Q. What is the treatment or management for septal infarction seen in ECG?

Answered by
Dr. Ilir Sharka
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Mar 22, 2023 and last reviewed on: Mar 30, 2023

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.



Welcome to

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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