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What Does This ECG Report Indicate?

Posted on Wed, 14 Sep 2016

Question: My ECG report shows ..
Rate 55
PR 142
QRSD 98
QT 437
QTc 418
Sinus rhythm, borderline right axis deviation, ST elevation, consider anterior injury

Axis---
P 38
QRS 94
T 18
12 lead, standard placement
comment - Abnormal ECG, Unconfirmed diagnostic

Want to understand interpretation this report...why it is an Abnormal ECG and what the remedy of anterior injury
Like to inform you that I am a Diabetic patient for the past 15 years and under medication (Januvia 100 mg - once a day and Cetapin 1000 mg - twice a day).

Glucose test done on 23/8/2016
Fasting - 121
Post prandial - 72

HbA1C - 6.7 (as on 22/4/16). Prior HbA1C has been similar below 7.
Submitted blood sample for retest on 23/8/16, awaiting test results today

Answered by Dr. Prof. Kunal Saha (2 hours later)

Brief Answer:
CT coronary angiogram advisable.

Detailed Answer:
Thanks for asking on HealthcareMagic.

I have gone through the ECG and the details provided. Prolonged diabetes increases cardiovascular risk factors and places you at a higher risk of getting angina (pain due to poor blood supply to heart) or even heart attack. Although the ST elevation is not high, a ST elevation otherwise could indicate a heart attack and therefore calls for further workup. It is apparent from the details that the inadequacy of blood flow is in the anterior wall of the heart and is thus causing ischemic injury there. You need to undergo a CT Coronary Angiogram which will indicate the exact condition of the blood vessels supplying your heart. Based on the degree of blockage, if any, further interventions can be planned. A suitable intervention will reduce the probability of getting chest pains or heart attack and will reduce the anterior injury already caused.

Let me know if I could help further.

Regards

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

Follow up: Dr. Prof. Kunal Saha (25 hours later)

Thank you Dr Saha for your advice. Quite surprised that my doctor didn't communicate the same message, instead he said nothing serious and advised me to take Quogreas and MyloNerv. Would you suggest me consulting another specialist doctor and get the get the CT scan done.?
By the way, I am having headache, feel very tired and do not feel fresh even after a good night sleep.request you advice about suitable specialist doctor I should consult.

Answered by Dr. Prof. Kunal Saha (38 minutes later)

Brief Answer:
You are presently fine but the underlying condition needs evaluation.

Detailed Answer:
I do not say that your doctor is wrong. Only that I am a bit more protective and would like to be careful. Although the present situation is indeed fine, I find certain risk factors that need to be kept in consideration. A CT scan is different from a CT coronary angiogram. The latter is a non invasive procedure and hence more preferable compared to the conventional angiogram wherein a catheter is inserted.

The headache could be due to the medicines. It is a common side effect that you need to bear.

Any cardiologist would be able to treat you. So, you can feel free to see one.

Regards

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

Follow up: Dr. Prof. Kunal Saha (39 minutes later)

Thank you Dr. Saha for your kind advice

Answered by Dr. Prof. Kunal Saha (1 hour later)

Brief Answer:
Glad to be of service

Detailed Answer:
Do not hesitate to contact me back directly if you ever have a health related query in the future.

Wish you all the best.

Regards

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

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