Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

160 Doctors Online
Doctor Image
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

What does this ECG report indicate?

Answered by
Dr.
Dr. Ilir Sharka

Cardiologist

Practicing since :2001

Answered : 5755 Questions

default
Posted on Thu, 19 Apr 2018 in Hypertension and Heart Disease
Question: I am 65 years of age - my ekg came back -
Sinus rhythm : Anteroseptal infarct old
Mean?
Should have ask my dr - XXXX
doctor
Answered by Dr. Ilir Sharka 50 minutes later
Brief Answer:
A differential diagnosis should be done.

Detailed Answer:
Hello!

Welcome on HCM!

Regarding your concern, I would like to explain that your ECG recordings may show signs similar to a previous myocardial infarction (heart muscle damage due to inadequate blood supply), but this conclusion is drawn by a rigid ECG machine software and I have to confirm you that not rarely this kind of software lacks sufficient accuracy.

The fact your ECG conclusion is old anteroseptal infarct should be carefully differentiated with several potential causes that may lead to similar pattern, such as left ventricular hypertrophy (increased inter-ventricular septa thickness), chronic pulmonary disorders, inter-ventricular cardiac conductance disorders, etc.

This differential diagnosis should be done especially if don't have a history of chest angina or equivalent clinical symptomatology and your actual cardiac tests (cardiac ultrasound, stress test) have resulted normal.

Coming to this point, I would like to directly review your medical tests (including your ECG, cardiac ECHO, cardiac stress test, etc.) and also your eventual clinical complaints if any, in order to give a more professional opinion.

Do you have any coronary risk factors, besides your family history?

Do you suffer from hypertension, diabetes, dyslipidemia, cigarette smoke, etc.?

If you haven't ever experienced chest pain, shortness of breath and no ever detected laboratory elevated cardiac tests (cardiac enzymes CK-MB, Troponin), it is quite possible that your ECG pattern mimicking an old myocardial infarction be in fact another responsible health issue.

Anyway, you shouldn't worry about this isolated ECG finding, because only an ECG conclusion would be insufficient to come to a clinical diagnosis and furthermore, if suspicions were raised your doctor would have let you know his opinion.

You need to discuss with your attending doctor on the above mentioned issues.

Hope to have been helpful to you!

I remain to your disposal for any further available information and discussions.

Kind regards,

Dr. Iliri

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Ilir Sharka 3 hours later
Thank you Dr. Very helpful - I will talk to my doctor/ I have a strong family history of heart disease - been on Blood Pressure Medicine since I was in my 30’s - my dad started in his early 40’s - but this was before the years of statins -
I am blessed to live now/ have always watched my diet and fat intake etc.
But now at 65 I have cholesterol issues/ sticky type like his.

I am still working - active / but have had some mild symptoms- fatigue/ etc.. endurance not as great / I get winded but not until say 40 minutes into a walk /

I have been cleared for abdominal aneurysms of which he suffered from:( none -

So you see?

I am blessed to still be active, working/ he was not so lucky .

Well thank you for explaining all of that!

Have a Blessed Eve!

XXXX
doctor
Answered by Dr. Ilir Sharka 8 hours later
Brief Answer:
My opinion as follows:

Detailed Answer:
Hello again, Dear XXXX!

It seems that you are on the right direction, following a healthy life-style with a lot of daily physical activity and a balanced diet.

Your physical endurance seems to be compatible with your age.

Properly controlling the modifiable coronary risk factors like hypertension, dyslipidemia, possible glucose metabolism disorder, avoiding close smoking contact (an important risk factor known for its adverse effects on aortic dilation) could lead you to a healthy and long life similar to individual without such a prominent cardiovascular family history.

In case you have any available cardiac tests report I would be glad to review them here on HCM and give a second professional opinion.

I remain at your disposal for any further discussions whenever you will need.

Kind regards,

Dr. Iliri

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

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,   ,   ,   ,   ,  
Lab Tests

Recent questions on  Chest pain

doctor1 MD

Hi. A couple of days ago I awoke and started experiencing pain in my chest when I would swallow. The pain is located to the left of my right breast and feels like I could have a scratch on my esophagus. It hasn t gotten better and the pain has become a dull throb throughout the day. Having such a strong family history of cancer, along with a whole host of other problems, it makes me worry that I may be ignoring something that could be serious. I m 33 years old, a diabetic with good sugar control, but I smoke. How long should I let this condition continue before seeing my family doctor? If it is a scratch or ulcer on the esophagus, how long does it usually take to heal? And is there anything I could be doing to help it heal faster? Thank you for your time, Melissa

doctor1 MD

Hello, my name is Dianne. I have suffered from hypertension for over 6 years. Several medications did not work. My right kidney was removed in November of last year. My bp came down. I am now on only 200 mg of labatalol 2 times daily. I has been increasing. About two weeks ago I experienced and was treated for bronchitis with Z-pack then started Cipro three days ago. However, I am extremely out of breathe now and have muscle pain from my upper neck to my lower back. It feels as though I am bruised to the point I cant even wear a bra. I have tightness in my chest just to the left side. I also feel very tired and have been unable to work because of this and have gained 6 pounds in just a weeks time. Could this possibly be from my kidney. The last test showed 74% function of the remaining kidney. That was in January, It took two er visits with the chest pain for them to say it was bronchitis.

doctor1 MD

hi my daughter is 10 years old.she has urine infection since last two weeks .she feels burning while passing urine with blood.she also had puss cells 20-30.she had urine infection two months ago also.after recovery again same problem.what to do?now she is having chest pain.

doctor1 MD

I am writing about my 14 year old son, who has been ill repeatedly 4 times for the past 7 weeks. He s been on antibiotics all 4 times, struggles to recover until his antibiotics are nearly gone, finally feels better for a few days and then gets it again. We are wondering if it is valley fever. Can that come with congestion/sinus symptoms? He s been diagnosed with sinus infections each time, but develops not only significant congestion/sinus symtpoms, but also chest pain, horrible coughing, fatigue, sore throat, and is miserable. He has faithfully taken not only strong antibiotics, but prescription strength cough syrup/decongestant, Flonase nasal spray, Zyrtec once a day, and breathing treatments up to 4 times a day, along with vitamin C and lots of fluids. He is otherwise very healthy, but his doctor is concerned that perhaps it is not really sinus infections he has had. I cannot find on the internet where there is a connection between congestion/sinus symptoms and Valley Fever - curious about that as others have asked if he has been tested for it. We live in Phoenix. As a young child he had repeated ear infections, but 4 years ago at age 10 he had his tonsils and adenoids removed, tubes in his ears, and a major sinus surgery. He has been very healthy ever since until now. Any ideas? Thank you verey much!

doctor1 MD

getting pain in some parts of chest in random time any type of injections for D3 and B12 and dose for same as per reports

doctor1 MD

I started having symptoms about 7 weeks ago. Head congestion, then chest congestion, some fever, a cough, shortness of breath , and now pain in my chest under my left breast. (always after eating or drinking and random, when not, pain is worse...

doctor1 MD

i. I am 30 year old obese when I tried to laugh too hard had strange feeling in head for a second.later next day I laughed even harder this time felt like head was holding or dizzy kind of like passing out it stopped when I stoped laughing feeling...