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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Profuse Sweating After Playing, ECG Showed Inferior Ischemia, Abnormal ECG. Meaning?

I am a black male. 61 years old, 6 0, 225 lbs, I am very active and play table tennis 8-15 hours per week. the intensity level is such that a am tottally soaked with sweat after the first 30 minutes of play during each session. I have been sedentary and crippled, for three months, due to back injury . During the pre-op work up for a major spinal surgery, i recieved a ECG with the following notations: Sinus rhythm with marked sinus arrhythmia ST & T wave abnormality, consider inferior ischemia, Abnormal ECG. Vent. rate 72 bpm, PR interval 166 ms. QRS duration 82 ms, QT/QTc 406/444 ms, P-R-T axes 76 -21 -70 . What does this mean? Can I go ahead with surgery, and what do I need to do to improve this?
Wed, 23 Jan 2013
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Cardiac Surgeon,  's  Response
Hi,
If there are some ECG changes, they will indicate that the blood supply to the heart(part of it) is reduced. TMT test will tell you whather you have any such ischemia.
But in your case, because of back problem, TMT can not be adviced. Only way out is coronary angiogram, which is a safe procedure and will give definitive results.
Before undergoing spinal surgery the cardiologist opinion and clearance(fitness) is better.
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Profuse Sweating After Playing, ECG Showed Inferior Ischemia, Abnormal ECG. Meaning?

Hi, If there are some ECG changes, they will indicate that the blood supply to the heart(part of it) is reduced. TMT test will tell you whather you have any such ischemia. But in your case, because of back problem, TMT can not be adviced. Only way out is coronary angiogram, which is a safe procedure and will give definitive results. Before undergoing spinal surgery the cardiologist opinion and clearance(fitness) is better.