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What Does This ECG Report While Suffering From Anxiety Indicate?

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Posted on Thu, 30 Jul 2015
Question: I had an ECG this morning showing septal infarct which the second time, sinus rhythm slow, short pr interval. I am going to be seeing a cardio doc. My question is, I have getting more anxiety since, how serious is this?
doctor
Answered by Dr. Ilir Sharka (42 minutes later)
Brief Answer:
A direct ECG review is necessary.

Detailed Answer:
Hello!

Thank you for asking on HCM!

Regarding your concern, I would like to explain that as far as you have not had any cardiac related symptoms and there is no previous ECG to confirm nrw dynamic changes, there is nothing to worry about.

ECG machine interpretations are full of artefacts.
So, a doctor review, as well as correlation with your clinical status are necessary.

Could you please upload your ECG records for a medical review?

Hope to have been helpful to you!

Feel free to ask me whenever you need! Greetings! Dr. Iliri
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Ilir Sharka (51 minutes later)
Here is ecg done at doc office
doctor
Answered by Dr. Ilir Sharka (1 hour later)
Brief Answer:
A comprehensive differential diagnosis is necessary.

Detailed Answer:

Hello again!

I reviewed closely your uploaded ECG, and I would say that:

There are some elements (low QRS amplitude in V2; nonspecific QRS widening 110-120 ms; presence of q wave in V2, but absence of normal q wave in V5, V6; leftward QRS transitional zone between V4 - V5), which make septal infarct hypothesis unreliable.

PR interval is OK.

This ECG pattern makes necessary a differential diagnosis between several options like:

1. Hypertrophic cardiomyopathy
2. Pulmonary disease
3. Septal fascicular intraventricular block
4. Ischemic heart disease

For better discrimination between these options, a comprehensive correlation with your possible symptomatology, physical exam, lab tests and cardiac ultrasound is necessary.

Meanwhile, I would advise to relax and wait your cardiologist appointment, for performing the above mentioned diagnostic work up, and finally clarifying the exact reason of your ECG pattern.

Hope to have been helpful!

Best regards,

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

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

Cardiologist

Practicing since :2001

Answered : 9540 Questions

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What Does This ECG Report While Suffering From Anxiety Indicate?

Brief Answer: A direct ECG review is necessary. Detailed Answer: Hello! Thank you for asking on HCM! Regarding your concern, I would like to explain that as far as you have not had any cardiac related symptoms and there is no previous ECG to confirm nrw dynamic changes, there is nothing to worry about. ECG machine interpretations are full of artefacts. So, a doctor review, as well as correlation with your clinical status are necessary. Could you please upload your ECG records for a medical review? Hope to have been helpful to you! Feel free to ask me whenever you need! Greetings! Dr. Iliri