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

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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.
Answered by Dr. Vivek S Narayan Pillai

Education:

DM

Professional Bio:

Dr. Vivek S. Narayan Pillai is a skilled Cardiologist with expertise in diagnosing and treating heart conditions such as hypertension, coronary artery disease, arrhythmias, and heart failure. He is proficient in advanced cardiac diagnostics, including ECG, echocardiography, and stress testing. Known for his patient-centered approach, Dr. Pillai is dedicated to providing evidence-based cardiac care to improve heart health and overall well-being.

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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 by Dr. K. Shobana
Published At October 4, 2017
Reviewed At September 26, 2024

Education:

DM

Professional Bio:

Dr. Vivek S. Narayan Pillai is a skilled Cardiologist with expertise in diagnosing and treating heart conditions such as hypertension, coronary artery disease, arrhythmias, and heart failure. He is proficient in advanced cardiac diagnostics, including ECG, echocardiography, and stress testing. Known for his patient-centered approach, Dr. Pillai is dedicated to providing evidence-based cardiac care to improve heart health and overall well-being.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Education:

BDS

Professional Bio:

Dr. K. Shobana is a Dental Surgeon specializing in oral health and dental care. She is skilled in preventive dentistry and provides oral hygiene education. She can do restorative treatments such as fillings and crowns. She can handle periodontal problems such as gum diseases and periodontitis. She can do root canal treatment.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

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Dr. Vivek S Narayan Pillai
Dr. Vivek S Narayan Pillai

Cardiology

Education:

DM

Professional Bio:

Dr. Vivek S. Narayan Pillai is a skilled Cardiologist with expertise in diagnosing and treating heart conditions such as hypertension, coronary artery disease, arrhythmias, and heart failure. He is proficient in advanced cardiac diagnostics, including ECG, echocardiography, and stress testing. Known for his patient-centered approach, Dr. Pillai is dedicated to providing evidence-based cardiac care to improve heart health and overall well-being.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality
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