What Does My ECG Report Indicate?

Posted on Thu, 10 Aug 2017

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

Thu, 10 Aug 2017 Answered on

Thu, 7 Sep 2017 Last reviewed on

Question : I am already a kidney recipient four years back.Got angina pain with high blood pressure & had to be admitted and discharged with medication after 4 days. but no angiography done.

Last ECG REPORT SAYS 800: SINUS RHYTHM
734: SUSPECT ANTEROSEPTAL MYOCARDIAL INFARCTION (V3)
762: LATERAL MYOCARDIAL INFARCTION POSSIBLE (I, aVL, V5, V6)
753: INFERIOR MYOCARDIAL INFARCTION (II, III
what type of CAD it signifies ? Is it heart block?
Should I volunteer to get angiography?

Answered by Dr. Prof. Kunal Saha (2 hours later)

Brief Answer:
The severity of your symptoms is the determinant

Detailed Answer:
Thanks for asking on HealthcareMagic.

I have gone carefully through your query and understand your concerns. CAD stands for Coronary artery disease, the same thing as ischemia which is responsible for the angina. It is not heart block. Heart block refers to electrical block in the heart. CAD refers to partial or total blockage in the blood supply of the heart.

The answer to whether you should volunteer for an angiogram depends on the severity of your symptoms. If you feel them to be severe enough to call for interventions like angioplasty or bypass surgery, you should volunteer for an angiogram. However, if you feel that no active intervention is likely to be immediately needed, it might be advisable to hold off the angiogram.

Let me know if I could help further.

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Prof. Kunal Saha (19 hours later)

doctor has not told anything about angiography and i didnot think it to ask. Is CT angiography est non invasive if i volunteer to know myself ?

By seeing the ecg report, what disease or specific medical diagnosis is there to term by your perception?

Answered by Dr. Prof. Kunal Saha (9 hours later)

Brief Answer:
Severity of symptoms would be the guiding factor

Detailed Answer:
Thanks for writing back. Sorry for the inadvertent delay in responding. Even though CT angiography is a non-invasive test, the purpose of this test is to decide whether you need any intervention. It is evident that you have a coronary artery disease (due to your past history of myocardial infarction). The issue is whether you need any active intervention at present. Unless your present symptoms are severe enough, getting a CT angiogram will only push you toward a bypass or angioplasty. I do not see its justification at the moment. In other words, I would let the severity of symptoms to be the guiding factor.

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar