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What can we conclude from the ECG of my father?

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What can we conclude from the ECG of my father?

The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. K. Shobana

Published At October 4, 2017
Reviewed AtJune 2, 2023

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 PP is 154 mg/dL with medication. We went for an ECG and something written on the graph as sinus rhythm, left atrial abnormality, leftward axis, QRS (T) contour abnormality and consider 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?

Hi,

Welcome to icliniq.com.

Your doctor has done the right thing. All those abnormalities mentioned by the ECG 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.

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.

Regarding follow up

For further information consult a cardiologist online.

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

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

Cardiology

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