HomeAnswersCardiologymyocardial ischemiaCan you please help me understand my 73-year-old father's ECG report?

Can myocardial ischemia diminish the heart's ability to function properly?

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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 June 20, 2022
Reviewed AtJuly 25, 2023

Patient's Query

Hello doctor,

My 73-year-old father had his ECG today. The report shows PR 160, QRSD 91, QT 298, QTc 377, P axis 53, QRS 20, T 45, and heartbeat 96 BPM. He has had diabetes for 20 years and has no previous heart problems. Currently, he is using tablet Telmisartan 40 mg for blood pressure and tablet Glyciphage SR 500 mg twice daily for diabetes. Can you please explain to me his ECG report? Thank you.

Hello,

Welcome to icliniq.com.

I understand your concern. I have read your father's reports, including ECG (attachments removed to protect the patient's identity). What is the reason for him to get an ECG (electrocardiogram) done? The ECG shows mild heart changes that indicate ischemia. I suggest to him the below treatment plan. Take Tablet Metolar 12.5 mg (Metoprolol) once daily after dinner, Tablet Alprax 0.25 mg (Alprazolam) once daily for ten days after dinner, Capsule Vitamin D3 60000 IU (Cholecalciferol) once a week before food. I also suggest he test HbA1c and Vitamin D3 levels, go for a stress echocardiography test, avoid smoking, and go for a 30 minutes walk daily. I hope this helps. Kindly revert after ten days with the reports. Thank you.

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

Dr. Gulati Ranjitsingh Awtarsingh
Dr. Gulati Ranjitsingh Awtarsingh

Internal Medicine

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