AboutDavid Richardson Expertise Adult heart function and disease. Not very good about children lesss than 12. Hypertension is o.k. Heart rhythm a special interest.
Experience Certified in cardiology by the American Board of Internal Medicine. Was chairman of division of cardiology at the Medical College of Virginia. Am now mostly retired.
Organizations Fellow of American Heart Association and American College of Cardiology and member of American Physiological Society..
Publications Circulation, American Heart Journal, Hypertension.
Education/Credentials M.D. from Harvard Medical School. Residency training at Yale Uhniversity School of Medicine and Medical College of Virginia.
Awards and Honors Gold Heartt Award from American Heart Association in 1995.
Question HI,my question is regarding ecg test done, is reading normal sinus rhythm,septal infarct ,abnormal.ecg.my qrs complex in v1 and v2 are downward lead v3 is upward,inverted p waves inlead v1,sinus p waves in v2 and elevated t waves ,my pr interval is .16 in lead v1,qrs .08,what else can I check in my ecg to confirm a septal mi,my symptoms is pain staring right in my sternum,traveling into my back,Id ask my back to massage my back while having that tremendous pain and I notice that part of my back feels numb, I,d been coughing gray sputum,is this something to be concern about? Please replay to me with our answer. Thank you for your time.
Answer Dear Mr. lizarraga,
Can't answer most of your questions without knowing your age, how long the pain has been present, your height and weight, and whether there is history of cardiovascular disease in your immediate family.
The qrs downward in v1 and v2 is probably an error made by putting the leads too high on your chest.
If your pain has been oresent less than 3 days, please go to an emergency room at once and ask if you have dissection of aorta. If the pain has been present longer, see if pressure with fingers on the painful area modifies the pain, makes it better or worse. If so, then it's chest wall pain and not serious.
Please write back with the answers to the questions in the first sentence above.
