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How to treat for septal infarction seen in ECG?

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

Patient's Query

Hello doctor,

I took an 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 an undetermined age. I am a smoker; what should I do now?

Kindly help.
Answered by Dr. Ilir Sharka

Education:

Faculty of Medicine

Professional Bio:

Dr. Ilir Sharka is a Cardiologist. He can diagnose and manage heart diseases such as coronary artery disease and heart failure. He can interpret ECG, echocardiography, and stress tests. He can help in hypertension management and lipid control. He can treat arrhythmias and conduction disorders. He also does interventional procedures, including angioplasty and stenting (where applicable). He can help in heart valve disease assessment and management. He can provide preventive cardiology and risk factor modification.

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

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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.

Medically reviewed by Dr. K. Shobana
Published At March 23, 2023
Reviewed At November 24, 2025

Education:

Faculty of Medicine

Professional Bio:

Dr. Ilir Sharka is a Cardiologist. He can diagnose and manage heart diseases such as coronary artery disease and heart failure. He can interpret ECG, echocardiography, and stress tests. He can help in hypertension management and lipid control. He can treat arrhythmias and conduction disorders. He also does interventional procedures, including angioplasty and stenting (where applicable). He can help in heart valve disease assessment and management. He can provide preventive cardiology and risk factor modification.

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

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

Dr. Ilir Sharka
Dr. Ilir Sharka

Cardiology

Consult this doctor

Education:

Faculty of Medicine

Professional Bio:

Dr. Ilir Sharka is a Cardiologist. He can diagnose and manage heart diseases such as coronary artery disease and heart failure. He can interpret ECG, echocardiography, and stress tests. He can help in hypertension management and lipid control. He can treat arrhythmias and conduction disorders. He also does interventional procedures, including angioplasty and stenting (where applicable). He can help in heart valve disease assessment and management. He can provide preventive cardiology and risk factor modification.

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

Consult other doctors in the same speciality
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