HEART DISEASE EXPERT FORUM
ECTOPIC ATRIAL RHYTHM SUPRAVENTRICULAR EXTRASYSTOLES

ECTOPIC ATRIAL RHYTHM SUPRAVENTRICULAR EXTRASYSTOLES

My Summary is : Borderline Abnormal.  I am 34 and want to know the true emphasis on this reading! I am the only surviving parent of my four boys and also I have a daughter.  My readings are as follows:  

Vent.rate  65 bpm
P Duration  90 ms
QRS Duration 88 ms
PR Interval 112 ms
QT Interval 394 ms
QTc Interval 401 ms
P-R-T AXIS  -66 81  40
Tags: atrial
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1495448_tn?1326846430
I am sorry to hear about the death of your loved one.  Based on your numbers your ECG is normal, though I can't tell this for sure without seeing the actual ECG.  These ectopic complexes sound like premature atrial complexes or beats.  These occur in many people in the general population and are benign.  If you begin to have symptoms such as chest pain, shortness of breath, lightheadedness, palpitations (heart racing) you should see your physician.  Otherwise, these are typically nothing to worry about if they are truly PACs.  I assume the "borderline abnormal" is typed across the top of your ECG.  Pay no attention to it.  Have your cardiologist interpret it in person for you.  

Best of luck, and my best to your family.
2 Comments
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1124887_tn?1313758491
Hello, while you wait for doctor's answer, I can give you some advice as a community member. By the way, I'm really sorry to hear what happened to your family..

Try to explain to the doctor in what setting, and why this EKG was taken (sensation of heart palpitations, irregular heart rate, rapid heart rate).

The headline is a bit confusing. Ectopic atrial rhythm is, in some way, a rhythm with only supraventricular extrasystoles (also known as PACs), with no normal sinus beats in between them. You cannot have supraventricular extrasystoles with an ectopic atrial rhythm (if you do, I think the condition is named wandering atrial pacemaker).

Atrial rhythms are, as far as I know, almost never life threatening, and at this heart rate, I think (but this is the doctor's job to answer) this is a completely benign condition. A Holter test (24 h EKG) would reveal how much of the day you are in this rhythm, instead of sinus rhythm. Again, something to discuss with your doctor, or this forum's doctors. We can all have events where another pacemaker in the heart (and usually in the atrias) for some reason takes over the function of initiating heart beats, and as long as it doesn't happen constantly, or the heart rate is too high, it causes no harm.

I'm diagnosed with this, but in my case, it happens with extreme stress, and the heart rate is far above 65, and in this case, the name is supraventricular tachycardia or atrial tachycardia.

Best wishes, I hope the doctors will answer you soon :) If you can, try to explain why this EKG was taken. Sorry if I rambled too much here.
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