Why does my ECG mention possible transmural injury?

Question

Hello doctor,

I had an ECG done recently as part of a job-related medical checkup. The report shows "abnormality" and "possible transmural injury". When we enquired at the clinic, they said it was a "technical issue". I also consulted the physician on the same day, and she said everything is fine and that I am fit for the job.

I am still concerned after reading the report. Could you please review the ECG rhythm and let me know if there’s anything to worry about? I have attached the ECG report for your review.

Kindly help.

Answer 1

Hello,

Welcome to icliniq.com.

I read your query and can understand your concern.

I understand why this ECG (electrocardiogram) report has caused concern, especially when words like “abnormality” and “possible transmural injury” appear on a medical report. It is important to know that many automated ECG machines can generate warning statements that sound alarming but are not always accurate. These computer interpretations can be affected by factors such as lead placement, body position, normal variations in the heart rhythm, or technical issues, and they must always be reviewed by a qualified clinician along with your symptoms and medical history.

Since the physician who examined you on the same day reviewed the situation and considered you fit for work, that is reassuring. However, if you are still worried, you can request a formal review of the ECG by a cardiologist or have a repeat ECG done with proper lead placement for confirmation.

If you experience chest pain or pressure, difficulty breathing, fainting, excessive sweating, or chest pain that radiates to the arms, jaw, or back, you should seek immediate medical help. Please post the ECG image, including the rhythm, heart rate, and interpretation by the machine, and we can make a proper review.

I hope this helps.

Thank you and take care.

Regards.