Dr. Ilir Sharka
Cardiology
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Patient's Query
Hello doctor,
I took echocardiography today as a routine check-up, showing slight changes; then, I was asked to do an echocardiography which was normal. However, after some time, I took a second electrocardiogram, which revealed septal infarction of undetermined age. I am a smoker; what should I do now? Kindly help.
Hello,
Welcome to icliniq.com.
I understand your concern. An ECG (electrocardiogram) is not the best tool to diagnose myocardial infarctions. The ECG findings should be correlated with the patient's symptoms, the blood tests (cardiac enzymes), and the cardiac ultrasound report (a past myocardial infarction would lead to changes in the myocardial contractility, which would be noticed in the cardiac ultrasound). For this reason, I would suggest repeating the ECG and a new cardiac ultrasound. In addition, an exercise cardiac stress test would help investigate possible coronary artery disease. I hope this helps. Thank you.
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Cardiology
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