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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does Sinus Rhythm Horizontal Azis Mean?

I had an ECG for a routine pre-op visit prior to major surgery (scheduled in 2 weeks) What does Sinus rhythm (slow) horizontal azis, minor inferior repolarization disturbance, condiser ischemia, LV overload or aspecific change flat or now negative T in aVF with negative T in III mean? I might mention I am 48 y/o diabetic female - obese non smoker/non drinker
Tue, 28 Apr 2015
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Internal Medicine Specialist 's  Response
Hello,
Such findings may indicate various conditions. The most acute one is ischemia. The electrocardiogram itself is not sufficient to confirm or exclude it. A compatible clinical syndrome and positive blood tests are required.
The most likely cause is either uncontrolled hypertension and/or heart muscle hypertrophy. An echo of the heart would make things more clear.
In any case you should consult your cardiologist because any single test is not enough to establish the diagnosis.

Kind regards!
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What Does Sinus Rhythm Horizontal Azis Mean?

Hello, Such findings may indicate various conditions. The most acute one is ischemia. The electrocardiogram itself is not sufficient to confirm or exclude it. A compatible clinical syndrome and positive blood tests are required. The most likely cause is either uncontrolled hypertension and/or heart muscle hypertrophy. An echo of the heart would make things more clear. In any case you should consult your cardiologist because any single test is not enough to establish the diagnosis. Kind regards!