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Isolated Q in III, what are your thoughts

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I have a 59 yo male w/ HTN who had a EKG today that was normal excpet for a Q wave in III. It's 1mm in width and its depth is twice the height of the R wave.


All intervals are normal, axis normal and R wave progression are normal. He had an EKG 4 years ago that showed a very low voltage II at 1-2mm height but was all upgoing.


So what do you think, is this something to worry about in an asymptomatic male?


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