Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
What Does This ECG Report Indicate?
Question: My 70 year old mother-in-law recently complained weakness and was recommend a complete health check-up. Based on the reports, the heart rate was identified slower than average and the doctor recommended installing a pacemaker.
I'm looking for a second opinion.
EKG details:
HR: 41 bpm
P: 0 ms
PR: 0 ms
QRS: 148 ms
QT/Qc: 542/449 ms
P/QRS/T: 0/-5/100
RV5/SV1: 0.201/1.519 mV
I'm looking for a second opinion.
EKG details:
HR: 41 bpm
P: 0 ms
PR: 0 ms
QRS: 148 ms
QT/Qc: 542/449 ms
P/QRS/T: 0/-5/100
RV5/SV1: 0.201/1.519 mV
Brief Answer:
ecg shows complete heart block
Detailed Answer:
Dear Mr XXXXXXX
1. The ECG you have attached clearly shows Complete heart block with a ventricular rate of 40 beats per minute with wide complex QRS rhythm. This itself is an indication for permanent pacemaker implantation in a 70 year old subject provided there is no known reversible cause for same. The reversible causes include anginal heart disease (ischemia), medicines which slow down heart, electrolyte imbalances and aortic valve disease. There are other infrequent causes too.
2. Her TSH, hemoglobin and creatinine are normal.
3. My recommendation is to see a good interventional cardiologist at the earliest and take suitable action as per his advice.
Sincerely
Sukhvinder
ecg shows complete heart block
Detailed Answer:
Dear Mr XXXXXXX
1. The ECG you have attached clearly shows Complete heart block with a ventricular rate of 40 beats per minute with wide complex QRS rhythm. This itself is an indication for permanent pacemaker implantation in a 70 year old subject provided there is no known reversible cause for same. The reversible causes include anginal heart disease (ischemia), medicines which slow down heart, electrolyte imbalances and aortic valve disease. There are other infrequent causes too.
2. Her TSH, hemoglobin and creatinine are normal.
3. My recommendation is to see a good interventional cardiologist at the earliest and take suitable action as per his advice.
Sincerely
Sukhvinder
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Sure, thanks for your advise.
Brief Answer:
You are welcome Sir.
Detailed Answer:
You are welcome Sir.
Sincerely
Sukhvinder
You are welcome Sir.
Detailed Answer:
You are welcome Sir.
Sincerely
Sukhvinder
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
Get personalised answers from verified doctor in minutes across 80+ specialties
