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20895366 tn?1584726719

Can someone help me understand this

I am a 32 yo female that has presented with heart issues. I had a ECG done and here are the readings
Vent rate 65 BPM
PR interval 124 ms
QRS duration 110 ms
QT/QTc 430/447 ms
P-R-T axes 120  117

Normal sinus rhythm/ Anterolateral Infarct, age undetermined.


I have been experiencing Tachycardia at night and sometimes during the day, during times of rest my hr will be 177. my lab results show an elevated hemoglobin over the course of 4 months.  I have continuous palpitations and chest pressure.
The docs are trying to figure out why.

Could someone help me see if there are any little things they might be missing or should check for?
2 Responses
973741 tn?1342346373
Well, that's scary! your resting heart rate is taken on a wearable?  This is routinely 177?  Wowza, that probably doesn't feel good.  I assume you gave up all of the good stuff, caffeine, alcohol, smoking,  and you are working on sleep?  Those are the lifestyle things they always recommend. So, there are three types of tachycardia.  You seem to be saying they ruled out sinus which would leave superventricular and ventricular.  They do have treatment options for both of those.  Albeit I'm sure nothing you really want to hear or do at 32 years old!!  They are saying you had an infarction?  Wow.  That's scary.  That is involved in tachycardia sometimes especially ventricular.  The rest of your numbers see to be normal or near normal?  Correct?
1807132 tn?1318747197
I would continue to follow up with your cardiologist or go to see one if you haven't yet.  There is a possibility your tachycardia is related to the possible heart attack that was indicated on the ekg but that type of result can actually be a false positive result simply because the tech did not put the electrodes on correctly.  You really should have further testing, another ekg and an echo to rule out damage to the heart.  You may also need to see a heart rhythm cardiologist to determine the source of the tachycardia.  It can be from a number of causes from the simple, low electrolytes or dehydration to  something more serious but usually tachycardia isn't anything to worry about but it is important to get to the root of things so that you don't put excessive stress on your heart over time.  Best of luck getting it sorted out and keep us posted but do continue to follow up with your doctor to get answers.  Take care.  
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