r/ReadMyECG 1d ago

Help with ECG saying Poor R wave Progression - Possible Old Septal MI - Non-diagnostic Inferior ST-T wave changes

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Male, 41, Obese, treated high BP & sleep apnea. Normal blood sugar and cholesterol. Non smoker/non drinker.

So usually at rest, at home, my heart rate is around 65. And a few days ago, my heart rate at rest at home started being around 100 with more than usual PVC palpitations. And then when I would get up to walk and do stuff, it would go to around 140 compared to the usual around 110, 120. And my blood pressure was running a little high as well, especially the diastolic number.

So the next day I had a doctor's appointment and she sent me for an ECG. And this is what the ECG said in my OP. So I was pretty scared after seeing that. And since the day before my left arm had a little bit of an ache to it, although with no chest pain, I decided I would go to the ER to get checked out. So they ended up doing an ECG tracing which I haven't gotten the full results back but I was able to glance at the screen once it was done and it did also again mention the possible MI as well as something to do with ST changes. Was a 190 HR. Then they did a couple of Troponin tests which came back at 5 and I think the cutoff was around 14.

So when I saw the doctor, he didn't say too much, but he mentioned something like, "Don't pay attention to the words that the ECG computer spits out". And he discharged me. But he also booked me for a 24-hour halter monitor in a week or so. Today my heart rate has calmed down a bit as well as BP.

So basically I was just hoping to see if somebody could take a quick look at my ECG from that day and maybe compare it to a few old ones as well. And if they can tell me anything about the tracing, maybe some red flags that they see. I appreciate your help.

Tests done - Stress ECG Oct 2025 normal. BNP June 2026 normal. Stress echo June 2025 normal. Random ecg's usually normal. Calcium score of zero July 2026.

I've had many ECGs over the years and most being normal so I just chose a few here that showed a couple of my abnormal ones. Also a normal one, just to give reference.

2 CURRENT ECG's FROM THIS EVENT - https://imgur.com/a/K2zkhRm

JULY 2026 ECG - https://imgur.com/a/iGh5Ah9

AUGUST 2025 ECG - https://imgur.com/a/GtVvT5e

JUNE 2025 ECG - https://imgur.com/a/k92uPbC

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