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Better diagnostic tool: ECG or echocardiography?

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

Patient's Query

Hi doctor,

I am a 32-year-old male. I have borderline ECG with no symptoms. Kindly give your opinion about ECG.

Answered by Dr. Muhammad Zohaib Siddiq

Hi,

Welcome to icliniq.com.

Thanks for writing in, and I understand your concern. I have gone through the reports (attachments removed to protect the patient's identity). ECG (electrocardiogram) is normal. Would you please tell me what the symptoms were when ECG was done?

Patient's Query

Hi doctor,

Thanks for the reply. I do not have any symptoms. I am a soldier, so for routine medical examination, ECG was done. Sometimes I feel a slight burning sensation in the left hypochondriac region.

Answered by Dr. Muhammad Zohaib Siddiq

Hi,

Welcome back to icliniq.com.

There is nothing to worry about. ECG findings are within the normal range.

Patient's Query

Hi doctor,

Thanks for the reply. Due to borderline ECG by machine, I had to take two more prints, which I am sending now. Does it require any further investigations like echocardiography?

Answered by Dr. Muhammad Zohaib Siddiq

Hi,

Welcome back to icliniq.com.

Both ECGs look similar. The persistence of S wave in V6 may indicate either left ventricular enlargement or right ventricular hypertrophy. Axis (97 degrees) is slightly right but well within normal limits. Yes, echocardiography can be done because echocardiography is the gold-standard test for heart anatomy while ECG is the test for the heart's electrical system. From the direction of current in ECG, we can have an idea about the heart's size, shape, and position, but direct visualization by echocardiography is the best.

Answered byDr. Muhammad Zohaib Siddiq

Medically reviewed byDr. K. Shobana

Published At January 16, 2022
Reviewed AtAugust 19, 2024

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Muhammad Zohaib Siddiq
Dr. Muhammad Zohaib Siddiq

Cardiology

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