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Is Slight Left-precordial Repolarization Disturbance Mentioned In An ECG Report A Concern?
Posted on
Fri, 29 Jun 2018
Medically reviewed by
Ask A Doctor - 24x7 Medical Review Team
Thu, 28 Jun 2018
Answered on
Thu, 3 Feb 2022
Last reviewed on
Question : Had an ECG today because of chest discomfort. Provider said it looked "ok"
I got a copy of it and it says " slight left-precordial replorarization disturbance, consider ischemia, LV overload or aspecific change"
Is that something I actually need to get investigated further?
I got a copy of it and it says " slight left-precordial replorarization disturbance, consider ischemia, LV overload or aspecific change"
Is that something I actually need to get investigated further?
Brief Answer:
I would explain as follows:
Detailed Answer:
Hello,
ECG findings should be considered based on the patient symptomatology (chest pain) and should be also correlated with the changes in the cardiac enzymes.
Did they take a blood test to measure cardiac enzymes ?
I would like to directly review your ECG images for a more professional opinion.
Anyway, based on this report and the fact that you are experiencing chest pain, I would recommend performing an exercise cardiac stress test to investigate for possible coronary artery disease.
Hope to have been helpful!
I remain at your disposal for any further questions whenever you need!
Kind regards,
Dr. Iliri
I would explain as follows:
Detailed Answer:
Hello,
ECG findings should be considered based on the patient symptomatology (chest pain) and should be also correlated with the changes in the cardiac enzymes.
Did they take a blood test to measure cardiac enzymes ?
I would like to directly review your ECG images for a more professional opinion.
Anyway, based on this report and the fact that you are experiencing chest pain, I would recommend performing an exercise cardiac stress test to investigate for possible coronary artery disease.
Hope to have been helpful!
I remain at your disposal for any further questions whenever you need!
Kind regards,
Dr. Iliri
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
No others tests were administered.
How do I send the photo of the ECG for you to view?
How do I send the photo of the ECG for you to view?
Brief Answer:
Opinion as follows:
Detailed Answer:
Hello again!
I reviewed your uploaded ECG and would explain that there are some slight ST segment depressions on the precordial leads V3-V6 and also limbs lead DII, DII and aVF.
These changes are nonspecific and further correlation with the cardiac structure (by means of cardiac ultrasound) and symptomatology is required to conclude on their significance.
If no suggestive structural abnormalities are present and especially in case you have coronary risk factors (like dyslipidemia, heredity for coronary artery disease, hypertension, diabetes, smoking contact, etc.) I would recommend the alternative of exercise cardiac stress test.
That's my professional opinion.
Please, let me know in case of any further questions, you may have!
Regards,
Dr. Iliri
Opinion as follows:
Detailed Answer:
Hello again!
I reviewed your uploaded ECG and would explain that there are some slight ST segment depressions on the precordial leads V3-V6 and also limbs lead DII, DII and aVF.
These changes are nonspecific and further correlation with the cardiac structure (by means of cardiac ultrasound) and symptomatology is required to conclude on their significance.
If no suggestive structural abnormalities are present and especially in case you have coronary risk factors (like dyslipidemia, heredity for coronary artery disease, hypertension, diabetes, smoking contact, etc.) I would recommend the alternative of exercise cardiac stress test.
That's my professional opinion.
Please, let me know in case of any further questions, you may have!
Regards,
Dr. Iliri
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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