Is ECG Showing A Tall T Waves In Anterior Leads, Incomplete RBBB Pattern And Left Axis Deviation Worrisome?

Posted on Sat, 10 Feb 2018

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Sat, 10 Feb 2018 Answered on

Thu, 6 Sep 2018 Last reviewed on

Question : Could you please analyse the ECG report and let me know the concern and solution

Answered by Dr. Sagar Makode (16 minutes later)

Brief Answer:
Please upload the ECG

Detailed Answer:
Hi,

You have not uploaded the ECG yet. Please upload it to the reports section so that I can review it.

Awaiting...

Regards

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

Follow up: Dr. Sagar Makode (11 minutes later)

uploaded.

Answered by Dr. Sagar Makode (11 minutes later)

Brief Answer:
There are certain changes

Detailed Answer:
Hello,

I have gone through your ECG. There are tall T waves in anterior leads, incomplete RBBB pattern and left axis deviation.

You have not mentioned any symptoms, so I assume you are asymptomatic and you don't have any chest pain or chest heaviness on exertion which relieves with rest, shortness of breath and don't have any other disease as well (kindly let me know if otherwise).

These changes not necessarily mean that there are any serious issues in your heart but it's better to get evaluated once.

Are you an athlete or does some heavy activities? If yes, these changes can be there.

So during the clinical evaluation, first you should get an Echocardiography done and if normal then a Treadmill test.

Hope this helps you and get back if you have any doubts.
Regards

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

Follow up: Dr. Sagar Makode (16 minutes later)

he sweats alot and eat too much fries n oily products is this due to bad food habits??

Answered by Dr. Sagar Makode (4 minutes later)

Brief Answer:
please see the detailed answer below

Detailed Answer:
Is he obese? Bad food habits alone may not cause this directly, but if he has developed some problems because of that (like obesity, hypertension, or coronary artery disease etc), then they can cause this.

Also, get his BP checked once. Since dietary habits are not good, I'd suggest getting his lipid profile, sugar and thyroid tested. He should also get evaluated clinically as I've suggested previously.

All the best.
Regards

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

Follow up: Dr. Sagar Makode (1 hour later)

he is 5'11 n healthy build. he has thyroid n bit high BP bur no sugar.

Answered by Dr. Sagar Makode (1 minute later)

Brief Answer:
Ok, high BP sometimes can cause this

Detailed Answer:

Hi,
So high BP can cause this too. Please keep track of his BP closely, it may be going high intermittently without showing any symptoms.

I'd suggest getting an electronic BP apparatus at home and have BP measurement thrice a day for a week. Echocardiography will confirm the findings. Keep thyroid under control as well with thyroxine supplements and monitoring TSH.

Take care,
Dr. Sagar Makode

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