I am a 43 y/o female, 68 in, 145 lbs. Heathy, do not smoke. Chol normal except LDL 114. HDL 52. Recently had an ECG as part of a physical and the printout read Probable Anteroseptal MI, age indeterminate. The internal medicine MD said this is a normal variation for tall, thin females. He recommends no further follow up. I do exercise 4-5 times weekly, either run or walk. Do not ever recall having chest pain. Do you agree? Or should I ask to have an echocardiogram?
Most likely your doctor used an automated machine that generates a “diagnosis”. There are reasons why you might have “Q waves in V1-V3” that may include incorrect lead placement. However, it is not OK for your doctor to tell you that you have had a probable MI, but not to worry about it. He owes you an explanation!
Q, QS, or qrS complexes in leads V1-V3 (V4)
Evolving ST-T changes
Fully evolved anteroseptal MI (note QS waves in V1-2, QRS complex in V3, plus ST-T wave changes)
- Women may have atypical symptoms,
- A silent MI may occur (one that didn’t produce symptoms and is found incidentally)
- An incidental EKG may show changes, consistent with an old MI
it is unlikely that any of these occurred in a woman with your background. This is what I would recommend. Ask your doctor to explain. He owes you that! Depending on what he tells you, ask for another EKG where lead placement is not an issue, get a second opinion, or get a stress ECHO,
Hope this helps,