Top
40
Doctor insights on: What Does Ischemia On Ekg Mean

Share
Dr. Jeffrey Wint
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
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. ...Read more

3

3
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. ...Read more

4

4
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

5

5
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. ...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
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. ...Read more

8

8
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. ...Read more

11

11
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. ...Read more

14

14
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. ...Read more

16

16
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. ...Read more

18

18
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. ...Read more

19

19
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. ...Read more

20

20
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 ...Read more

21

21
Would left coronary artery blockage produce ischemia of left ventricle and right axis deviation on ekg?

It could: You should discuss this with your doctor to see how severe the ischemia is and w to manage it ...Read more

22

22
Resting EKG showed minor t wave abnormalities. Poss inferior ischemia but exsersise EKG (stress test) was normal. Been having chest pain. Heart ultrasound done 1 mth ago was normal. What else to do?

Next step: Your next step would be a myocardial perfusion study also known as a "chemical stress test". Regular stress tests have been known to have false negative findings especially in females but, at your age, unless there is a strong family history or other strong risk factors you should be ok. ...Read more

23

23
EKG showed 'hardening' of heart muscle. Just had a SV Ischemia show on CT scan. Is this connected? Does Arrythmia cause the hardening?

EKG showed 'hardening' of heart muscle. Just had a SV Ischemia show on CT scan. Is this connected? Does Arrythmia cause the hardening?

Not sure: Not sure how an ECG can show hardening of heart muscle. It could show signs that may be related to previous damage of heart muscle. Damage of heart muscle can cause arrhythmia. Most arrhythmias, unless left uncontrolled for long periods of time do dot cause heart damage. ...Read more

24

24
What type of health issues include skin odor that recently and consistently smells like urine with an EKG that shows ischemia, increased WBC w/o fever severe fatigue, headaches and pain in the body?

What type of health issues include skin odor that recently and consistently smells like urine with an EKG that shows ischemia, increased WBC w/o fever severe fatigue, headaches and pain in the body?

These are urgent.: You may have reduced kidney function, high blood pressure and an infection not helped by
tamiflu. You need to see a doctor urgently for an examination and for blood tests to clarify these issues. Please don't delay! ...Read more

25

25
Ct scan showed Small vessel Ischemia. Cardioglogist quadruppled beta blocker after EKG. How does the ischemia effect my Kidney disease (stage 4)?

Ct scan showed Small vessel Ischemia. Cardioglogist quadruppled beta blocker after EKG. How does the ischemia effect my Kidney disease (stage 4)?

Vessels in both: Without an actual exam, I can't give specific medical advice on your particular health.

Same things affect vessels EVERYWHERE. So, while strokes, or heart attacks don't hit the kidney. The same bad vessels are in all organs. Hi BP, diabetes, and cholesterol all clog vessels everywhere and affect all the organs (heart, brain, kidney). Treatable.
Or
such bad heart disease, no blood gets to kidney. ...Read more

26

26
If I am now 55 years old. The result of my ECG is diffuse ischemia v1 v6. Is this alarming.?

Yes, it is: That's actually very bad. You need a full cardiac workup. See a cardiologist. ...Read more

29

29
I am 62 yrs. Old male & had my byepass 4 yrs. Back. Now my ECG reads as I have biatrial enlargment inferolateral ischemia. Is it serious?

I am 62 yrs. Old male & had my byepass 4 yrs. Back. Now my ECG reads as I have biatrial enlargment inferolateral ischemia. Is it serious?

Not Necessarily: Depends on prior ecg's and whether you are having symptoms suggestive of angina. Check with your cardiologist. ...Read more

30

30
I am 23 yrs old. My ECG reprt shws inferior lateral ischemia. I have done Eco. Eco reprt shows LVH. Dctr said its conginital. Wht I do nw?

Cardiology consult: Left ventricular hypertrophy on echo and an abnormal ECG should be eval'd by cardiology who can help decide if this is truly abnormal or if it is due to an "athlete's heart", or a normal variant. A detailed family history will be needed -- be prepared.

Patients are often nervous at the time of a consult. Bring a list of questions, and another person or pen & paper to take notes. ...Read more

31

31
Can ECG detect ischemia? How accurate is it? Her Dr. Did not explained to her what type of ischemia it is because she doenst have any symptoms.

Can ECG detect ischemia? How accurate is it? Her Dr. Did not explained to her what type of ischemia it is because she doenst have any symptoms.

ECG: There are typical ECG changes associated with ischemia. When correlated with an appropriate symptom scenario these changes are highly accurate for the presence of ischemia. In a random situation those changes are less specific for ischemia. ...Read more

32

32
My resting ECG report shows t wave abnormality, consider anterior ischemia and incomplete rbbb. Should I be concerned? I see a cardio in 2 weeks.

ECG abnormality: T wave abnormalities are usually non-specific, especially if you are an otherwise healthy young woman. The computer read-out should always be confirmed and checked by the physician, so you will have more specific info after you get the opinion of the cardiologist. Of course, if you have cardiac symptoms like chest pain with exertion then a more urgent eval is a good idea. ...Read more

33

33
I was having chest pain since morning and docter took an ECG n diagnosed as septal ischemia what should I do?

I was having chest pain since morning and docter took an ECG n diagnosed as septal ischemia what should I do?

Cardiology...: Evaluation by a Cardiologist is of outmost importance at this time. I am not sure if you were referred but this should be the next step. For now I would figure you have been prescribed medications while you get other tests done. If you develop a new event of chest pain you should go to the emergency room for prompt treatment. ...Read more

34

34
I am 39yr of age my tmt report show mild positive to reversible ischemia and my 2d echo report is normal and ecg and pft is also normal. Hdl is 65?

Ischemia.: The unfortunate thing here is that young women can potentially have heart disease - we often overlook this possibility. So we should not take this finding of reversible ischemia on your stress test lightly, despite your high HDL. More testing is needed. ...Read more

35

35
Ecg possible myocardial ischemia inferior plus t wave inversion. How serious?

ECG: Possible abnormalities can possibly be meaningful or not. The best you can say is possibly serious. More information is needed, ask your Doc about you. ...Read more

36

36
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

37

37
Hi. I did ECG and results : ST and T wave abnormality, consider inferolateral ischemia, doctor said everything is ok... 27 years old, 60 kg.

Depends: In many cases the EKG machine gives an automated reading. It's not as effective as having a good pair of eyes reading the EKG. I'd go with your docs's advice. ...Read more

38

38
3 yrs ago I had an MI; LAD was 98% blocked. Stented and feel fine. Will this event cause chronic ECG "abnormal/consider ant. Ischemia" warning?

ECG changes after MI: The electrocardiogram may be permanently affected by a significant myocardial infarction. It sounds like your tracing may have T wave inversion or ST segment changes. It would be helpful to review the series of ECG tracings. It is very good news that you feel fine; whether to have a stress test or other test to check further is debatable and should be decided by a cardiologist with all your data ...Read more

39

39
THE RESULT OF MY ECG IS THIS " SEPTAL WALL ISCHEMIA C- IRBBB" WHAT DOES IT MINS. I AM TAKING RIFAMPICINE DRUG, MY DOCTOR SAID NOTHING TO WORRY ABOUT.

ECG: At 28y the changes mentioned are unlikely to be from ischemia. Without knowing the patient and seeing the data however, that statement is the most we can make. Your doctor should have enough information to advise you better. ...Read more

40

40
I just had a ecg today and it said on the sheet Sinus rhythm, left ventricular hypertrophy, ant/septal and lateral ST-T changes may be due to hypertrophy and/or ischemia, abnormal ecg. My doctor told me my heart was ok! I had a quad by pass 1 year ago als

I just had a ecg today and it said on the sheet Sinus rhythm, left ventricular hypertrophy, ant/septal and lateral ST-T changes may be due to hypertrophy and/or ischemia, abnormal ecg. My doctor told me my heart was ok! I had a quad by pass 1 year ago als

ABN ECG after Bypass: Doctor prob means there's no ECG changes from a year ago. ECG was prob abn before Bypass, & worse after. Important questions are answered on Stress test & Echo, & not unreasonable to have a year after Bypass. Important questions are whether you experience unexplained breath shortness or chest/arm discomfort w exertion. Once an ECG is abnormal one can only compare with previous ones (weak test) ...Read more

Dr. Cynthia Thaik
1,920 Doctors shared insights

Ischemia (Definition)

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