<s>[INST] Hi Doc, I just received a copy of my visit to the ED, following an automobile accident on 5/28/17. I had an EKG, any there was no mention of what the EKG showed, which said: borderline left axis deviation, consider anterior infarct, borderline T abnormalities, anterior leads. I am a healthy 66 year old female with no prior history of EKG abnormalities. I was extremely fortunate to be able to walk away with only chest pain and abdominal pain from both the seat belt and air bags that deployed. A small knot on the forehead without any LOC. Could these EKG abnormalities be trauma from the car accident? I have my annual physical in November with my Primary M.D. Thoughts/impression? [/INST] Hi, I understand your concern regarding ECG changes. Subtle ECG changes like T wave abnormalities are common in women as part of normal changes. The other changes suggestive of anterior infarct could be of the normal process. The trauma can also cause the above changes. I advise my patients to follow up with fresh ECG's, to see normalization if any, and I would suggest getting evaluated by a cardiologist if there were persistent chest pain, with sweating and breathlessness. As you are a healthy woman, it is advisable to be reassured and not worry a lot. Hope I have answered your query. Let me know if I can assist you further.   </s>