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What Does This Electrocardiogram Report Indicate?

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Posted on Sun, 11 Sep 2016
Twitter Sun, 11 Sep 2016 Answered on
Twitter Mon, 3 Oct 2016 Last reviewed on
Question : Hello dr can you comment on this attached ecg it pertain to one of my friend

His bp was 150/90
profuse sweating from 2 days
doctor
Answered by Dr. Sukhvinder Singh (1 hour later)
Brief Answer:
Please see detailed advise.

Detailed Answer:
Dear Sir
The ECG shows normal sinus rhythm with heart rate of ~75 bpm, normal PR interval, normal QRS duration, normal axis, normal P waves, normal progression of QRS complex in precordial leads, minimal T wave inversion in aVL, no significant ST/Q wave changes.
Although the ECG does not show any marked changes, a Single ECG has limited value in diagnosing or ruling out a cardiac condition. Since your friend is symptomatic he must see a physician in emergency room (ER). If his clinical examination is also normal and his symptoms do not appear alarming to the treating doctor, only then the ECG has its relevance. Any ECG has to be interpreted in light of symptoms and clinical findings. An ECG is reassuring only if clinical symptoms are not alarming and examination is normal.
Similarly a single high value of blood pressure can not be used to take a decision.
Feel free to discuss further if there is any other issue.
Sincerely
Sukhvinder

Above answer was peer-reviewed by : Dr. Prasad
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Answered by
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Dr. Sukhvinder Singh

Cardiologist

Practicing since :1998

Answered : 1306 Questions

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What Does This Electrocardiogram Report Indicate?

Brief Answer: Please see detailed advise. Detailed Answer: Dear Sir The ECG shows normal sinus rhythm with heart rate of ~75 bpm, normal PR interval, normal QRS duration, normal axis, normal P waves, normal progression of QRS complex in precordial leads, minimal T wave inversion in aVL, no significant ST/Q wave changes. Although the ECG does not show any marked changes, a Single ECG has limited value in diagnosing or ruling out a cardiac condition. Since your friend is symptomatic he must see a physician in emergency room (ER). If his clinical examination is also normal and his symptoms do not appear alarming to the treating doctor, only then the ECG has its relevance. Any ECG has to be interpreted in light of symptoms and clinical findings. An ECG is reassuring only if clinical symptoms are not alarming and examination is normal. Similarly a single high value of blood pressure can not be used to take a decision. Feel free to discuss further if there is any other issue. Sincerely Sukhvinder