Abnormal EKG

[darlin1]

I just had an EKG done which came back ABNORMAL.  This is the what the computer generated report says:

QT/QTc   366/419 msec P:QRS-1.1, normal P axis, H rate 90
QRSD     86 msec      right atrial enlargement
P axis     74                  nonspecific ST depression- nondiagnostic
QRS Axis    10      Low voltage with rightward P-axis and rotation
T Axis          45     Possible pulmonary disease

Please, what does all this mean, and could it be serious?
I'm 52, f, good health.  I don't think my primary knows how to interpret results, she just reads.  Should I ask for another EKG, or just go ahead with her next step of an echocardiogram and myoview stress test?

Thanks!

[Michael J. McWilliams, M.D.]

I don't trust EKG machine interpretations either.  I would need to see it.  If your doctor thinks it is abnormal, they will probably want to do some tests like and echo and /or stress test to see if there is any substance behind an abnormal reading.  Follow your doctors directions.

[tickertock]

Do what your doc recommends,but bear in mind computerized ecgs print outs are often overcalled, and needs to be reviewed by the attending cardio, don't stress out much and good luck.

[darlin1]

Thank you for your prompt reply. Part of what concerns me is that I don't think my primary knows how to interpret the actual graphs, so she just goes by the computer interpretation.  She was very rushed and didn't take the time to explain the results in her office.  I was shocked by "abnormal", so I called her for more of an explanation.  She had quite an attitude about my questions.  She claims that she listened to my heart with a stethoscope- she never did.

At what point should I really be referred to a cardiologist?  I'm going for the echo, but holding off on the stress test.  Does an echo show if there is any type of blockage?

Thanks, and I'll stop with the questions for you!

[darlin1]

Thanks for your help.  I"m already quite stressed, as you can see by the above story about my doctor.  I'm a new patient of hers, and I don't appreciate the way she handled me on the phone.  She talks very fast and it unnerves me when I'm trying to ask a question and understand.  Perhaps I should find a new doctor!

[PikaPika88]

My cardiologist even worse.  He can make up my BP.  That visit he might in a hurry to go home or else where.  I was so dizzy and I hope someone could check my BP but he didn't take my BP at all.  He wrote to my GP, that visit my BP was normal 120/80.....  I don't know the rest is true or would he make up one.  So, your doctor is not the worst.

[SPetteway]

I'm new on this forum.  When I read your post, it reminded me of my visit to a new doctor.  We recently moved to NC and I made an appointment with a doctor who was recommended by a friend.  The doctor and I did not hit it off.  She scolded me (I am 62 yrs old) and tried to scare me because I had stopped taking a medication.  Later when I called the office because my heart was racing, I was brushed off.  Needless to say, I found another doctor.  This one treats both my husband and me like we are his only patients for the day.  You deserve to be treated with compassion and respect.  I'd find another doctor.

[Crickett559]

Dont be too worried about word abnormal, I had the same reaction from my last EKG but my very good cardio stated that the machines dont always read right and jokely stated we dont need anybody to sue us for saying everything is ok. But he looked over and stated they were just plain ole PVC's and just keep an eye on the BP with all the meds I take. Most days it runs in the 120s over the 70s.

[silke]

A related discussion, scared:-( was started.