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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does "consider Inferior Ischemia" Mean In ECG Report?

My boyfriend is 21. He recently landed his first job and as part of routine, he had to undergo ECG, drug test and the whole works. His ECG report stated 'consider inferior ischemia'. I googled it of course and it seems to be disturbing, I also came across some articles where they've said just 'consider inferior ischemia' can be misleading and that sometimes it's probably nothing. My bf is due for an appointment with a cardiologist next week, but I wanted to know what the situation could be. His blood sugar level and cholesterol level is normal. Please help.
Tue, 11 Oct 2016
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Neurologist,  's  Response
Hello! Myocardial ischemia is caused by coronary artery disease. Coronary arteries are the blood vessels of the heart muscle, if they are partially occluded cause ischemia, and if they are totally occluded cause infarction. Untreated ischemia leads to infarction. Nowadays, coronary artery disease, myocardial ischemia and infarction are more frequent in young adults (younger than 45) than before.The causes which may lead to ischemia are atheromatous coronary disease (hypertrigliceridemia, low HDL, with risk factors smoking, obesity and lack of physic activity), non-atheromatous coronary disease (congenital coronary anomalies, artery dissecation, heart valve infection), hypercoagulable states ( antiphospholipid syndrome, nephrotic syndrome etc), use of recreational drugs (cocaine, amphetamine, heavy use of alcohol).
In young patients this condition develops painless, unlike the over 45 patients.
Sometime there are some individual characteristics in the ECG registration which don't definitely mean a disease.
I hope i have been of help.
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What Does "consider Inferior Ischemia" Mean In ECG Report?

Hello! Myocardial ischemia is caused by coronary artery disease. Coronary arteries are the blood vessels of the heart muscle, if they are partially occluded cause ischemia, and if they are totally occluded cause infarction. Untreated ischemia leads to infarction. Nowadays, coronary artery disease, myocardial ischemia and infarction are more frequent in young adults (younger than 45) than before.The causes which may lead to ischemia are atheromatous coronary disease (hypertrigliceridemia, low HDL, with risk factors smoking, obesity and lack of physic activity), non-atheromatous coronary disease (congenital coronary anomalies, artery dissecation, heart valve infection), hypercoagulable states ( antiphospholipid syndrome, nephrotic syndrome etc), use of recreational drugs (cocaine, amphetamine, heavy use of alcohol). In young patients this condition develops painless, unlike the over 45 patients. Sometime there are some individual characteristics in the ECG registration which don t definitely mean a disease. I hope i have been of help.