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Better diagnostic tool: ECG or echocardiography?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

I am a 32-year-old male. I have borderline ECG with no symptoms. Kindly give your opinion about ECG.
Answered by Dr. Muhammad Zohaib

Education:

MBBS

Professional Bio:

Dr. Muhammad Zohaib Siddiq is a skilled cardiologist with 13 years of clinical experience. He specializes in diagnosing and treating heart disorders, including congenital heart defects, coronary artery disease, heart failure, valvular heart disease, and electrophysiology, providing comprehensive care for cardiovascular health.      

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Hi,

Welcome to icliniq.com.

Thanks for writing in, and I understand your concern. I have gone through the reports (attachments removed to protect the patient's identity). ECG (electrocardiogram) is normal. Would you please tell me what the symptoms were when ECG was done?

Patient's Query

Hi doctor,

Thanks for the reply. I do not have any symptoms. I am a soldier, so for routine medical examination, ECG was done. Sometimes I feel a slight burning sensation in the left hypochondriac region.

Answered by Dr. Muhammad Zohaib

Education:

MBBS

Professional Bio:

Dr. Muhammad Zohaib Siddiq is a skilled cardiologist with 13 years of clinical experience. He specializes in diagnosing and treating heart disorders, including congenital heart defects, coronary artery disease, heart failure, valvular heart disease, and electrophysiology, providing comprehensive care for cardiovascular health.      

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Hi,

Welcome back to icliniq.com.

There is nothing to worry about. ECG findings are within the normal range.

Patient's Query

Hi doctor,

Thanks for the reply. Due to borderline ECG by machine, I had to take two more prints, which I am sending now. Does it require any further investigations like echocardiography?

Answered by Dr. Muhammad Zohaib

Education:

MBBS

Professional Bio:

Dr. Muhammad Zohaib Siddiq is a skilled cardiologist with 13 years of clinical experience. He specializes in diagnosing and treating heart disorders, including congenital heart defects, coronary artery disease, heart failure, valvular heart disease, and electrophysiology, providing comprehensive care for cardiovascular health.      

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Hi,

Welcome back to icliniq.com.

Both ECGs look similar. The persistence of S wave in V6 may indicate either left ventricular enlargement or right ventricular hypertrophy. Axis (97 degrees) is slightly right but well within normal limits. Yes, echocardiography can be done because echocardiography is the gold-standard test for heart anatomy while ECG is the test for the heart's electrical system. From the direction of current in ECG, we can have an idea about the heart's size, shape, and position, but direct visualization by echocardiography is the best.

Medically reviewed by Dr. K. Shobana
Published At January 16, 2022
Reviewed At August 19, 2024

Education:

MBBS

Professional Bio:

Dr. Muhammad Zohaib Siddiq is a skilled cardiologist with 13 years of clinical experience. He specializes in diagnosing and treating heart disorders, including congenital heart defects, coronary artery disease, heart failure, valvular heart disease, and electrophysiology, providing comprehensive care for cardiovascular health.      

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Education:

BDS

Professional Bio:

Dr. K. Shobana is a Dental Surgeon specializing in oral health and dental care. She is skilled in preventive dentistry and provides oral hygiene education. She can do restorative treatments such as fillings and crowns. She can handle periodontal problems such as gum diseases and periodontitis. She can do root canal treatment.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Muhammad Zohaib
Dr. Muhammad Zohaib

Cardiology

Education:

MBBS

Professional Bio:

Dr. Muhammad Zohaib Siddiq is a skilled cardiologist with 13 years of clinical experience. He specializes in diagnosing and treating heart disorders, including congenital heart defects, coronary artery disease, heart failure, valvular heart disease, and electrophysiology, providing comprehensive care for cardiovascular health.      

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality
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