My mom has got chest and back pain a week ago. Please interpret her ECG.

Hello,

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I have gone through the ECG report and other blood tests (attachment removed to protect patient identity). Her ECG (electrocardiography) is certainly abnormal, and it indicates that she has suffered a heart attack, which might have gone unnoticed. So she will need an echo and angiography. Her blood reports are fine except for mild elevation in triglycerides. But considering her ECG, she certainly must be having blockages in the arteries, which needs to be addressed. It is difficult to read the medications from the prescription, so please upload a picture of the medications. Anyways, she must be on Aspirin, statins like Atorvastatin or Rosuvastatin, nitrates like Isosorbide mononitrate, etc. So she will need further evaluation.

I hope this helps.

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All right, cardiac medications cannot be advised online without checking the patient in person, as they can do more harm than benefit. So she should visit any nearby cardiologist for examination and get at least medications prescribed. A doctor will advise medications accordingly. Subsequently, she will need an echo and then angiography. She should avoid stressful activities.

Hello,

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Yes, she should undergo angiography. ECG is abnormal and also echo shows abnormalities, which suggests a strong possibility of blockages in her arteries. Only angiography can definitely give the extent of blockages. As of now, the ECHO shows that the heart is mildly damaged by the blockages, and that does not means it is a minor case. As you never know when it would turn severe and cause a heart attack or arrest. Things are difficult to be undone once suffered a cardiac arrest. It is very fortunate that she got ample time and the first attack was not that severe to damage her heart significantly. Medications do not reverse the blockages, they can only slow down the progression of the disease or reduces the risk of sudden heart attack, but not always cent percent effective in preventing heart attack.

So she should undergo angiography to get a clear idea of the disease and future management.

Hello,

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Take care.