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Doctor insights on: What Does Ischemia On Ekg Mean

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Dr. Stephen Scholand
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


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My stress test results read " positive exercise stress test for ischemia by EKG criteria. What does that mean?

My stress test results read " positive exercise stress test for ischemia by EKG criteria. What does that mean?

This means that the: EKG portion of your stress test had changes in the waveforms that have been known to be associated with blockages of the coronary arteries. Unfortunately, greater than 15% of the time this is inaccurate in women. Less than 5% of the time in men. This is why we always do stress testing in women along with nuclear imaging. If the nuclear imaging is negative then the EKG changes are FALSE positive.

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What does it mean if the ECG showed signs of ischemia in the postural valve?

What does it mean if the ECG showed signs of ischemia in the postural valve?

Posterior wall?: You probably meant to say posterior wall, instead of posterior valve. But it probably means there is a blockage in the coronary artery that is feeding the posterior wall of your heart. This can be confirmed with a coronary angiogram and potentially fixed with coronary angioplasty and stent placement or else coronary bypass surgery.

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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.

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Stressechoresults: abn stress ECG at 9.1mets, normal exercise stress echo with no evidence of stress induced myocardial ischemia. What does this mean?

Stressechoresults: abn stress ECG at 9.1mets, normal exercise stress echo with no evidence of stress induced myocardial ischemia. What does this mean?

Probably normal: The ECG is accurate about 70-80% of the time in diagnosing cad. Adding stress echo or nuclear imaging improves accuracy to above 90% when patient reaches his or her target rate.

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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.

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St-t wave changes, consider inferolateral ischemia on ecg, echo shows heart good. Doctor said are few heart interruptions. What means? 27 yrs. Thanks

St-t wave changes, consider inferolateral ischemia on ecg, echo shows heart good. Doctor said are few heart interruptions. What means? 27 yrs. Thanks

ST-T wave changes: ST-T wave changes often are non-specific and may not mean anything. There are some ST-T changes that are the hallmark of heart attack, but I doubt this is your case as you echo was normal. Modern computerized ECG machines will always say "consider. .. ischemia" with any ST-T wave abnormality.

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Normal sinus rhythm with borderline intraventricular conduction delay and secondary ST changes. No acute ischemia. DR impressions on ecg. This means?

Normal sinus rhythm with borderline intraventricular conduction delay and secondary ST changes. No acute ischemia. DR impressions on ecg. This means?

ECG interpretation: The "no acute ischemia" part means that there is no heart attack occurring at the moment. The rest really implies that the ECG tracing was not perfect in its appearance. This could be nothing, or it could be related to true heart disease. This type of EKG would need to be interpreted in context: symptoms, physical limitation, other testing.

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My ekg showed 210 ischemia. I forgot to tell doc I am taking gabbapentin. Is that causing it?

My ekg showed 210 ischemia. I forgot to tell doc I am taking gabbapentin. Is that causing it?

No: If you are asking if gabapentin causes ischemic heart disease, then the answer is no. Gabapentin is most commonly used for nerve pain, although it has other uses as well.

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Resting EKG showed non sprsifuc t wave inversions. Suggesting possible ischemia. But exercise ekg. Was completely normal. Should I worry? I have hbp

Low worry: Nonspecific ECG finding are commonly found. If a person with a baseline ECG abnormality has clinical symptoms which may represent heart disease, a stress test is frequently done to evaluate the symptom. If the stress test is normal, the likelihood of worrisome heart disease is statistically low.

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39 yr old male weightlifter. Hypertension palps. Ekg says old antero septal infarct. Consider inferior ischemia. I don't believe it. No pain w exercise?

Artifact: It is likely that with a thick heart or LVH that the ekg shows those findings. Check with your doctor and an echocardiogram maybe helpful in confirming or refuting findings.

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My EKG states st and t wave abnormalities and sinus tachycardia and consider inferno lateral ischemia.. My doctor didn't seem concerned. Should I be?

Family practice: The ekg machine is very sensitive in their readings. Their interpretation is often miss read. It must always be read by the physician for a final reading. Many times we compare it with previous ekg, s. Ask your dr to explain it if you are still concerned.

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How reliable is an EKG as a predictive tool for cardiac ischemia?

How reliable is an EKG as a predictive tool for cardiac ischemia?

Poor: It is neither sensitive nor highly specific. It's only one tool among many that doctors use. It's helpful for confirming a clinical suspicion if the history is suggestive and the ekg is either dramatically abnormal or changed from a previous tracing. Its value is increased when performed during the index symptom under evaluation.

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EKG came back High Risk Operation. ST Elevation, consider early repolarization, pericarditis or injury. ST&T wave abnormal consider anterior ischemia?

EKG came back High Risk Operation. ST Elevation, consider early repolarization, pericarditis or injury. ST&T wave abnormal consider anterior ischemia?

Need further workup: Need to get evaluated for ischemic heart disease myocardial perfusion scan if done and called for this ischemia, need to further evaluate with cardiac catheterization and or CTA of coronary vessels to clarify the abnormality especially if you are going for a surgical procedure

Dr. Cynthia Thaik
1,917 Doctors shared insights

Ischemia (Definition)

Used to describe inadequate blood flow and oxygen delivery to an extremity, an organ, or brain which ...Read more