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Is the QRS contour abnormal for a patient with severe diabetes?

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

Patient's Query

Hi doctor,

My father experienced chest pain and back pain two days ago. He is 74 years old and diabetic. His BP was 130/84 mmHg, and he takes medicine for high BP. His pulse rate was 95 beats per minute. His fasting sugar reading is 126 mg/dL, and his PP is 154 mg/dL with medication. We went for an ECG, and something was written on the graph, such as sinus rhythm, left atrial abnormality, leftward axis, QRS (T) contour abnormality, and considered inferior infarct. However, in the handwritten report, the doctor wrote the conclusion as normal. What can we conclude from this? Is there anything to be done? Please help.

Thank you.

Hi,

Welcome to icliniq.com.

Your doctor has done the right thing. All those abnormalities mentioned by the ECG (echocardiogram) machine, including the so-called inferior infarct, are a consequence of hypertension (attachment removed to protect patient identity). The final call on the ECG has to be taken by the treating physician, which your doctor has done.

I hope this helps.

Please revert so I can assist you further.

Thank you.

Investigations to be done

Do echocardiogram and treadmill test (TMT) to rule out coronary artery disease.

Probable diagnosis

The probable diagnosis is essential hypertension.

Treatment plan

The treatment plan is to follow strict anti-hypertensive control and we may need to add beta blockers, if there is angina.

Preventive measures

The preventive measures are taking low fat and cholesterol diet and advise quit smoking if he is a smoker.

Medically reviewed byDr. K. Shobana

Published At October 4, 2017
Reviewed AtSeptember 26, 2024

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