^
I’ll play.
Despite T wave abnormalities typically being ischaemia related, inverted T waves can be a normal finding following positive RBBB, so I’m going to say normal.

However, Googling your ECG report, oddly, suggests “GAIDS”…

DrP

PS – If I’m wrong, can I have your stuff…

I think you doctors are paid quite enough.

If anyone gets his stuff it should be a nurse.

so I’m going to say normal.

Good call. But analysis is roughly along the lines of: in RBBB t-waves ought to be concordant. Mine are discordant. Inverted t-waves in v1-v3 suggest ARVC. So, after testing for Brugada* and ARVC, conclusion is “unusual, but normal for me”. Resting and stressed ECG show the same pattern.

So, you can’t have my stuff just yet.

OP – don’t read any of this, or you’ll get the fear..!

*As decided by a consultant cardiologist. Dismissed as “unnecessary” by consultant electrophysiologist. Doctor Wars!

That’s what he said, “Normal”

The internet is becoming the leading cause of hypochondria in the Western world.

Hadn’t read the initial post your 21 and ten stone. It would have to be a very convincing story to make me do troponins. Yours doesn’t sound like that. If i had seen you i wouldnt done troponins either. Stop worrying get on with your life.

dr_death – Member
Can I have a tenner on it being nowt?

(Or your stuff if you kark it?)

Don’t fall for it.

molgrips – Member
The internet is becoming the leading cause of hypochondria in the Western world.

With enough time, I can convince myself that I have anything.

Don’t listen to this buch of quacks OP, your diagnosis is easy; Bad aids.

I’m surprised no one else had point this out.

Quite. Not to mention the several I’ve attended left sitting in the waiting room (and one sitting on the wall outside the surgery) who were actively having an MI !!

I was under the impression that even the mildest MI puts people on their ass? Is this not true then?

I’d have thought someone having an MI would be absolute top priority!

OK paramedics, let’s see how good you are:

I have RBBB where the RSR’ is almost completely positive (i.e. above the “base line”) and deep and wide inverted t-waves in V1-V3.

What’s wrong with me?

To be clear, we may not know what’s wrong with but we will know that it’s not an MI. We will recognise, I hope, that it’s a RBBB. You can see why DrP and DrDeath are pain more than me now, they have done much more training. We can recognise more than a patient having an MI though.

I was under the impression that even the mildest MI puts people on their ass? Is this not true then?

I’d have thought someone having an MI would be absolute top priority!

No it depends on many factors.

You’d think they would wouldn’t you.

Terminal Hypochondria, that’s what it is…
MTFU! If you were at risk, you’d be in a ward swapping grisly stories with other cardiac patients.

It’s not skill or training.
I tell everyone they’re fine.
For the vast majority of the time, I’m right……

DrP

Terminal Hypochondria, that’s what it is…

Thanks. It’s not.

Nukeproof riding, switch computer on, and insert little finger into a spare usb port, and run a virus scan.

Easy. 😯

Can i borrow your bike,

You dont see many st elevation mi’s these days.

And drs and paramedics get over yourselves we all get it wrong sometimes! I can think of 2 occasions in the last 10 years when i have done a housecall after the paramedics have left, only to admit the patient to hospital with symptoms suggestive of an mi with a ” normal” ecg. If in doubt get the enzymes done!

Can i borrow your bike,

It’s a scalp. Are you man enough?

You dont see many st elevation mi’s these days.

Surely that depends, we see quite a few hence why they setup PPCI direct admissions for Ambulance staff.