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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Planning To Undergo General Hand Surgery, EKG Showed Probeable Anterospetal, Age Indeterm. Should I Postpone Surgery?

I am 52 yo female with a history of stoke 12-11 no side effects. Just went for pats for general hand surgery and they did a EKG with showed abnormal result: Probeable Anterospetal, age indeterm. What does this mean? and will I need emergent follow up with a Cardiologist? Does my suregery need to be postponed?. Thank-you
Mon, 25 Jun 2012
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Cardiologist 's  Response
Hello! From what you described above, it seems strongly that you have had an episode of anteroseptal wall myocardial infarction, most probably well before the attack of stroke, as you have described. Also the cause of the stroke was almost certainly due to transient thromboembolism of the cerebral arteries, the source of the thrombus being the dyskinetic myocardial portion or the atrium.

You need not worry, however as this have been an old event, but must receive a lifelong prophylactic treatment with antiplatelet agents like aspirin & clopidogrel after consultation with a cardiologist.
Thanks & take care of yourselves.
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Planning To Undergo General Hand Surgery, EKG Showed Probeable Anterospetal, Age Indeterm. Should I Postpone Surgery?

Hello! From what you described above, it seems strongly that you have had an episode of anteroseptal wall myocardial infarction, most probably well before the attack of stroke, as you have described. Also the cause of the stroke was almost certainly due to transient thromboembolism of the cerebral arteries, the source of the thrombus being the dyskinetic myocardial portion or the atrium. You need not worry, however as this have been an old event, but must receive a lifelong prophylactic treatment with antiplatelet agents like aspirin & clopidogrel after consultation with a cardiologist. Thanks & take care of yourselves.