Worried About Husbands EKG - Heart Disorders Message Board

Bardda1 · 10-13-2006, 12:08 PM

My husband has had abnormal EKG's for the past 20 years, since he was in his late 30's. Since he never had a heart attack that he knew of, he only had a treadmill test after the first abnormal EKG and the doctor said he was fine.
Yesterday he had another EKG in preparation for a very big back surgery he will be having at the end of the month.

This is the result:

Rate: 78 BPM Interpretation:
PR: 154 msec Sinus Rhythm
QT/QTc: 356/388 msec P:QRS - 1:l, Normal P axis, HRate 78
QRSD: 98 msec -Anteroseptal infarct-age undetermined
P Axis: 73 -Anterolateral ST-Elevation-nondiagnostic
QRS Axis: 40 -Consider injury
T Axis: 59

He has heart disease in his family. Doctor says no change is good and don't worryabout it. Should he continue to accept that he is fine? What other tests should he have besides treadmill? He is 59 years old and is a smoker.

Thanks.

started04 · 10-13-2006, 05:00 PM

Two comments of the report of interest are QRSD at 98 milli seconds time to complete indicates an infarct (damaged heart tissue, necrosis) of the front of the septal (area that separates right and left chambers)

Anterolateral ST elevation nondiagnostic. Same as non-specified usually means there are no clinical data to correlate EKG findings. So the condition is ideopathic (cause unknown) or it can be diagnosed for an underlying cause.

Clinical findings could be drugs (medication), electrolyte (potassium, calcium magnesium), ischemia infraction, many other causes.

A stress test (treadmill) should confirm EKG results or not. Of importance is the heart's pumping ability. It should range between 55% to 75 blood pumped out with each heart beat. Efficiency would be of interest due to septal infarct, but not as important as an impeded chamber wall motion, so the infarct may be of little significance relative cardiac output.