How accurate are machine-generated ECG reports?

Question

Hello doctor,

I am a 41-year-old male pilot who needs a medical certificate and has been required to undergo an EKG. I have controlled hypertension, managed with 10 mg of Propranolol and 10 mg of Lisinopril daily. My blood pressure is 117/70 mmHg, and my heart rate is 66 BPM. I have never experienced symptoms of chest pain or shortness of breath.

During a routine visit yesterday, I asked the physician's assistant for a 12-lead EKG, as I heard it was a good precautionary measure. Although I have never had any symptoms and am slightly overweight, my blood pressure remains stable with my current medications. However, I received an abnormal EKG result, indicating "abnormal old anterior infarct," and I was asked if I had ever experienced heart attack symptoms.

I have a copy of the EKG, which is machine-printed. I have an appointment with a cardiologist next week, but I am feeling quite anxious in the meantime. Should I be worried?

Please advise.

Answer 1

Hello,

Welcome to icliniq.com.

The interpretation you received was from a machine, which can sometimes be misleading. Your (attachments removed to protect the patient’s identity) ECG (electrocardiogram) is fine; however, it is a good idea to get another ECG for final confirmation.

Regards.

Answer 2

Hello,

Welcome back to icliniq.com.

Yes, your ECG (electrocardiogram) is normal. However, be sure to get an echocardiogram done before your visit with the cardiologist, as he will likely recommend it.

Thanks and regards.