Could you tell me what this ECG report means?!
Question: Sorry, because I know this has been asked a million times but I don't know a thing about ECG machines. Basically, I've been running in track but after the run my heart would get into really abnormal heart patterns. Today when we tested it the doctor said my heartbeat was slightly abnormal and that I couldn't run anymore until further tests. He didn't really say much else even when asked so I wanted to ask if any of you could help me understand what it means. I am 15 years old, 5'7 and 112 pounds.
Vent rate: 65 BPM
PR int: 110 ms
QRS dur:84 ms
QT/QTc: 391/403 ms
P-R-T axes: 42 78 45
On the side it also says:
Sinus rhythm with sinus arrhythmia with short PR interval
Possible left atrial enlargement [-0.1MV P Wave in V1/V2]
RSR (QR) in V1/V2 consistent with right ventricular conduction delay
T Wave abnormality, possible anterior ischemia [-0.1+ MV T Wave in V3/V4]
Abnormal ECG
Yeah, so I have no idea what that means obviously. I know it is probably nothing but I'm a big worrier...
Answers: Sorry, because I know this has been asked a million times but I don't know a thing about ECG machines. Basically, I've been running in track but after the run my heart would get into really abnormal heart patterns. Today when we tested it the doctor said my heartbeat was slightly abnormal and that I couldn't run anymore until further tests. He didn't really say much else even when asked so I wanted to ask if any of you could help me understand what it means. I am 15 years old, 5'7 and 112 pounds.
Vent rate: 65 BPM
PR int: 110 ms
QRS dur:84 ms
QT/QTc: 391/403 ms
P-R-T axes: 42 78 45
On the side it also says:
Sinus rhythm with sinus arrhythmia with short PR interval
Possible left atrial enlargement [-0.1MV P Wave in V1/V2]
RSR (QR) in V1/V2 consistent with right ventricular conduction delay
T Wave abnormality, possible anterior ischemia [-0.1+ MV T Wave in V3/V4]
Abnormal ECG
Yeah, so I have no idea what that means obviously. I know it is probably nothing but I'm a big worrier...
65 BPM- Normal HR is 60-100 BPM
PR int: 110 ms-- normal is less than 200
QRS dur:84 ms-- normal is less than 130
QT/QTc: 391/403 ms--normal is less than
Sinus rhythm with sinus arrhythmia with short PR interval--Great. Sinus rhythm is the norm. An sinus arrhythmia simply means your heart beats a little faster when you breath in and slower when you breath out. Your PR int is normal, so the short PR interval probably does not mean much. The rest (V1, V2) is just how the machine interprets the different views of the heart.
The T-wave abn. alot of times is due to electolye imbalance. Like were you dehydrated that day? He probably took some blood that will tell you that.
ischemia- low oxygenated blood flow....does not mean you had a heart attack. usually means you have some kind of blockage.From what I can see (without seeing anything) I do not see any evidence of a major blocks.
But being that your rhythm and measurements appear to be normal, I would just follow your docs suggestion with further tests but dont worry too much.
He should do a stress test and have you run on a treadmill and take some pics of your heart. This will help recreate the "abnormal rhymths" you keep having. An echo is a good idea too. Sometimes they do a stress echo.
At this point the doc couldnt explain anything because this test is pretty generic. It is highly based on user/technicians ability to place the leads in the correct place too.
It means that for the most part your EKG is completely normal. And for your age, it being sinus arrhythmia, is completely normal. The computer printout on those things are awful. Your doctor has to follow up now with some blood tests, maybe even an echocardiogram to be safe. There are heart diseases that affect young people, especially young athletes, that can be very dangerous. Any time an EKG comes back with any kind of abnormality, your doctor has to follow up with other tests to make sure that you are healthy, that you can compete. Don't be afraid.....I'll bet you are fine. Just go with it, besides the blood test, an echo doesn't hurt at all. Good luck to you.
Son, first off, please stop worrying. Second, what you're reading is a bunch of measurements that the EKG unit is providing, and is generally disregarded by cardiologists. So let the doctor do his job and do the additional tests which will help determine exactly what is going on. The EKG machines that print out their "medical opinions" are notoriously wrong and should not be taken as a substitute for the physician's advice.
Well I doubt you have anterior ischemia unless you've had a heart attack. Um, about the atrial enlargement, you should probably get an echocardiogram (ultrasound of the heart). It will rule out the enlargement and also the ischemia. Arrhythmia means that the heart has an extra beat once and a while. As for the others, I know in younger people a lot of the measurements say things, but they don't really mean it's abnormal.