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Heart Rhythm (Expert Forum)
Help EKG Readings
Answered by
Michael J. McWilliams, M.D. - atrial fibrillation, Pacemakers, Defibrillators, Arrhythmias (SVT, VT), PVC/PAC, Ablation
Wilmington Health Associates
Wilmington - NC
Questions in the Heart Rhythm forum cover topics that include heart rhythm issues, arrhythmia, irregular heartbeat, implanted defibrillators, pacemakers, and tachycardia.
Help EKG Readings
by MammasGirl37, Oct 26, 2007 01:01PM
Dr-
I need help with my interpretations. The Doctor in ER didn't seem overly concerned, when I asked a ton of questions about my EKG. Am I in the danger zone with these numbers?
Rate 92......sinus rhythm.............................normal P axis, V-rate 50-99
Consider left atrial abnormality.....................wide or notched P waves
PR 156.....................................................borderline left axis deviation.......QRS axis (-15, -29)
QRSD 78
QT 360
QTc 446
---AXIS---
P............37
QRS.......-17
T............34
-----------------------------------otherwise normal ecg------------------------------
PLEASE HELP ME! IS THE DEVIATION AND LEFT ATRIAL ABNORMALITY CRITICAL?
MY LAST STRESS TEST WAS NORMAL WITH SIGNS OF HYPERTENSION CONDUCTED MAR/07. SHOULD I GO BACK TO CARDIO WITH THESE FINDINGS?
I need help with my interpretations. The Doctor in ER didn't seem overly concerned, when I asked a ton of questions about my EKG. Am I in the danger zone with these numbers?
Rate 92......sinus rhythm.............................normal P axis, V-rate 50-99
Consider left atrial abnormality.....................wide or notched P waves
PR 156.....................................................borderline left axis deviation.......QRS axis (-15, -29)
QRSD 78
QT 360
QTc 446
---AXIS---
P............37
QRS.......-17
T............34
-----------------------------------otherwise normal ecg------------------------------
PLEASE HELP ME! IS THE DEVIATION AND LEFT ATRIAL ABNORMALITY CRITICAL?
MY LAST STRESS TEST WAS NORMAL WITH SIGNS OF HYPERTENSION CONDUCTED MAR/07. SHOULD I GO BACK TO CARDIO WITH THESE FINDINGS?
Doctor's Answer
by Michael J. McWilliams, M.D., Oct 26, 2007 05:17PM
, Oct 26, 2007 05:17PM
It sounds like a pretty normal EKG. EKGs are not very sensitive at picking up left atrial size.
I would focus more on risk factor reduction -- treat any underlying hypertension, diabetes, don't smoke, exercise and watch your diet. These are things that you can control and are productive places to focus your energy. Your EKG sounds relatively normal would not typically generate a cardiology consult -- grant it, it easier to see the EKG and interpret it than to read the numbers. EKG machine interpretations are often wrong any way.
I hope this helps. Thanks for posting.
I would focus more on risk factor reduction -- treat any underlying hypertension, diabetes, don't smoke, exercise and watch your diet. These are things that you can control and are productive places to focus your energy. Your EKG sounds relatively normal would not typically generate a cardiology consult -- grant it, it easier to see the EKG and interpret it than to read the numbers. EKG machine interpretations are often wrong any way.
I hope this helps. Thanks for posting.
Member Comments (3)
by MammasGirl37, Oct 26, 2007 05:59PM
Thank you Doctor for your timely response.
by Michael J. McWilliams, M.D., Oct 26, 2007 07:49PM
, Oct 26, 2007 07:49PM
your welcome
