Aa
Aa
A
A
A
Close
Avatar universal

Lateral Ischemia

After Pacemaker Surger my ECG test came back abnormal.  Is it normal for them to come back with Right Bundle Branch Block and T Wave Abnormality, consider Laterial Ischemia?  And what does this mean?


This discussion is related to lateral ischemia.
6 Responses
Sort by: Helpful Oldest Newest
367994 tn?1304953593
Mini stroke (TIA)  represents temporary stroke warning symptoms. A stroke can be impairment of sensation, level of consciousness, balance, or voluntary motion caused by a rupture or obstruction of an artery in the brain. In short: a stroke is a brain attack. TIA is not a full-blown stroke, but mimics one as you suggest.  

An Electrocardiogram (EKG) to confirm a regular heart rate, blockage of electrical impulses through the heart, etc. It will not show any blood flow through the vessels, bleeding, blockage, etc..The ekg only analyzes electrical wave impulses.  

A computerized tomography (CT scan) of the brain to look for bleeding would be appropriate test.  Or Carotid ultrasound to look for narrowing of the large blood vessels in the neck.
Helpful - 0
Avatar universal
A couple of days after the Pacemaker Surgery I started having Vertigo everyday.  It's been over a month. Could the ECG results be from a mini stroke?

Jewels
Helpful - 0
Avatar universal
Thank you so much.  You've been very helpful!

Jewels
Helpful - 0
367994 tn?1304953593
The abnormal EKG can be related to a  loss of atrial-ventricular synchrony in patients with a pacemaker. Or abnormal EKG can be due to an artefact (equipment problem), etc.  If there seems to be a problem with ischemia, a stress test would be appropriate as an EKG is not very relaible for that dx..
Helpful - 0
Avatar universal
Thank you for the response.

Do you know if the test come back abnormal because the Pacemaker takes over?  I don't know if this is normal or if I should be concerned.  The 1st abnormal ECG was the afternoon after the surgery.  The 2nd abnormal ECG was the following day.

Jewels1949
Helpful - 0
367994 tn?1304953593
There are many false positives associated with an EKG and requires further testing to validate.  RBBB, if valid, indicates some blockage of electrical pathways for transmitted impulses to contract the heart chambers.  If there is blockage, it may cause irregular heartbeats...very common to have extra and/or delayed heartbeats.

T wave abnormality, if valid, indicates there is some blockage of coronary arteries causing ischemia (lack of blood flow) in the location shown.
Helpful - 0
Have an Answer?

You are reading content posted in the Heart Disease Community

Top Heart Disease Answerers
159619 tn?1707018272
Salt Lake City, UT
11548417 tn?1506080564
Netherlands
Learn About Top Answerers
Didn't find the answer you were looking for?
Ask a question
Popular Resources
Is a low-fat diet really that heart healthy after all? James D. Nicolantonio, PharmD, urges us to reconsider decades-long dietary guidelines.
Can depression and anxiety cause heart disease? Get the facts in this Missouri Medicine report.
Fish oil, folic acid, vitamin C. Find out if these supplements are heart-healthy or overhyped.
Learn what happens before, during and after a heart attack occurs.
What are the pros and cons of taking fish oil for heart health? Find out in this article from Missouri Medicine.
How to lower your heart attack risk.