ST eleavation ,probably due to LVH......ST >.20 mv in V1-V4 &LVH
Axis
p 74
qrs 78
t 57
doctor
Answered by Dr. Rini (1 hour later)
Brief Answer:
normal sinus rythm!

Detailed Answer:
Hi,
Firstly thanks for choosing health care magic for your query.

Interpretation of ecg depends on clinical symptoms of patient at the time of presentation.
Ecg is the most primitive and basic test of cardiology.

As per you query
In inferior leads 2,3 and avf 1mm of st elevation can be seen in lead 2, for a st elevation to be significant it must be present in at least 2 continuous leads.Secondly concavity of st segment is not lost ,thirdly there in no reciprocal depression of ST segment in anterior leads(If there is ST elevation in lead representing the inferior wall then a reciprocal St depression will be seen in lead representing the opposite anterior wall).

Lateral leads 1 and avL is perectly normal.

In the same way anterior leads from V1 to V6 is normal, Mild j point elevation is in lead v5 but again single lead change does not make any sense.

The initial criteria of lvh is QRS complex should be greater then 0.12 sec,which is normal in your case, R wave progression is normal. So, not even fulfills basic criteria of lvh.

Its a perfectly normal ecg.But A 2d echo can be done to be to be more sure .As ecg is just a basic test ,if we suspect any thing or want to be fully certain then a 2d echo is done.

If the same ecg was presented to me in emergency with patient having severe chest heaviness, in that case even these small changes would be significanct and urgent 2d echo would have been done to find out the cause of ST-T changes.

ECG is always manually interpreted ,most of the comments made by machine are artifacts.
Thanks!

Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Rini (28 minutes later)
Dear mam
2d Eco also done I am uploading my eco report to u and any abnormality please review
doctor
Answered by Dr. Rini (4 minutes later)
Brief Answer:
Perfectly normal!

Detailed Answer:
Hi again,
Have seen your echo reports.
Its normal .
Your heart is perfectly normal.
Echo is much superior test to ecg, so you are free from cardiac side.

In case you have any other question you can ask it ,other wise please close the query and write a review.

Thanks.
Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Yogesh D
doctor
Answered by
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Dr. Rini

Cardiologist

Practicing since :2010

Answered : 140 Questions

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What Does The Following ECG Report Indicate?

Brief Answer: normal sinus rythm! Detailed Answer: Hi, Firstly thanks for choosing health care magic for your query. Interpretation of ecg depends on clinical symptoms of patient at the time of presentation. Ecg is the most primitive and basic test of cardiology. As per you query In inferior leads 2,3 and avf 1mm of st elevation can be seen in lead 2, for a st elevation to be significant it must be present in at least 2 continuous leads.Secondly concavity of st segment is not lost ,thirdly there in no reciprocal depression of ST segment in anterior leads(If there is ST elevation in lead representing the inferior wall then a reciprocal St depression will be seen in lead representing the opposite anterior wall). Lateral leads 1 and avL is perectly normal. In the same way anterior leads from V1 to V6 is normal, Mild j point elevation is in lead v5 but again single lead change does not make any sense. The initial criteria of lvh is QRS complex should be greater then 0.12 sec,which is normal in your case, R wave progression is normal. So, not even fulfills basic criteria of lvh. Its a perfectly normal ecg.But A 2d echo can be done to be to be more sure .As ecg is just a basic test ,if we suspect any thing or want to be fully certain then a 2d echo is done. If the same ecg was presented to me in emergency with patient having severe chest heaviness, in that case even these small changes would be significanct and urgent 2d echo would have been done to find out the cause of ST-T changes. ECG is always manually interpreted ,most of the comments made by machine are artifacts. Thanks!