I recently received a pre-op exam that included an ekg. I had an ekg 3 mos prior with no abnormalities I had an unexplained incident of sudden heart palpations and anxiety with flushing and sweating, but it turned out to be nothing. ( I am a 55 yo disabled blk hispanic org female nurse) if thats useful. The ekg results read anterior infarct, but the test leads showed flattened t-waves. Ortho is not concerned, gave clearance for surgery but suggested I discussed the need for cardiac referral with my primary. Does it mean that there is nothing wrong cardiac wise and the test was a fluke, or should I be concerned. I have had no previous cardiac problems, but I have controlled HTN, my father died at 65 from heart complications, pulmonary embolism and cva, my brother just died at 51 from cardiac complications although both were not complaint with meds. So there is some concern on my part. My mother died at 56 I didn't meet her until a year before to know her history except to find her mom died at 45 due to cardiac arrest.
If there is evidence of anterior infarct on an EKG, then it needs further investigations and therapy.
Flattened T waves are often seen in patients with myocardial ischaemia. Also, with your strong family history of cardiac complications, please have yourself evaluated by a cardiologist prior to surgery.
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