Inferior Q-wave follow up

Leave a Comment

Submitted by Dr T on March 19, 2011 – 9:22am

What sort of other causes would lead to an inferior Q-wave besides the MI? Upon further review of the EKG, the cardiologist does want me to come in for the stress test. Is it really possible for one to have an MI and not know they had one. I have not had any issues with my heart at all so this has come as a very big suprise to me. I’m not aware of every having an MI and have been working out 3x per work with cardio and weight circuit.  I just find this so bizarre not to have had any history of CAD.I did take the risk assesment.  Results: Estimated risk of CAD in 10 years: 1.97%, “Ideal” 10 year risk of CAD at this age: 1%, Average 10 year risk of CAD at this age: 2%, Estimated risk of stroke in 10 years: 0.50%

It depends on what your EKG looks like. I cannot judge that from here and it doesn’t make sense to speculate! It is possible to have an MI w/o symptoms, or one caused by an injury to an artery, such as after an accident.
In your case, based on the results of the 10 year risk analysis, you are at a very low risk. In any case, whether you had an MI before or not, you  need an evaluation about your heart function and presence/absence of coronary artery disease. Everything else is speculation and your surgeon needs facts!
By the way, you are doing so well on diet & exercise, why not continue that and see how far it can get you?
A gastric bypass has major potential and long term complications and while often very effective, should be reserved for those who are unable/unwilling to do so!
Hope this helps,
Dr T

Leave a Reply

Your email address will not be published. Required fields are marked *