Q. Please read my ECG and tell me the abnormalities.

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I have thoroughly reviewed your query and can well understand your concerns.

In such an EKG where not much abnormality is apparent, physical examination and clinical correlation become more valuable. It may be normal or near normal EKG. At some points in some leads it shows little deviation from normal patterns but at the same time, it does not fit into typical abnormalities. In simple words, your physician should have gone for a physical examination in order to establish a clinical evaluation of the heart. Based on that evaluation, we can say if there is anything wrong or not. Merely looking at this part of EKG (attachment removed to protect patient identity) nothing much can be said with surety. Also, the EKG machine can say it is abnormal EKG even with a slight artifact or error (even on a normal heart). That is why clinical correlation is mandatory here.

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If it was an abnormal EKG pattern, the more or less it might be a blockage (RBBB- right bundle branch block) or (Brugada type 3) but again it is not a diagnosis here. Other parameters of blockage should also be sorted out in order to declare it a blockage (partial or complete). Your Physician can go for several aspects in this clinical evaluation including but not limited to signs and symptoms of disease (for example, pain in the chest), echocardiogram, angiogram (both if needed). Sometimes, EKG findings can overlap too in electrical myocardial events Vs blockage issues. Further workup reveals the right possibility.