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Dr. Andrew Rynne

Family Physician

Exp 50 years

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dear Sir, Please assist in the attached ECG, its complication.

Answered by
Dr. Sagar Makode


Practicing since :2013

Answered : 1742 Questions

Posted on Fri, 11 Jan 2019 in Hypertension and Heart Disease
Question: dear Sir,
Please assist in the attached ECG, its complication.
suspecting for Ectopic note in L2, inverted P in L3,avf, T wave changes in L1, L2, please correct my view.
Answered by Dr. Sagar Makode 3 hours later
Brief Answer:
It's sinus rhythm with atrial ectopics

Detailed Answer:
I've reviewed the attached report...

It's sinus rhythm, with normal rate, rhythm and axis.

There is p wave inversion in lead 3, and an atrial ectopic in lead 2. T wave flattening in lead 3 which can be normally seen. No other significant St t abnormalities seen.

So, these may be age or hypertension-related change. However, better to obtain 2D-echocardiography to rule out the possibility of structural heart disease.

Hope this helps.
Please get back if you have any doubts.


Above answer was peer-reviewed by : Dr. Arnab Banerjee

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