What Does This Following Lab Report Indicate?
sinus tachycardia
Cannot rule out anterior infarct
Nonspecific t wave abnormality
Qt wave shortened
T wave abnormality
Systolic 129
Diastolic 57
Vent rate 102
p-r interval 136
Qrs duration 84
Qt interval 306
Qtc calc bezet 398
P axis 60
R axis 64
T axis 57
Please attach your ecg!
Detailed Answer:
Hi,
Thanks for choosing HealthcareMagic for your query.
This report you have mentioned contains various readings of a test called E.K.G. It is a baseline test of cardiology and records the electrical activity of the heart.A number of intervals and parameters are defined to check the functioning of different zones of the heart muscles.
Have gone through the readings of your ecg. Almost all the parameters are perfectly normal except the Heart rate.
Sinus tachycardia is a sinus rhythm with an elevated rate of impulses, defined as a rate greater than 100 beats/min in an average adult. The normal resting heart rate in the average adult ranges from 60–100 beats/min. As your ventricular rate is 102 its just slightly on higher side of normal, and practically can't be termed as a XXXXXXX tachycardia.
Normal PR int - 120 to 200ms. Yours is normal
Normal QRS is less then 0.12 sec, yours is normal.
Your axis is also normal. No abnormal deviation present.
As i've already explained, ECG is the most basic test of cardiology so interpretation and significance of ecg depends on presentation of patient.For eg if patient presents with on going chest pain then even non specific ST-T changes are significant other wise they are insignificant in a normal person.
However to get a cardiac clearance. I would suggest you--
1) Please mention your complete history.
2) Why was the ECG done in the first place ?
3) Tread mill test and 2D echo combined together they are more then 85% sensitive in ruling out cardiac abnormality.
4) Attach the copy of your ECG -It is to be always interpreted by cardiologist. Diagnosis written over the paper by machine is usually artifact.
Awaiting....
Thanks!