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I got EKG two months apart. What do my report show?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I am concerned about my EKG that was done two months ago. I got T1-non-specific T abnormalities, anterior lead, ST Q35ms abnormal ST-T, V5 to V6 I AVL, then now, after two months, AMIC considers anterior infarct Q more than 30mS in V2 to V5.

Please suggest.

Hello,

Welcome to icliniq.com.

I understand your concern.

Thank you for sharing your EKG (electrocardiogram) concerns. Your worry is entirely valid, and it is important to take changes like this seriously.

The findings you mentioned, including non-specific T wave abnormalities in the anterior leads and Q waves greater than 30ms in V2 to V5, may indicate possible previous damage to the anterior wall of the heart, such as an old myocardial infarction (MI), even if you did not have clear symptoms at the time.

However, EKGs can sometimes show changes that are not due to heart damage but rather to other factors like body positioning, electrolyte imbalances, or even benign variants, especially in women.

That said, the progression from non-specific T wave changes in your first EKG to Q waves suggestive of a possible anterior infarct two months later warrants further evaluation.

I strongly recommend that you follow up promptly with a cardiologist for a full assessment, including an echocardiogram to assess heart wall motion, possibly a cardiac stress test, and, if needed, advanced imaging like a cardiac MRI (magnetic resonance imaging).

Blood work, such as troponin (if symptoms are current) and lipid panels, should also be reviewed. While this may be nothing urgent, it is best to rule out silent ischemia or past cardiac injury, especially since early diagnosis and treatment can make a big difference in outcomes.

Try to stay calm, you are doing the right thing by being proactive about your heart health.

I hope this helps.

Thank you.

Medically reviewed byiCliniq medical review team

Published At November 11, 2025
Reviewed AtNovember 11, 2025

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