Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
159 Doctors Online

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

HCM Blog Instant Access to Doctors
HCM BlogQuestions Answered
HCM Blog Satisfaction

Abnormal ECG, Sinus Bradycardia. Family History Of Heart Attack. Meaning?

Hi I just came back from the hospital my ecg is abnormal and my vent. rate is 42
do you know what does that mean? Why it is too low. I know there are no blockage
i am 38 and an athlete... but not a runner
PR interval 134 ms, qrs duration 86ms, T/QTC 470/392 ms, P-R-T axes 47 85 51. Marked sinus bradycardia Abnormal ECG. FYI my mother died from heart attack at age 42, no known heart disease prior to that for her but all 6 brothers and sisters of my mother either died from heart attack or had heart attack. But I have always been healty, play volleyball and skinny. like my father. My mom's family were not obese but a little over avarage for weight.
posted on Fri, 19 Jul 2013
Twitter Fri, 19 Jul 2013 Answered on
Twitter Fri, 19 Jul 2013 Last reviewed on
Report Abuse
Cardiologist,  's  Response
Hi friend,
Welcome to Health Care Magic

     42 is rather low – even for an athlete...
     It may not be a blockage of the arteries but a problem of the nerves – disease of the conduction system may be responsible! HOLTER (24 to 48 hour ambulatory monitoring) / or event monitor – needs to be done to analyse and plan for further management.... ECHOcardiogram / TMT (Treadmill exercise ECG) / LABORATORY work-up – may all be necessary for further assessment and assistance.
     If there are no clues, there are advanced investigations – Electro Physiological Studies (EPS) > it resembles angio – a catheter is put inside the heart / electrical activity recorded / stimulation and suppression tests are carried out / suitable medicine tested and so on. Though the test is the gold standard, it is INVASIVE and is not generally done unless there are compelling indications. This super-speciality expert is called ELECTRO-PHYSIOLOGIST.
     The treating doctor may suggest them depending on need, based on his assessment of the situation. / A pacemaker may ultimately be necessary...

Take care
Wishing speedy recovery
God bless
I find this answer helpful

1 Doctor agrees with this answer

Note: For further queries related to coronary artery disease and prevention, click here.
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]
Share on
 

Recent questions on Cardiovascular disease


Loading Online Doctors....
Abnormal ECG, Sinus Bradycardia. Family History Of Heart Attack. Meaning?

Hi friend, Welcome to Health Care Magic 42 is rather low – even for an athlete... It may not be a blockage of the arteries but a problem of the nerves – disease of the conduction system may be responsible! HOLTER (24 to 48 hour ambulatory monitoring) / or event monitor – needs to be done to analyse and plan for further management.... ECHOcardiogram / TMT (Treadmill exercise ECG) / LABORATORY work-up – may all be necessary for further assessment and assistance. If there are no clues, there are advanced investigations – Electro Physiological Studies (EPS) it resembles angio – a catheter is put inside the heart / electrical activity recorded / stimulation and suppression tests are carried out / suitable medicine tested and so on. Though the test is the gold standard, it is INVASIVE and is not generally done unless there are compelling indications. This super-speciality expert is called ELECTRO-PHYSIOLOGIST. The treating doctor may suggest them depending on need, based on his assessment of the situation. / A pacemaker may ultimately be necessary... Take care Wishing speedy recovery God bless