Need help on Interpretation of Abnormal EKG...?

[coolassdesigner]

Rate: 83bpm
PR: 122 msec
QT/QTc: 460/500 msec
QRSD: 154 msec
P Axis: -108
QRS Axis: 15
T Axis: 46

Computer Interpretation:
Atrial Rhythm
P:QRS - 1:1, Abnormal P axis, H rate 83
WPW Pattern Type B
Abnormal

I don't have any kind of tachacardia that is consistant with WPW, just minor pvcs at times, and at times an unusual beat that can only be felt in the right front of my neck. Any suggestions would be helpful! Thank you!

[coolassdesigner]

I've scanned in the EKG also...take a look if you like and thank you!!

http://i1132.photobucket.com/albums/m561/coolassdesigner/ekg-small.jpg

[kenkeith]

For some insight, the normal path for electrical impulses orginates from the right atrium sinus node and travels to the AV node that slows the fast sinus node impulse to a normal impulse to contract the lower heart chambers.  

With WPW there is an accessory pathway that bypasses the AV node and that causes an early contraction of the ventricles. Individuals who have recurring tachycardias because of this abnormal pathway are said to have the WPW syndrome. However,  some individuals have the WPW pathway, but no tachycardia.

"The presence of two pathways (the normal one and the accessory one) between the atria and ventricles poses a risk of developing a "short circuit" of the normal electrical pathway, which can result in an abnormally fast heart rate (tachycardia).. They do not have WPW syndrome, but may develop it at some point. These patients are said to have a WPW pattern, which can be detected on a routine electrocardiogram (ECG)."

Apparently, the EKG indicates two pathways, and with type B WPW the accessory pathway involves the right atrium and the right ventricle. The explanation can be you have WPW but not the syndrome asnd reliance is based exclusively on the EKG output and that may or may not be a false positive. My take on the information provided.  

Hope this provides useful information for you to further discuss the readings with your doctor.  Thanks for sharing and if you have any further questions or comments you are welcome to respond.  Take care,

Ken