When Is An Angiography Suggested After Taking An ECG?

Posted on Mon, 30 Jul 2018

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

Mon, 30 Jul 2018 Answered on

Sat, 3 Dec 2022 Last reviewed on

Question : Dear Sir,
please suggest on the attached ECG,known case of Hypertension 73 yr/F

Answered by Dr. Sagar Makode (13 minutes later)

Brief Answer:
Needs further evaluation like Echo and may need angiography later

Detailed Answer:

Hello,

Its sinus rhythm, left axis deviation, T wave flattening and Inversion in inferior leads along Q waves suggestive of ischemic changes.

So she should undergo echo to look for regional wall motion abnormalities, and if present then she ll need angiography. If there is not regional wall motion abnormalities then should have stress test like stress thallium or CT coronary angiography.
Should be started on low dose single antiplatelet and statin. Should undergo lipid profile and sugar testing if not done recently.

Regards

Above answer was peer-reviewed by : Dr. Prasad