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What Does "Posible Left Atrial Enlargement,left Ventricular Hypertrophy" Mean?

Posted on Wed, 5 Mar 2014

Question: i just had an ECG vent rate 64 bpm pr internal 158 ms qrs duration 90 ms qt/qtc/388/400 ms P-R-T axes 63 79 55 I am a 39 year old healthy female who is 5'7" 140 lbs. I work out 3x a week. I was told I had perfect blood pressure ( but I forgot what it was) The "unconfirmed" diagnosis was: Normal sinus rhythm, Posible left atrial enlargement, left ventricular hypertrophy and ABNORMAL ECG. Do these numbers make sense OR could the doctor/ resident who saw me be biased because I told him I take adderall and my mother dies of a massive (unexpected) heart attack in her late 60's? This matters to me b/c I don't want shrink to take me off meds. My blood work comes in next week. Thanks for your analysis. I uploaded the EKG and noticed they had me noted as a male though I am a female. Thank in advance for your opinion.

Answered by Dr. Rakesh Karanwal (58 minutes later)

Brief Answer: The EKG figures are normal Detailed Answer: Hi Ms. XXXXXXX Thanks for your query. I am afraid the EKG has not been uploaded successfully, as the same is not available. Kindly upload it again. I have carefully gone through the EKG readings. They are perfectly OK. Left Ventricular hypertrophy is diagnosed from the height of the tallest spike, while Left atrial enlargement is diagnosed from the configuration of the wave just preceding the tallest spike. I will therefore, have to see the EKG before commenting on these observations. I presume that you wish to continue with the meds prescribed by your shrink. However, it would be a reasonable proposition if you could inform me the daily doses of Adderall and other meds (if any) being taken by you. Since Adderall has an adverse effect on the heart, the requested information would enable me to analyze the EKG better. Awaiting EKG and the additional information. Fond regards and have a nice day, Col (Dr.) Rakesh Karanwal

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Rakesh Karanwal (4 hours later)

I take 20 mgs 3 times a day and and function perfectly. I'm fit, although [sometimes tired], single mom of an 11 and 3, putting my children first yet managing a semi-successful business, but i know my limitations….. I take weekends off and run around with my kids, I don't feel poorly. I can't help but to think this resident got confused and made a presumptive assessment that i am at risk when i am not. i just want to know if he knows what the heck he is talking about. Thanks Doc.

Answered by Dr. Rakesh Karanwal (36 minutes later)

Brief Answer: EKG IS PERFECTLY NORMAL Detailed Answer: Well XXXXXXX I have carefully analyzed your EKG : IT IS PERFECTLY NORMAL. There is no evidence of either left atrial enlargement or, left ventricular hypertrophy. So, JUST RELAX! You a normal weight, perfect blood pressure and a normal EKG - positive signs of good health. Just wait for the blood reports, which- if normal- will confirm that you are physically fit in all respects. Take Care and God Bless You Col (Dr.) Rakesh Karanwal

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Rakesh Karanwal (34 minutes later)

I scanned the ECG/EKG. It was uploaded correctly, I thought. Otherwise i am happy to drop in the mail and pay a fee. I just want the truth. I will be in touch with you again to ask you to kindly analyze my blood work. i thank you for your time and patience. Enjoy the rest of your weekend. Sincere appreciation. Cheers, Heidi

Answered by Dr. Rakesh Karanwal (4 minutes later)

Brief Answer: Unbiased professional advice has been given Detailed Answer: Rest assured, XXXXXXX I have given you an unbiased professional advice. We don't charge any extra fee. Thanks all the same. I'll be looking forward to seeing your blood reports. Take care and God Bless.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Rakesh Karanwal (22 minutes later)

So how do we proceed! Shall I mail ÿou via post baby Resident'a report? I apologize --- little 33 Unconfirmed report?

Answered by Dr. Rakesh Karanwal (15 minutes later)

Brief Answer: You can contact me through a Follow-up query. Detailed Answer: Simply pay for the follow-up Query on this website, endorse/upload the blood reports (including Resident's report- if you so wish) in the query and ADDRESS IT TO ME PERSONALLY BY NAME. I'll advise you accordingly, on studying the blood reports.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Rakesh Karanwal (16 hours later)

Thank you so very much for you time. I will be in touch when I receive my blood work back. You've been wonderful. Best, Heidi

Answered by Dr. Rakesh Karanwal (5 hours later)

Brief Answer: My pleasure Detailed Answer: You're welcome, XXXXXXX I will be waiting for your blood reports. Till then, take care

Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar