abnormal ecg

[lil sunshine]

Hi I had to get an ecg for my preop , minor surgery on hand, and the report says:
vent rate 58 bpm sinus bradycardia with sinus arrhythmia
PR interval 132 ms septal infarct, age undetemined
QRS duration 82ms abnormal ECG
QT/QTc 408/400 ms
P-R-T axes  15  -1  21  

I will be 49 in  4 days and go to the pool every MWF and aqua jog for an hour due to a bone tumor on my femur resulting in a limb salvage prosthesis which makes me relatively sedentary. I do walk our dog 3 times a day but not very far and not very fast, I am in a lot of pain. My normal BP is about 102/76 and pulse 74 but lately my pulse can be as high as 90-100, and BP 130's/80's which is high for me.

My cholesterol is great! I weigh about 156 but 12 lbs of this is my prosthesis, I lost 25 lbs without trying , but have gained 15 of it back. I watch what I eat, and don't eat junk food or snack. I went from a size 12 to a size 8. My thyroid is wacky , I have Hashimotos but am not on meds for it, also my blood sugar was 66 and 62 on my labs for preop, this after eating breakfast and lunch.

Any thoughts about my ecg? I am going to question my pcp about this as I had spent the night in the ER/ward about 4 months ago wietc bst pains , paplitations and had CT of heart etc but they said I was A OK , now I am not sure. About 12 yrs ago I had what was thought to be a TIA or MS  or my first seizure, I have partial simple complex seizures, but I have been having "heart" pain for awhile and my heart races. My gall bladder also has a ployp on it which can also apparently cause heart [palpatations?

Thanks for any thoughts,
Bonnie

[lil sunshine]

Thanks,
I don't think I have had a "heart attack" but I do still get heart palpatations ,every day actually. Could be my seizure meds ? Or my Thyroid? I am Hashimotos but not on meds for it as the dr feels I should just let my thyroid burn out. Meanwhile I am pretty miserable and lately my blood sugar is getting wacky again, haven't had that problem in a long time. Too much stress maybe.

[is_something_wrong]

Infarcts on EKG are often false. I've had infarct patterns on EKG too - and I've never had an infarct. The doctor just did another one, which was normal.

An echocardiogram can confirm or rule out infarct damage, but if you've done a CT of your heart, this should overrule an EKG.

Ask your doctor for another EKG. If this is abnormal too, get an echocardiography.

All other numbers on your EKG seems within normal limits as far as I know. Heart rate of 58 is not really bradycardia (some machines draw the limit at 60 and some at 50). A bit slow heart rate is just fine and so is a bit low blood pressure, as long as it's not caused by low thyroid, which it can possibly be?

A little variance in your heart rate can be caused by hundreds of things, most of them completely normal. However, make sure your thyroid levels are well controlled, as they can really affect your heart rate (and other functions).