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What Does My EKG Test Result Indicate?

Posted on Mon, 3 Oct 2016

Question: I had an EKG done on my 10 year old daughter because she is a swimmer and a runner. The results show low right atrial rhythm and low voltage QRS. My doctor isn't in until Monday to discuss it and I am so worried. She is healthy with no symptoms. Could this be a false positive or improper lead placement? I am a pediatric nurse. I would love an answer from a pediatric cardiologist. Thanks

Answered by Dr. Sumanth Amperayani (53 minutes later)

Brief Answer:
Please upload the image of the ECG

Detailed Answer:
Hi.... I understand your concern. Please do not worry. A completely asymptomatic child will not have anything serious. Low voltage QRS Complex alone and the low right atrial rhythm do not mean anything without any symptoms at all.

I am a pediatrician with special interest in Pulmonology. If it is ok for you please upload the image of the ECG and I will get back right to you.

Regards - Dr. Sumanth

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

Follow up: Dr. Sumanth Amperayani (10 minutes later)

Thank you, they only gave me the report. I wish I had the actual EKG. If I get it, I will upload it. She is totally fine and swims and runs without a problem. I worry, because I know some athletes die with no history of symptoms. My daughter is not overweight and has no other medical history. I worry more because she is adopted from China so I have no medical history. Do you think it could have maybe been improper lead placement? What are some diagnoses for low voltage QRS?

Answered by Dr. Sumanth Amperayani (6 minutes later)

Brief Answer:
Suggestions on ECG

Detailed Answer:
Hi....I do not think it is due to improper lead placement.

Some of the causes of low voltage QRS complexes could be - obesity (which is ruled out in your daughter's case), myxedema, scleroderma, amyloidosis, sarcoidosis, pleural or pericardial effusion.

Please do not worry after going through the differentials.

An asymptomatic active child is a well child.

Regards - Dr. Sumanth

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

Follow up: Dr. Sumanth Amperayani (4 minutes later)

Thank you. I wonder if the doctor will order any further tests. Have a good day.

Answered by Dr. Sumanth Amperayani (2 minutes later)

Brief Answer:
He will not order anything further- don't worry

Detailed Answer:
Hi...I do not think that he will order anything further in a completely asymptomatic and active child like yours. Do not worry.

I wish your kid a bright future. If you need any future medical consultation and suggestions, I will be glad to help. You can approach me at the following link.

Once the page opens there will be an option below my image as – ASK ME A QUESTION – click on it.

Please find the link below -

www.healthcaremagic.com/doctors/dr-sumanth-amperayani/67696

Regards - Dr. Sumanth

Note: For further queries related to your child health, Talk to a Pediatrician. Click here to Book a Consultation.

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