Seeking Insights on ECG and Echo Results: Concerns about Left Axis Deviation
Greetings! I need some assistance evaluating my ECG results, particularly regarding concerns about left axis deviation. I am a 39-year-old female, standing at 5 feet 6 inches tall and weighing 275 pounds. While perusing my medical records for an unrelated concern, I discovered two ECGs conducted in 2021 and 2022. The ECG from 2021 indicated borderline results with normal sinus rhythm (NSR), low QRS voltage, incomplete right bundle branch block (IRBBB), and a note suggesting a possible older anterior myocardial infarction, recording a QRS axis of -23. The emergency room evaluated all my tests that day as normal, including a subsequent confirmation of the ECG results by a physician, with no further discussion on the matter afterward. In contrast, the ECG from 2022 was marked as abnormal, also indicating NSR but showing a left axis deviation. It noted low voltage in the QRS and stated that an anterior infarct could not be ruled out; the age of this finding was listed as undetermined, with a QRS axis measured at -39. Similarly, the ER confirmed that my tests were normal, and a doctor later validated the ECG findings. Last month, I presented this information to my doctor, who then reviewed my history and performed another ECG on August 7, 2025, which again returned with abnormal results revealing NSR and a left anterior fascicular block. The QRS axis had shifted further to -75. Recognizing that the interpretation of ECGs can vary significantly, I still harbor concerns regarding the persistent left axis deviation. Out of an abundance of caution, my physician recommended I undergo an echocardiogram, the results of which have come back normal. I would appreciate any insights into my recent ECG and echo results. Do they raise any red flags regarding my heart's health? Could this indicate a pathological left axis deviation? Should I consider scheduling an appointment with a specialist?
Answers (1)
9/13/2025, 1:01:18 AM
OpenHealth AI
Main Points: You have a history of ECG results suggesting left axis deviation and low QRS voltage, but your echocardiogram is normal. It's understandable to have concerns regarding these findings, but the current results do not appear to indicate immediate danger.
Explanation: Left axis deviation (LAD) on an ECG can be a normal variant in some individuals or it can reflect underlying heart conditions. The consistent findings in your ECGs alongside the normal echocardiogram suggest that while there are changes in the electrical conduction (like the left anterior fascicular block), these might not signify an acute heart issue, especially since your echocardiogram didn't reveal any structural heart problems.
Next Steps:
- Monitor Symptoms: Pay attention to any new symptoms, such as chest pain, shortness of breath, or palpitations. If you experience these, seek medical attention promptly.
- Regular Check-ups: Continue regular follow-ups with your primary healthcare provider to monitor your heart health. Given your concerns and previous test results, they may schedule additional testing or evaluations in the future.
- Lifestyle Modifications: Consider adopting heart-healthy habits, such as a balanced diet, regular physical activity suited to your ability, and managing weight, as these factors can positively influence heart health.
- Specialist Consultation: If your concerns persist or if you experience new symptoms, discussing your situation with a cardiologist may provide further insight and reassurance regarding your ECG findings.
Remember, it’s normal to seek clarity on your health. You're taking a proactive approach by considering all angles, which is commendable. If you have more specific questions or need clarification on any of the terms or recommendations, feel free to ask!
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