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“Sinus rhythm. Pathologic Q waves in leads V2–V4 with poor R wave progression. No acute ST segment elevation. Findings are consistent with anterior infarct, age undetermined. Clinical correlation recommended.”
Elias didn't look up. He tapped the paper. "Look here, Aris. What do you see?"
Aris stood by the door, the confidence gone from his face, replaced by a dawning realization of how close he had come to sending a walking time bomb home.
This is the most important part of the phrase. It means the ECG shows signs of a past injury (usually "pathologic Q-waves"), but there are no signs of active injury (like ST-segment elevation). Because the scar tissue remains on the heart forever, the ECG cannot tell if the damage happened three months ago or thirty years ago. How the ECG "Sees" an Old Infarct
"It means he had a heart attack at some point?"
When you receive an electrocardiogram (ECG) report, the terminology can often feel like a different language. One phrase that frequently causes concern for patients is
“Sinus rhythm. Pathologic Q waves in leads V2–V4 with poor R wave progression. No acute ST segment elevation. Findings are consistent with anterior infarct, age undetermined. Clinical correlation recommended.”
Elias didn't look up. He tapped the paper. "Look here, Aris. What do you see?" anterior infarct ecg age undetermined
Aris stood by the door, the confidence gone from his face, replaced by a dawning realization of how close he had come to sending a walking time bomb home. “Sinus rhythm
This is the most important part of the phrase. It means the ECG shows signs of a past injury (usually "pathologic Q-waves"), but there are no signs of active injury (like ST-segment elevation). Because the scar tissue remains on the heart forever, the ECG cannot tell if the damage happened three months ago or thirty years ago. How the ECG "Sees" an Old Infarct "Look here, Aris
"It means he had a heart attack at some point?"
When you receive an electrocardiogram (ECG) report, the terminology can often feel like a different language. One phrase that frequently causes concern for patients is