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need help with my ecg i had done

one ecg it says it was abnormal here what it says sinus rhythm.poor r wave progression-probable normal variant lateral st-t changes suggest myocardial injury/ischemia can anyone explain what this means i a neverous the doc at the hospital say it was normal
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367994 tn?1304953593
Abnormal sinus rhythm can be a be heart rate over 100 at the time of the test and not considered a problem without further clinical evidence..

Poor r wave progression-probable normal variant lateral st-t changes suggest myocardial injury/ischemia.  This particular pattern is usually reported out as "cannot rule out anterior myocardial infarction." The placement of the leads (electrodes) is critical in obtaining a reliable ECG pattern. Frequently the leads are placed in the wrong position and overlooked when obtaining the electrocardiographic tracing.

Verification of proper leads placement should be  the first response followed by echocardiography if there remains concern that there has been prior myocardial injury. Apparently, your doctor doesn't have supporting evidence of myocardial injury, and the tracing is a normal variant, artifact, etc. caused by obesity, medication, etc.
"Digoxin ("Dig effect") may produce either ST "scooping" or a "strain"-like pattern or no change at all".  Trust your doctor...
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