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What Does This ECG Report Indicate?

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Posted on Fri, 18 Sep 2015
Question: Dear Doctor can you give your opinion on attached ECG
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Answered by Dr. Priyank Mody (53 minutes later)
Brief Answer:
It's normal variant if no symptoms or risk factors for heart problem presen

Detailed Answer:
Hello XXXXXXX I am Dr. Mody and I will be addressing your concern.
Firstly the ecg is on parts and not all leads are present so it becomes difficult to interpret, if you can send in picture frame.
However, in the leads II, III, avf there is minimal (less than 1 mm elevation), with tall T in anterior leads.
Now if you took ecg if you chacteristic chest pain with sweating and was related to exertion. I would ask you get a ecg after 6 - 12 hours to see if any change and sos a blood investigation like troponin T
However if you are 33 year guy, who doesn't have risk factor like smoking, family history for heart issue and non sedentary and active It fits more into ERS pattern and you need not worry about it as it's a normal phenomenon and no evaluation needed for the same.
Ecg Is always interpreted in terms of clinical setting for optimum help.
Otherwise just to put statistics to place, even if you had critical blockages, your ecg will be normal 40 % of time and vise versa all abnormal ecg doesn't mean there is a problem as all human body are different and so it still may be withen normal limits.
Lastly if fever or malaise is present it may be rarely pericarditis though except avr lead nothing points towards it in ecg

Regards Dr Priyank Mody, Lilavati , XXXXXXX
Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
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Answered by
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Dr. Priyank Mody

Cardiologist

Practicing since :2009

Answered : 918 Questions

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What Does This ECG Report Indicate?

Brief Answer: It's normal variant if no symptoms or risk factors for heart problem presen Detailed Answer: Hello XXXXXXX I am Dr. Mody and I will be addressing your concern. Firstly the ecg is on parts and not all leads are present so it becomes difficult to interpret, if you can send in picture frame. However, in the leads II, III, avf there is minimal (less than 1 mm elevation), with tall T in anterior leads. Now if you took ecg if you chacteristic chest pain with sweating and was related to exertion. I would ask you get a ecg after 6 - 12 hours to see if any change and sos a blood investigation like troponin T However if you are 33 year guy, who doesn't have risk factor like smoking, family history for heart issue and non sedentary and active It fits more into ERS pattern and you need not worry about it as it's a normal phenomenon and no evaluation needed for the same. Ecg Is always interpreted in terms of clinical setting for optimum help. Otherwise just to put statistics to place, even if you had critical blockages, your ecg will be normal 40 % of time and vise versa all abnormal ecg doesn't mean there is a problem as all human body are different and so it still may be withen normal limits. Lastly if fever or malaise is present it may be rarely pericarditis though except avr lead nothing points towards it in ecg Regards Dr Priyank Mody, Lilavati , XXXXXXX