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When Would An ECG Test Need To Be Repeated?

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Posted on Mon, 13 Aug 2018
Twitter Mon, 13 Aug 2018 Answered on
Twitter Thu, 24 Mar 2022 Last reviewed on
Question : Please opine on attached ECG
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Answered by Dr. Sagar Makode (31 minutes later)
Brief Answer:
Needs repeat Ecg and echo

Detailed Answer:

Hello,

I have gone through the Ecg. Rate, rhythm and axis are fine.
However, there T wave inversions in Lead AVL, and V6, which is suggestive of possible ischemia. So he ll need echo and if echo is normal then should have stress test done.
However, before this Ecg should be repeated once as there is abrupt change in Ecg pattern in Lead V6 from V5 which is unusua, and pattern is similar to that in other leads like AVL, and AVR. So this raises the possibility of lead misplacement. So a repeat Ecg should be done and if similar pattern persists then further steps as I advised above.

Hope this helps you and get back if you have any doubts.
Above answer was peer-reviewed by : Dr. Vaishalee Punj
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Answered by
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Dr. Sagar Makode

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Practicing since :2013

Answered : 1866 Questions

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When Would An ECG Test Need To Be Repeated?

Brief Answer: Needs repeat Ecg and echo Detailed Answer: Hello, I have gone through the Ecg. Rate, rhythm and axis are fine. However, there T wave inversions in Lead AVL, and V6, which is suggestive of possible ischemia. So he ll need echo and if echo is normal then should have stress test done. However, before this Ecg should be repeated once as there is abrupt change in Ecg pattern in Lead V6 from V5 which is unusua, and pattern is similar to that in other leads like AVL, and AVR. So this raises the possibility of lead misplacement. So a repeat Ecg should be done and if similar pattern persists then further steps as I advised above. Hope this helps you and get back if you have any doubts.