I'm trying to understand my recent ECG results better. It mentions LVH and LAE, and the report says it's moderately abnormal. Can you tell me what that means for me? The ECG also showed a normal sinus rhythm and axis, and my heart rate was 80 BPM. Should I be concerned or take any specific actions?

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Dr Anshul Maheshwari

General Practitioner

MBBS
5+ Yrs

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LVH (Left Ventricular Hypertrophy) and LAE (Left Atrial Enlargement) can appear on an ECG due to changes in the electrical activity of the heart caused by the enlargement of the left ventricle and left atrium, respectively. These changes can be detected on an ECG as alterations in the patterns of the electrical signals produced by the heart. In your case, the ECG showing LVH and LAE along with a description of "moderately abnormal ECG" indicates that there are significant changes in the electrical activity of your heart. However, it is positive that the ECG also shows normal sinus rhythm and normal axis, which means that the heart is beating normally and the electrical signals are following the correct pathways. With a heart rate of 80 beats per minute (BPM), it falls within the normal range. To further evaluate the significance of the LVH and LAE seen on the ECG, additional tests such as an echocardiogram may be needed to assess the structure and function of the heart in more detail. In terms of treatment, managing the underlying conditions that may have led to LVH and LAE, such as hypertension or valvular heart disease, is important. Medications like ACE inhibitors or ARBs may be prescribed to help reduce the workload on the heart and control blood pressure. Regular follow-up with a cardiologist is recommended to monitor your heart health and make any necessary adjustments to your treatment plan.

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Answered 04/07/2025

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