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non-specific ST-T wave changes


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#1 Ruffmeister Paramedic

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Posted 26 May 2010 - 07:40 PM

Ok, I'm reviewing some old charts today and I came across this gem.

New EKG done today, Old EKG done 14 months ago.

The reading reads out as this.

His electrocardiogram showed a normal sinus rhythm with a rate of 75, first degree AV block, non-specific ST-T wave changes. I do have an old EKG to compare it with from 03/03/2009 and this is unchanged from previously done.



Ok my question is this.

IF the EKG is unchanged from 14 months ago then how can he have non-specific st-t wave changes??? If he has only two ekg's to review the new one and the old one and they are unchanged - where is he getting the non-specific st-t wave changes at?

I don't understand it.

I'm at a loss to describe it.

I might preface this that this is not a cardiologist reading these two EKG's.
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#2 chbare

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Posted 26 May 2010 - 08:27 PM

Hey Ruff, can you attach copies and give out any history? It's hard to say as many things can cause non specific ST changes and this is not an uncommon finding. Problems such as acid/base imbalances, drug effects, electrolyte imbalances, endocrine problems and an array of pulmonary & cardiovascular problems can cause non specific changes.

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#3 Ruffmeister Paramedic

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Posted 26 May 2010 - 11:43 PM

Hey Ruff, can you attach copies and give out any history? It's hard to say as many things can cause non specific ST changes and this is not an uncommon finding. Problems such as acid/base imbalances, drug effects, electrolyte imbalances, endocrine problems and an array of pulmonary & cardiovascular problems can cause non specific changes.

Take care,
chbare.

Sadly I do not have any copies of the 12 leads.

What struck me as strange is that if the Dr. is saying there are non-specific changes and then goes to the next step and saying that there are no changes from previous EKG doesn't that seem strange?
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#4 jonas salk

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Posted 27 May 2010 - 12:15 AM

What I can imagine is that both 12 leads showed the same ST changes, that whatever s/he was seeing in the current 12 lead were present in 2009.
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#5 Ruffmeister Paramedic

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Posted 27 May 2010 - 12:28 AM

What I can imagine is that both 12 leads showed the same ST changes, that whatever s/he was seeing in the current 12 lead were present in 2009.

True true true but.....

The physician had two EKG's. EKG 1 - 1 year old EKG 2 - very recent

How can the physician say non-specific changes when the ekgs show no change from previous to new. Isn't that contradictory?

Not trying to be argumentative but I am at a loss with this physicians thought process. I guess I could go ask her but I don't know her.
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