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...