I had hernia surgery last week. im 49. in the recovery room, i was having chest pain. they did an ecg. i just got the results today. should i be concerned? notable dx items: low voltage qrs abnormal ecg left atrial enlargement septal tw changes?

Low voltage suggests you might be very heavy and leads are away from heart. Or leads were misplaced. But only your dr can help interpret this. Best is to compare with previous EKG.

Crucial points in the history such as the type of chest pain, family history of heart disease, cholesterol levels, are missing in the history making it difficult to answer your question. ECG findings are abnormal, but nonspecific, possibly related to incorrect technique. Left atrial enlargement may be due prior hypertension. Recommend detailed evaluation after recovery from surgery