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What is the reason for abnormal ECG changes in a 68-year-old patient with diabetes and hypertension?

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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 March 3, 2022
Reviewed AtSeptember 16, 2023

Patient's Query

Hi doctor,

My father is 68 years old, and he has had diabetes and hypertension for a long time. He is taking medication for diabetes and hypertension. He got his annual health check-up done two months ago. On ECG, it was showing a large PTFV1 value, normal sinus rhythm, inverted T wave, and short QR interval. I have attached a copy of his ECG reports. What could be the reason for this?

Answered by Dr. Arpit Varshney

Hello,

Welcome to icliniq.com.

I have read your query in detail and will help you out. I have seen the ECG (electrocardiogram) report (attachment removed to protect the patient's identity). It shows minor changes in the heart. There has been no major acute event, which is a good sign. But the danger sign is that your father is beginning to develop ECG changes. So I suggest you start him on an antiplatelet drug, capsule Ecosprin AV 75/20 (Atorvastatin and Aspirin), at night to keep the blood thin. Apart from this, I will suggest two tests. One is HbA1c (glycated hemoglobin) which will tell us about three months average blood sugar. The other one is 2D (2 dimensional) echocardiography. This will tell us about the functioning of his heart. Further treatment can be modified easily based on these reports. You can get these tests done and contact me here on icliniq. You can also visit your local physician for further guidance. Nothing to worry about. These changes are only minor and can be controlled with appropriate medications. Hope this helps. Kindly revert back in case of further queries or online prescription refill. Thank you.

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

Dr. Arpit Varshney
Dr. Arpit Varshney

General Medicine

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