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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Sinus Arrhythmia With Precordial Repolarization In The ECG. Ischemia Suspected. What Does It Mean?

I just had 2 ECG done today the first one reads sinus arrhythmia marked extensive precordial repolarization disturbance, consider ischemia , LV overload and/ or digitalis, large negative T in V2 V3 with negative T in V4 V5 with small negative T in V6 time done at was 1:01 pm. The second ECG reads sinus arrhythmia marked right-and-mid -precordial repolarization disturbance, consider ischemia or LV overload, large negative T in V2 V3 with negative T in V4 V5 time done at 1:05 pm. What do these tow ECG mean, can you please explain both of them to me please.
Sat, 29 Dec 2012
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Cardiologist 's  Response
Hi,
Welcome to HCM ,
our heart rate varies little beat with our inspiration and expiration when these variability cross normal range it called as sinus arrhythmia ,
in ECG we see two activity of heart electrical system depolarization and re polarization ,
if heart muscle not get enough blood supply means ischemia is there than there will be abnormality in re polarization and T wave changes occur ,
apart from ischemia many other abnormality also can cause re polarization and t wave changes
i advised you to consult cardiologist and get evaluated for same
take care
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Sinus Arrhythmia With Precordial Repolarization In The ECG. Ischemia Suspected. What Does It Mean?

Hi, Welcome to HCM , our heart rate varies little beat with our inspiration and expiration when these variability cross normal range it called as sinus arrhythmia , in ECG we see two activity of heart electrical system depolarization and re polarization , if heart muscle not get enough blood supply means ischemia is there than there will be abnormality in re polarization and T wave changes occur , apart from ischemia many other abnormality also can cause re polarization and t wave changes i advised you to consult cardiologist and get evaluated for same take care