A member asked:

Can a left axial deviation with q wave in ii, iii and avf, and left anterior hemiblock, suggest lower myocardial necrosis caused by a previous, undiagnosed myocarditis? echocardiogram and treadmill ecg are normal and i have never had symptoms of it?

A doctor has provided 1 answer

A negative maximal stress test, especially with an associated nuclear scan,& a normal resting echocardiogram are good evidence against having had an old "silent"myocardial infarction&the Q waves in limb leads 2,3&avf are positional& not pathologic. I did vectorcardiograms in the mid 1960's which could differentiate between positional&pathologic Q waves in inferior leads nicely. No longer availabl

Answered 7/28/2023

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