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1124887 tn?1313754891

Mysterious Q waves

Hello,

Quick question: In my EKGs (at least those I've seen since I learned to interpret them), I see Q waves, especially in lead III. They are about 0,2 mv deep, slightly above 40 msec wide, they seem to change a bit, possibly due to my breathing. I can see small, narrow Q waves in V5 and V6 too, and narrow Q waves in lead II and AVF (less than 40 msec wide, but they are about 0,15 mv deep).

No Q waves in other leads.

As I said, they change a bit, most EKGs are stamped "normal" but one of them was stamped "old MI".

My R progression through the precordial leads is perfect. I'm 28 years old and healthy, I can't believe I've had a heart attack! Got echo and Holter/stress EKG done 10 months ago, nothing pathological found (except some PACs).

I also have somewhat pronounced R and S "spikes" in the precordial leads. My cardiologist said they were normal in healthy, young, somewhat nervous people, and they change with adrenaline (though my adrenaline levels are usually high when taking an EKG, my BP raises to about 150/90 from 110/60). R (V1) is about 0,6 mv, S (V1) about 2 mv and R (V5-V6) 1,5-1,8 mv.

My cardiologist(s) just say my EKG is normal. My GP sais I should stop focusing on my EKGs (and he's probably right).

What can cause the mysterious Q waves?

Thanks again :)
2 Responses
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612551 tn?1450022175
COMMUNITY LEADER
All the help I can offer is a "bump" to put your post to the top of the list.

I think your cardiologist may have the right advice/answer.

Do you have any recommendations on a home EKG machine?  It reads like you have one, is it one at work?  

We have talked before on the EKG machine subject and I recall you saying something about a simple three point version.. like the one used on wearable monitors I guess.

Good luck, and think positive :)
Helpful - 0
1124887 tn?1313754891
I know there are no doctors here, I just wanted some thoughts from you :)
Helpful - 0
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