I see my DR for the follow up of my ablation on Tursday but it is soo hard to wait. I posted a thread a couple days ago but I dotn think anyone has the same issues so I dont mind the no answer. it was about enlarged SA nade and main artery abnormalities. Anyway this is an ECG question. I know my DR will tell me more on Thursday but the wait is making me insane and taking my pulse and blood pressure non stop too LOL


Vent rate 59 BPM Sinus bradycardia ( I know what this is.. My heart sometimes drops below 60 but not always)

PR interval 140ms Possible left atrial enlargement ( could this be my enlarged SA node or somehitng?)

QRS duration 84ms RSR or QT pattern in v1 suggests right ventricular conduction delay ( HUH?)


QT/QTc 402/97ms Cannot rule out Anterior Infartc ( HUH?)

P-R-T 57 57 52 Abnormal ECG


Does anyone know what any of this and these numbers mean or know a place that gives the normal ranges for these numbers?

Thank you
Andreanna

Hi andreanna,

For some perspective an EKG is a measurement of electrical impulse activty and is influence by increased wall thickness (more resistance increases voltage and longer time interval). Same with muscle damage. Will show blood flow impairment and patterns of abnormal rhythm deisturbances. The vertical axis is a metric for voltage and horizontal is time.

It appears your EKG results focus on rhythm disturbance and possible heart cell damage (interior infarct). Patterns of abnormal electrical rhythm disturbance can be related to medication, calcium and potassium can result in an EKG change. Artifacts are frequent and the EKG is only a tool for further testing.

QRS (electrode v1) indicates a ventricular constriction delay. Is it an arrythmia problem?

PR interval 140 ms. P wave is the electrical activity of the upper chamber. A prolonged PR interval can correspond to an impaired AV node conduction. Normally the PR interval represents the time delay to allow atrial systole to occur. It would indicate most of the delay occurs in the AV node slowing the conduction (conduction is the facility for electrical impulses to pass).

An echo is required to determine an infarct. Yes, an enlarged atrium can be an underlying cause for arrhythmia.

Yes it started out as an arrhythmia problem but now I am completely freaked out after my EP and failed ablation.

What the conclusions were

Sustained AV nodal reentrant tachychardia
Abnormal Kochs triangle anatomy and unsuccessful slow pathway ablation
Persistent left sided inferior vena cava
No accessory pathway and positive for dual av nodal pathway physiology

Due to unclea anatomy further ablations were avoided due to likely high risk of heart block.

That was in the medical recors I had to sent to my work for my FMLA.

I am scheduled for a cardiac MRI for mapping and then a possibel further ablation attempt.

MY issue is that I always seem to ahev chest tightness and pain. Lots of shortness of breath and this weird short buirst cough that seesm to come from catching my breath. DR gave no answers to that and DR said it didnt sound cardiac related. Well I dotn have a cold and never had a cough before?

Yes it started out as an arrhythmia problem but now I am completely freaked out after my EP and failed ablation.

What the conclusions were

Sustained AV nodal reentrant tachycardia
Abnormal Kochs triangle anatomy and unsuccessful slow pathway ablation
Persistent left sided inferior vena cava
No accessory pathway and positive for dual av nodal pathway physiology

Due to unclear anatomy further ablations were avoided due to likely high risk of heart block.

That was in the medical records I had to sent to my work for my FMLA.

I am scheduled for a cardiac MRI for mapping and then a possible further ablation attempt.

MY issue is that I always seem to ahev chest tightness and pain. Lots of shortness of breath and this weird short burst cough that seems to come from catching my breath. DR gave no answers to that and DR said it didnt sound cardiac related. Well I dont have a cold and never had a cough before?

I had an EKG done and don't know how to interpret it. Can anybody interpret if this is good? I'm 37 years old, female, 5'7", 102 lbs. I'm not athletic, but go to the gym 4-5 times per week. Thanks in advance!

Heart Rate: 59 bmp Sinus Bradycardia
P interval: 96 ms
PR Interval: 118 ms Short PR interval
QRS Duration: 78 ms QRS within the normal range
QT Interval: 458 ms
QTc Interval: 454 ms
P, QRS, T Axis: 73, 74, 50

I had an EKG done and don't know how to interpret it. Can anybody interpret if this is good? I'm 37 years old, female, 5'7", 102 lbs. I'm not athletic, but go to the gym 4-5 times per week. Thanks in advance!

Heart Rate: 59 bmp Sinus Bradycardia
P interval: 96 ms
PR Interval: 118 ms Short PR interval
QRS Duration: 78 ms QRS within the normal range
QT Interval: 458 ms
QTc Interval: 454 ms
P, QRS, T Axis: 73, 74, 50

Heart rate less than 60 at rest is bradycardia. May or may not be a problem depending on any medication and physical condition, etc.

P interval less than 120 ms is normal... begins artrial contractions.

PR interval 118...normal is 120-200 and 118 slightly below the expected range. May or may not be significant; need more info.

QRS normal

QT 458, expected 410 ms. The value is influenced by elctrolyte imbalance, medication, drugs, etc. Heart rate, age, and gender is a factor. Bradycardia increases the interval and tachycardia decreases (slight correction 458 to 454). QTc is a corrected QT by calculation and is an assessment of QT independant of the heart rate. Depending on what electrode lead and other medical information ischemia can't be ruled out.

What are the symptoms?