Top
30
Doctor insights on: Old Anterior Infarct Ecg

Share
1

1
My ECG had an old inferior apical infarct. What does "apical" mean?

My ECG had an old inferior apical infarct. What does "apical" mean?

ECG: Apical means the tip or apex of the left ventricle, inferoapical means the bottom wall and the tip of the left ventricle ...Read more

Dr. Suzanne Galli
3 Doctors shared insights

Electrocardiogram (Definition)

Electrocardiogram (ecg, ekg) is a print-out of the electrical forces detected by electrodes on the chest wall, as electricity travels through the heart with each heart beat. The electrodes are placed in different positions, and each position "sees" the electrical activity of the heart from its own vantage point. Abnormalities in signal detected at chest surface ...Read more


2

2
ECG reads "cannot rule out previous anterior MI" and " minimal requirements met for current anterior infarct, abnormal comp to previous ECG"? Explain?

Clinical correlation: Basically your ECG likely shows low voltage in the anterior precordial leads, which may be secondary to left ventricular hypertrophy, anterior infarct pattern, or secondary to body habitus. SO since your have had an echocardiogram and a CT angiogram, both of these tests would be able to corroborate if ECG is consistent with "anterior infarct" or not, I suggest u ask ur cardiologist to correlate. ...Read more

3

3
Always had abnormal ECG due to inverted Twaves last ECG said ST & Twave abnormality, consider Anterior ischemia cant rule out inferior infarct. Worry?

Always had abnormal ECG due to inverted Twaves last ECG said ST & Twave abnormality, consider Anterior ischemia cant rule out inferior infarct. Worry?

Depends: You list "stress echocardiography" - was this normal? It's a much more accurate test than just an ordinary, resting EKG. If your stress echo was normal, forget the EKG but remember to always warn future doctors that you have a "normal funky-looking EKG" so they don't worry. ...Read more

4

4
My ECG shows "Left Anterior Fascicular blocK' and also indicated :cannot rule out Inferior infarct. What it means and is it dangerous? What caused it.

My ECG shows "Left Anterior Fascicular blocK' and also indicated :cannot rule out Inferior infarct. What it means and is it dangerous? What caused it.

See below: LAFB is a delay in cardiac conduction in the range of 20 milliseconds (+/- 10 ms) with a shift in the axis to the left. It causes no symptoms and is not dangerous. Most common causes are normal aging, high blood pressure, and coronary disease. "Cannot rule out inferior infarct" is a frequent finding that has meaning only if you are known to have blocked arteries. There is no room here 4 details. ...Read more

5

5
I'm a 49 incomplete. Ekg said normal sinus rhythm can not rule out anterior infarct, age undetetermined abnormal ecg. I've had myocarditis. Worry?

I'm a 49 incomplete. Ekg said normal sinus rhythm can not rule out anterior infarct, age undetetermined abnormal ecg. I've had myocarditis. Worry?

Discuss with: Your cardiologist. If you are seeing this automated interpretation at the top of your ekg keep in mind it is not always accurate and will still need interpretation by a physician. ...Read more

6

6
The result of my ECG lateral wall ischemia occ. Pvc anterior septal infarct. What's is that mean? Is that serious?

The result of my ECG lateral wall ischemia occ. Pvc anterior septal infarct. What's is that mean? Is that serious?

Concerning: How old are you? You need an echocardiography to see your heart or a stress test with imaging (nuclear stress test) for further evaluation. Pl get to see a cardiologist through your family doc. ...Read more

7

7
Er ecg shows cannot rule out anterior infarct. Dr did ecg showed normal. I'm scared. Can you have a normal ecg after heart attack. Is it a heart attac?

Er ecg shows cannot rule out anterior infarct. Dr did ecg showed normal. I'm scared. Can you have a normal ecg after heart attack. Is it a heart attac?

, Possibilities...: It is possible to have differences in EKGs due to a difference in lead placement. If you want to know how your heart is functioning, an echocardiogram could be done. It is a non-invasive test, basically an unltrasound of your heart. If that is normal, then the chances are good that you did not have a heart attack. Were cardiac enzymes checked in the ER? That is another test to rule out heart attac ...Read more

8

8
Er ecg said cannot rule out anterior infarct. Dr's office said normal ecg. V3 looked different in both. Trop level norm. Did I have a heart attack?

Er ecg said cannot rule out anterior infarct. Dr's office said normal ecg. V3 looked different in both. Trop level norm. Did I have a heart attack?

Probably not, esp if: They let u go directly home from the ER. Y the difference in the 2 EGGs? Depends where they put the chest leads. If one set of leads was placed a little higher on the chest than the other set, one ecg may look like an (old) ant infarction, and the other will appear normal. Y u were in theI er is an issue that should be evaluated further, if no definite answers were determined there. Good luck. ...Read more

9

9
How reliable are ecgs? My pre-op one showed anterior infarction and dr thought it showed afib.

How reliable are ecgs? My pre-op one showed anterior infarction and dr thought it showed afib.

Great question &: Example. The false positive anterior mi is not uncommon in women due to breast tissue attenuation effects & these computer algorithms while sophisticated & often accurate have pitfalls. The human mind learns this pitfalls over time so we aren't tricked by them but still in cases like this an echocardiogram may needed to prove positivity. ...Read more

10

10
Iam 65 years old abnormal ecg Normal sinus rhythm Possible inferior infarction, age undetermined ST& T wave abnormality, consider lateral ischemia?

Iam 65 years old abnormal ecg Normal sinus rhythm Possible inferior infarction, age undetermined ST& T wave abnormality, consider lateral ischemia?

Automated ECG: The automated ECG interpretation that appears on a 12 lead ECG printout must always be viewed with a grain (or two) of salt. The best person to evaluate your ECG is your doctor. Period. The machine is famous for misinterpretation. Go see your doctor. Have a history and physical done. Then have him/her look at your ECG. ...Read more

11

11
If an ECG shows that I have old inferior infarction, can the abnormality on the ECG be from mitral valve repair?

Not likely: It's a possibility, but not very likely that an artery can be injured during a mitral valve repair. Comparing ecg's preoperative to postoperative could shed some light on this, but to really determine the cause of any change would require a coronary angiogram. ...Read more

12

12
Possible inferior myocardial infarction probably old. Possible abnormal ecg...Does this mean I had an attack? I am diabetic and workout daily.

Possible inferior myocardial infarction probably old. Possible abnormal ecg...Does this mean I had an attack? I am diabetic and workout daily.

EKG change: Q waves on an ekg suggest prior damage.
If there were symptoms, enzyme elevations helps confirm the timing and degree.
Compare with any prior ekg.
Continue your risk reduction approach, but discuss with your pcp. ...Read more

13

13
A cpet test showed I had anaerobic score of 11. This test was done as ECG showed afib, anterior infarction? Before an operation. Is this good or not?

A cpet test showed I had anaerobic score of 11. This test was done as ECG showed afib, anterior infarction? Before an operation. Is this good or not?

Strange: Too strange. Cpet is not done with infarction. However, some surgeons like it before an operation. Nevertheless, the results usually do not change anything.

What operation would this be? Discuss with your doc. ...Read more

14

14
Anterolateral myocardial infarction probably old came up on the ecg. My doctor said its nothing to worry about, can I have an easy to understand defin?

Anterolateral myocardial infarction probably old came up on the ecg. My doctor said its nothing to worry about, can I have an easy to understand defin?

Stupid Computer: The computer reads on ekgs are designed to catch as many heart attacks as possible but they are notorious for overcalling heart attacks. A trained cardiologist can sort the matter out using experience, training and a set of rules. ...Read more

15

15
ECGs during stress test showed possible inferior infarct (age unknown). echo and post EKGS came back fine except one with PAC. Should I be worried?

ECGs during stress test showed possible inferior infarct (age unknown). echo and post EKGS came back fine except one with PAC. Should I be worried?

Probably: But you will want the dye stress test which shows blood flow thru the heart
Will show a gap if there was a heart attack and will show up risky parts ...Read more

16

16
ECGs during nuke stress test said possible inferior infarct (age unknown).echo b4 test was good. Ecgs b4&after good too. Docs said im fine. Do u agree?

ECGs during nuke stress test said possible inferior infarct (age unknown).echo b4 test was good. Ecgs b4&after good too. Docs said im fine. Do u agree?

False positive test: False positive nuclear stress test is common in the inferior region due to attenuation artifact brought by the diaphragm. This can be reduced by certain protocols but not totally eliminated. In the absence of any collaborative finding such as wall motion abnormality, it is of doubtful significance ...Read more

17

17
Had am EKG today read normal sinus rhythm, septal infarct, abnormal ecg. Please explain what's wrong with me...?

Had am EKG today read normal sinus rhythm, septal infarct, abnormal ecg. Please explain what's wrong with me...?

Check with your doc: I assume you are looking at the computer-generated readout on ekg. You have a normal sinus rhythm meaning heart is beating in a normal manner. The septum refers to the part of the heart in between the two ventricles. I don't usually rely on a readout from the ekg machine itself when I interpret an ekg so check with your doctor before getting worried. ...Read more

18

18
Had am EKG today read normal sinus rhythm, septal infarct, abnormal ecg. Please explain what's wrong with me...?

Usually a false read: Computerized reading of ecgs are notorious for over-calling "possible septal infarct". This is often due to incorrect positioning of the ECG leads on the chest. I would have a cardiologist look at your ecg, or simply repeat it, with careful attention to proper precordial lead placement. ...Read more

19

19
Had ECG doctor says it's normal but I noticed it read Inferior Infarct and no acute ischemia? What does this mean? Should I be concerned?

The EKG computers: Are tilted to analyze for abnormality rather than normalcy. The Computer probably picked up some subtle or insignificant change that is not clinically relevant and indicated it to make the doctor aware. His/her interpretation supersedes anything the computer says. If he said normal than that is what it is. ...Read more

20

20
Asking for bf he is 36 what does ECG sinus rhythm possible septal infarct abnormal ecg. Vr 65 pr 166 qrs 86 qtc 412. Is this anything to worry about?

Not worried.: Generally nothing to worry about unless of course he has symptoms. Everything reads normal except for the possible septal infarct bit. That is often related to lead placement issues but is worth discussing with your doc. ...Read more

21

21
What would cause false-positive ECGS durin nuclear stress test? Possible inferior infarct age unknown. Echo b4 was fine, ECGS b4&after fine too. Worried

Situational strain: It is mostly unknown still as to what the cause of false positive changes seen on the ECG in stress testing is from but we do see it more in females and may be in some people related to situational strain on the small heart blood vessels. ...Read more

23

23
Abnormal ECG sinus bradycardia and septal infarct age undetermined?

Depends: Sinus bradycardia can be normal in a fit individual. Septal infarct age undetermined may also be a normal variant, but also possibly indicate previous injury to the heart. You might want to consider getting further evaluation, such as a stress treadmill ECG test. Depending on various associated healthy issues, this might need to be combined with imaging (nuclear or ultrasonography). ...Read more

24

24
Shouid I be worry? I had an ECG on aug 5 the results were: 52 bpm, possible lateral infarct, abnormal ecg. I have chest discomfort in cold weather. Tks

Angina: Yes, you should see a cardiologist soon. You will need a stress test, most likely coronary angiogram to determine how much blockage of coronary arteries is present. After that one can decide if you need angioplasty, stent or coronary bypass surgery. ...Read more

25

25
Ecg results - sinus bradycardia, short pr interval, lateral infarct- age undetermined and inferior st-t changes nonspecific? What does this me

Just an EKG: Ekgs aren't the last word. Sinus bradycardia: your hrt conducts impulses from the normal location at rate. ...Read more

26

26
Pre op for hernia surgery, ECG read " possible inferior infarct, age undetermined, what should my concerns be heading into surgery friday morning?

Pre op for hernia surgery, ECG read " possible inferior infarct, age undetermined, what should my concerns be heading into surgery friday morning?

Heart attack: This could be a sign if an old heart attack. If it was the computer reading, it may not be correct. Comparison with an old ECG is helpful. Depending on the type of hernia operation (there are many), the surgeon and anesthesiologist will decide to proceed or postpone. They should discuss the risks with you as well. ...Read more

29

29
Concern? Abnormal ECG "Cannot rule out Inferior infarct, age undet". Normal nuc stress echo. Rapid HB, VT, some chest pain, dizzy exercise, no blocks

The EKG is most: Likely over diagnosed by a computer algorithm designed to produce a diagnosis if anything is even a little bit off. It takes a human with years of experience to be able to determine if the findings are clinically relevant or significant. With a normal nuclear stress and echo it is unlikely you have had an infarct. Discuss your concerns with your health care provider for further reassurance. ...Read more

30

30
Normal sinus rhythm. Possible lt atrial enlargement. Cannot rule out Ant infarct, age undetermined. Abnormal ECG. Had pain in left chest and arm.

Normal sinus rhythm. Possible lt atrial enlargement. Cannot rule out Ant infarct, age undetermined. Abnormal ECG. Had pain in left chest and arm.

Need work up: You have to see your doctor for further evaluation. Echocardiogram and stress test are most likely indicated to rule out coronary heart disease. You are young, there fore it is not very likely unless you smoke, have family history of coronary heart disease at relatively young age, have high cholesterol. Check with your doctor whether your Levothyroxine dose is not high for you. ...Read more

Dr. Hirenkumar Italia
3 Doctors shared insights

Infarction (Definition)

When the blood supply of a tissue is compromised by whatever mechanism, the tissue will stop working and if blood flow is not restored, the tissue will eventually die ("infarct", both verb and noun). The clinical picture that runs with development of an infarct ("heart attack"; ...Read more


Dr. Milroy Samuel
3 Doctors shared insights

Infarct (Definition)

It means an area of tissue death due to lack of oxygen most commonly associated with ...Read more