Dr. Isaac Gana
Cardiology
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hello doctor,
I underwent a medical examination for insurance purposes two days ago, during which the ECG results indicated readings of LBBB (left bundle branch block), premature ventricular contractions, severe bradycardia, and anteroseptal infarct. I suspect the accuracy of the results is due to possible issues with their ECG machine or improperly placed leads. Considering this, I sought an alternative facility to conduct a reevaluation. Your assistance in reviewing this matter would be greatly appreciated.
In terms of my current medication, prior to the recent ECG, I had taken Diazepam overnight in response to the distressing news heard two days ago, along with Ibuprofen for an associated discomfort. Kindly help.
Thank you.
Hi,
Welcome to icliniq.com.
Thank you for your query.
Upon reviewing your ECG(attachments removed to protect the patient’s identity), I observed only minor ST elevation changes in aVR. However, this outcome alone does not provide sufficient evidence for a definitive conclusion. Given my understanding of the challenges associated with inconsistent test results, particularly as a doctor, I concur that a heart rate of 65 bpm does not signify bradycardia, and there is no apparent indication of LBBB (left bundle branch block). In light of this, I recommend repeating the ECG at a reputable medical center, especially if you are experiencing any symptoms. This would provide a more accurate assessment of your cardiac health.
I hope my advice will be helpful. Feel free to reach out if you have any further queries.
Thank you.
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Cardiology
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