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What Does This ECG Report Indicate?
Question: I went to my primary doctor and my EKG was abnormal. I am 50 year old female in good condition. The results were:
PR: 136 sinus rhythm - frequent pvcs - ventricular trigeminy
QT?QTc 358/412- rightward P/QRS axis and rotation- possible pulmonary disease
QRSD: 94
P axis: 70
QRS axis: 82
T axis: 52
What does this mean?
Thank you
PR: 136 sinus rhythm - frequent pvcs - ventricular trigeminy
QT?QTc 358/412- rightward P/QRS axis and rotation- possible pulmonary disease
QRSD: 94
P axis: 70
QRS axis: 82
T axis: 52
What does this mean?
Thank you
Brief Answer:
I would explain as follows:
Detailed Answer:
Hello XXXX!
Thank you for asking on HCM!
Regarding your ECG measurements, I would explain that your ECG waves and intervals seem to be within normal ranges. There is normal sinus rhythm, normal PR, QRS and QT interval durations.
Regarding QRS axis deviation review, it is necessary to upload an entire ECG registration, as the actual view lacks sufficient quality and a part of lead recordings.
Please, could you upload a new one!
Your resting ECG shows also ventricular extrasystoles. To define their frequency and clinical significance some additional cardiac tests should be performed:
- an ambulatory 24 to 48 hours ECG monitoring (to identify the exact frequency of extrasystoles, and identify possible presence of more complex arrhythmia),
- and a cardiac ultrasound to rule out any structural cardiac abnormalities, responsible for arrhythmia maintenance.
You have to discuss with your attending cardiologist about these issues.
Hope to have been helpful to you! Greetings! Dr. Iliri
I would explain as follows:
Detailed Answer:
Hello XXXX!
Thank you for asking on HCM!
Regarding your ECG measurements, I would explain that your ECG waves and intervals seem to be within normal ranges. There is normal sinus rhythm, normal PR, QRS and QT interval durations.
Regarding QRS axis deviation review, it is necessary to upload an entire ECG registration, as the actual view lacks sufficient quality and a part of lead recordings.
Please, could you upload a new one!
Your resting ECG shows also ventricular extrasystoles. To define their frequency and clinical significance some additional cardiac tests should be performed:
- an ambulatory 24 to 48 hours ECG monitoring (to identify the exact frequency of extrasystoles, and identify possible presence of more complex arrhythmia),
- and a cardiac ultrasound to rule out any structural cardiac abnormalities, responsible for arrhythmia maintenance.
You have to discuss with your attending cardiologist about these issues.
Hope to have been helpful to you! Greetings! Dr. Iliri
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
THE PVCS only showed when I was sitting up not lying down. Should I be alarmed about pulmonary heart disease based on the EKG. I have no symptoms.
Thank you
Thank you
Brief Answer:
You shouldn't be alarmed, just check cardio-pulmonary interaction.
Detailed Answer:
Hello again!
As far as you are clinically normal, without any obvious pulmonary symptomatology or disorders, you don't have to be alarmed.
You just need to clarify this uncertainty by performing a cardiac ultrasound to explore/rule out pulmonary implications on the right heart (chamber dimensions and function, pulmonary artery pressure, etc).
Don't forget to discuss with your doctor for an ambulatory ECG monitoring, to investigate arrhythmia.
Wish you a good health! Dr. Iliri
You shouldn't be alarmed, just check cardio-pulmonary interaction.
Detailed Answer:
Hello again!
As far as you are clinically normal, without any obvious pulmonary symptomatology or disorders, you don't have to be alarmed.
You just need to clarify this uncertainty by performing a cardiac ultrasound to explore/rule out pulmonary implications on the right heart (chamber dimensions and function, pulmonary artery pressure, etc).
Don't forget to discuss with your doctor for an ambulatory ECG monitoring, to investigate arrhythmia.
Wish you a good health! Dr. Iliri
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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