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Suggest Treatment For First Degree Atrioventricular Block
Question: what does it mean to have first degree av block, probable anteroseptal infarct, old ventricular bigeminy and borderline t wave abnormalities?
YYYY@YYYY
YYYY@YYYY
Brief Answer:
I would suggest as follows:
Detailed Answer:
Hello!
Thank you for asking on HCM!
Regarding your question, I would like to explain that a first degree AV block doesn't mean any dangerous heart conditions. You don't have to worry about that! No therapeutic options are indicated for this conductance disturbance, besides a careful and repeated observation by ECG.
Regarding a probable anteroseptal infarct (which seems to be an ECG machine conclusion), I think that it should be reviewed by a cardiologist evaluation, as machines are full of artefacts and trivial definitions.
Please could you upload your ECG for an expert opinion?
Regarding borderline T wave abnormalities, I would recommend also a review by an expert eye (Please upload your ECG!). There are many T wave alterations, some of them are specific markers of myocardial ischemia, other are nonspecific and lack sufficient accuracy for a prompt diagnostic conclusion.
Ventricular bigeminy may be a sign of ischemic heart disease, or a separated rhythm disorder. In each case, a careful evaluation should be done by an ambulatory 24 to 48 hours ECG monitoring, to perform a quantitative measurement of this abnormality and to draw the right therapeutical conclusion.
At the end, I would explain that the overall picture offered by your ECG (first degree AV block, suspicion of infarct, ventricular bigeminy, and probable T wave changes), raises strong suspicions for an ischemic heart disease.
A correlation with the clinical picture (clinical signs and symptoms) is necessary to arrive to the right conclusion.
So, I would suggest you to describe first your medical history (including recent complains), to upload your ECG and other probalby already performed tests, and perform an ambulatory ECG monitoring (Holter).
I would like to let you know that ECG is a useful tool to confirm several cardiac disorders, but not always may exclude them with a great certainty (especially when nothing wrong results from a single ECG). It should be always correlated with the symptomatology.
Hope to have been helpful!
Feel free to ask me whenever you need. Greetings! Dr. Iliri
I would suggest as follows:
Detailed Answer:
Hello!
Thank you for asking on HCM!
Regarding your question, I would like to explain that a first degree AV block doesn't mean any dangerous heart conditions. You don't have to worry about that! No therapeutic options are indicated for this conductance disturbance, besides a careful and repeated observation by ECG.
Regarding a probable anteroseptal infarct (which seems to be an ECG machine conclusion), I think that it should be reviewed by a cardiologist evaluation, as machines are full of artefacts and trivial definitions.
Please could you upload your ECG for an expert opinion?
Regarding borderline T wave abnormalities, I would recommend also a review by an expert eye (Please upload your ECG!). There are many T wave alterations, some of them are specific markers of myocardial ischemia, other are nonspecific and lack sufficient accuracy for a prompt diagnostic conclusion.
Ventricular bigeminy may be a sign of ischemic heart disease, or a separated rhythm disorder. In each case, a careful evaluation should be done by an ambulatory 24 to 48 hours ECG monitoring, to perform a quantitative measurement of this abnormality and to draw the right therapeutical conclusion.
At the end, I would explain that the overall picture offered by your ECG (first degree AV block, suspicion of infarct, ventricular bigeminy, and probable T wave changes), raises strong suspicions for an ischemic heart disease.
A correlation with the clinical picture (clinical signs and symptoms) is necessary to arrive to the right conclusion.
So, I would suggest you to describe first your medical history (including recent complains), to upload your ECG and other probalby already performed tests, and perform an ambulatory ECG monitoring (Holter).
I would like to let you know that ECG is a useful tool to confirm several cardiac disorders, but not always may exclude them with a great certainty (especially when nothing wrong results from a single ECG). It should be always correlated with the symptomatology.
Hope to have been helpful!
Feel free to ask me whenever you need. Greetings! Dr. Iliri
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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