What does this ECG report indicate?
inferior wall MI is a possibility, if symptoms present shift pt EMS
Hello , I am Dr . Mody and I would be address your concern .
An isolated review of ecg many a time leads to erroneous diagnosis and it's always wise to clinically corelate .
Two important things
What is the clinical status of the patient and if he having any active chest pain , palpitation, breathlessness.
If I only consider tge ecg .
There is ST elevation in the inferior leads 2, 3 and avf, reciprocal changes in 1 avl 50-60. .
If there is active chest pain , risk factors like smoking , drugs , hypertension, diabetes , kidney issues , family history of heart problem than
I will strongly consider shifting the patients to EMS
A inferior wall Myocardial infartion is likely possibly and it's wise to keep patient in observation .
Other things like the rhythm, pr interval , q's duration , all looks normal and so no arrythmia at present .
Considering your age is too young , a 2 d echocardiography, blood test like troponin should be done .
However in heart times is muscle , wasting more times is not wise .
Let me know if any clarification needed.
Also more details will help me help you better .
Regards Dr Priyank Mody
Yes the rhythm is regular on gross review
Hello , The small square are not exactly visible but if you are asking about the rhythm.
Yes on gross review it it Regular and the heart rate would be around 66- 68 , which too is normal .
The blood pressure mentioned is also normal .
Let me know if anything needed , I would be just on the other side .
Regards Dr Priyank Mody
He still has pains and pulse rate increasing
What is his present pulse rate , repeat ecg now if possible .
Hello , The inferior wall infartion mean a that the inferior wall of the heart is not receiving enough blood causing a small heart attack .
Some background history about the patient . His age , medical history, and risk factors , what medication he is on will help me guide you better as what medication to take now and 2 at may be the reason of his symptoms
Also If possible and repeat ecg at present as already 20 hours have passed , so if Any dynamic change in the ecg are present we can know by comparing it with the previous one you had send .
Trust me guiding you without proper history will increase your anxiety , rather than being helpful.
If any trouble typing you can video call me .
Regards Dr. Priyank Mody
Nearest hospital emergency would be ideal
If the symptoms are persistent, going to nearest hospital emergency is the best means for getting the patient evaluated as in heart attack it's important not to waste time .
Do upload the ecg so I can interpret it for you .
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