What Is The Prognosis When An ECG Shows Changes Suggestive Of The Possibility Of Ischemic Heart Disease?

Posted on Tue, 11 Sep 2018

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

Tue, 11 Sep 2018 Answered on

Tue, 19 Apr 2022 Last reviewed on

Question : Dear Sir,
Please opine on attached ECG
46 Female without any co morbidity

Answered by Dr. Sagar Makode (-5 hours later)

Brief Answer:
NEEDS ECHO

Detailed Answer:

Hi,

It's SINUS RHYTHM with heart rate of around 75 BPM, NORMAL AXIS. There are T wave inversions in III AVF V3-6.
So these changes suggest the possibility of ISCHAEMIC HEART DISEASE. So needs echo and if normal then stress test like Stress thallium/TMT or CT coronary angiography.
However such changes may be in hypertension or with age, but possibility of ISCHAEMIC HEART DISEASE should be ruled out.

Regards

Above answer was peer-reviewed by : Dr. Vaishalee Punj