Hi, I have not had a course of any sort in interpretation of EKG's, and I am relying solely on my lab diagnostic manual, which is not very helpful. I was wondering if somebody could help me.My pt was a 61F, and she had Hx of cardiomegaly, HTN, arrhythmias, and chest pain. SHe was admitted for suspected TIA, which was ruled out. Her EKG results are as follows: Vent rate 65 BPM, PR 160 MS, QRS 86 ms, QT/QTC 430/447 ms. sinus rhythm with occasional premature ventricular complexes. Left axis deviation. Nonspecific T-wave abnormality ABNORMAL ECG The results for the next one taken 5h later are as follows: vent rate 67 BPM, PR 166 ms, QRS duration 86 ms, QT/QTC 384/405 ms normal sinus rhythm, left axis deviation. Minimal voltage criteria for LVH, may be normal variant. Anterior infarct, age undetermined. I know that the premature vent complexes account for her arrhythmias. I also know that the LVH indicates thickening of the left ventricle. This is indicated in HTN, CAD, and valvular disease. I also know that the Anterior infarct indicates cell death in the anterior surface of the heart, and a possible minor MI. I was wondering if someone could help me determine what this means. I haven't the slightest idea what the nonspecific t wave abnormality could be related to, and I don't know how to look at the values and determine which ones are abnormal. Also, what does the minimal voltage thing mean? Also, what does left axis deviation mean, and what could this indicate?If it matters, this woman had a very irregular pulse without a rhythm. Thank you for trying to help me!