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A 37-year-old male asked:

in my ecg it is written as"consider old anteroseptal wall mi" kindly eloborate on this?

3 doctor answers4 doctors weighed in
Dr. Michael Dugan
Specializes in Hematology
This would indicate: A complex in leads v1-v3 that may reflect old muscle injury. Must be clinically interpreted and may have no significance.
Dr. Calvin Weisberger
Cardiology 51 years experience
ECG: The tracing likely shows Q waves or poor R wave progression in the v1 to v3 leads. This is consistent with an old myocardial infarction but not absolute proof. The notation consider encourages the doc to give consideration to whether the patient really had that mi.
Dr. Rick Koch
Cardiology 22 years experience
Suggests that: Heart muscle damage may be present but this is a frequent false positive in men & particularly women due to attention from breast tissue.

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A 39-year-old member asked:

Is a small Q wave on an ECG significant?

1 doctor answer3 doctors weighed in
Dr. Samuel Hahn
Cardiology 28 years experience
Probably not: By definition, a "significant" Q wave must be > than 40 msec in duration or > than 25-33% (depends on the reference) of the R wave height. Even by that criteria, many electrocardigraphically significant Q waves are seen in people with normal cardiac echo's and mri's.
CA
A 34-year-old member asked:

What does a Q wave mean on a ekg?

4 doctor answers8 doctors weighed in
Dr. Ankush Bansal
Internal Medicine 17 years experience
Old infarct: A Q wave means an old infarct (a previous heart attack) that resulted in permanent death of a part of the heart muscle. Depending on the location, extent, and other co-morbidities, it may or may not cause new health problems. The Q wave appears because the muscle can no longer transmit electrical signals through the heart. An EKG measures the electrical activity of the heart so that's how it looks.
CA
A 33-year-old member asked:

What exactly is a borderline q-wave of ekg?

2 doctor answers2 doctors weighed in
Dr. Mark Rasak
Cardiology 33 years experience
Probably nothing: Q waves of certain width and height on an EKG has been associated with an old heart attack. This hallmark is not very specific and if its boderline and no clinical history or no real cardiac risk factors , its probably a normal variant.
A 29-year-old member asked:

Can you explain the different components of ECG report?

2 doctor answers3 doctors weighed in
Dr. David Revere
Specializes in Cardiology
A lot!: For a cardiologist, an EKG can give information about the rate, the rhythm, whether there are signs of a congenital abnormality, signs of a heart attach or blocked artery, the thickness of the heart muscle, previous heart attack, and more. In experienced hands, an EKG can tell an incredible amount of information.
A 40-year-old member asked:

How do you get an EKG if big busted?

1 doctor answer2 doctors weighed in
Dr. Pavel Conovalciuc
Family Medicine 23 years experience
No problem: The leads are not placed on the breasts but on the chest wall. The breasts may overlap some of the leads, but they should stick just fine, otherwise.

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Last updated Jan 15, 2018

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