What Does My ECG Test Report Indicate?

Posted on Sat, 19 Sep 2015

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

Sat, 19 Sep 2015 Answered on

Mon, 12 Oct 2015 Last reviewed on

Question : My ECG shows 611 T abnormality (Flat T). What dies it mean and what is the medication or treatment

My ECG shows 611 T abnormality ((Flat T). What does it mean and what is the treatment ?? I am 70 male and fit otherwise except multiple (three fractures of femur rt), ywo healed one due for bone grafting on Wednesday.

Answered by Dr. Anantharamakrishnan (14 hours later)

Brief Answer:
Likely normal variant...

Detailed Answer:
Hi friend
Welcome to Health Care Magic

It could be a normal variant
It may reflect any one of several abnormalities... like electrolytes, chamber enlargement, ischemia, muscle disease etc … etc…
Probably normal in your case, since you may be fit, having already undergone surgery in the past
It must be interpreted in toto – in relation to the rest of the ECG / AND examination as also ECHO findings. When in doubt, a stress ECG is in order… The treating doctor alone could conclude better based on total clinical picture…

Good luck
God bless you

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

Follow up: Dr. Anantharamakrishnan (2 hours later)

Hi, I have provided some attachments. Please review them.

Answered by Dr. Anantharamakrishnan (2 hours later)

Brief Answer:
Borderline changes - need further tests

Detailed Answer:
Hi

The ECG is suggestive (not conclusive) of inferior lateral wall ischemia (reduced blood supply to a portion of a heart muscle). Further investigations are needed to rule in or rule out the possibility. The ideal option is to go for a Treadmill Exercise Electrocardiogram (TMT) / Preferably with thallium isotope, it is the ideal non-invasive way to evaluate ischemia - to assess the PHYSIOLOGY (function) – to see whether the blood arriving at the heart muscle. If exercise cannot be done because of the fracture, a pharmacological stress test may be done. CT angio is non-invasive study to see the ANATOMY (structure), …
Consult your cardiologist - a small dose of aspirin (100 mg) daily and/or a beta-blocker (like Metoprolol) are generally given in such situations, until the investigations are concluded. Aspirin is to be withheld for a week, if surgery is to be undertaken. Discuss with your treating physician

Regards

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