My ekg shows anteroseptal infarct, age indeterminate. i had an echocardiogram in 2019 and all was good. i had this ekg in preparation for surgery, no symptoms?

It is possible for patients to have “silent” heart attacks and not know it, or to have symptoms of a heart attack that they didn’t recognize. Usually, silent heart attacks occur in diabetics. Sometimes, EKGs can show patterns that are usually associated with heart attack but no real evidence of having had one. Lead placement sometimes plays s role in giving us “abnormal “ EKGs. Previous ELG?

Your EKG finding is one of the most common abnormal readings I have seen with computer reading. The difference is you had a normal EKG reading 2 years ago. If you have risk for CAD such as diabetes mellitus, dyslipidemia or smoking, you will need to be cleared by a cardiologist before the elective surgery.