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1399363 tn?1462342610

weird ECG pattern result?

I got issues with tachycardia and hard/heavy beating HR (even when not fast) for about 10 years. went to cardiologist, did some test and prescribe me beta blocker.
I have omron hcg801 ecg handheld and recently i noticed weird different pattern on my ecg result. usually the p wave is higher followed by lower t wave but it's the other way around.
here is 1 of it:
http://i.imgur.com/5OzqDsJ.jpg
I record it when i was lying on bed, got sick. i wonder if the weird/different pattern due to a problem with my heart or if it's a glitch/error. (but i'm not sure cause i tried to check again and the other results came out like the usual except for those some result when i feel issues.)
I ask a cardiologist if it's a problem and he said no. but i've never noticed that pattern before until last year. which is odd. i'm still quite lost and feel i need some inputs.
Hopefully someone who understands ECG kindly care to explain.
I would greatly appreciate it.
Thank you for reading.
2 Responses
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1399363 tn?1462342610
Thank you so much Doctor for answering i very much appreciate the time you took :D
Unfortunately i forgot to mention i got other higher results during the same moment (when i was sick) 130-140 and 140-150bpm. And what got me thinking was. Why i've never got that pattern before last year but got that quite often lately. And from what i know the T wave represent ventricular repolarization and P wave represent atrial  repolarization. So i wonder if there's an issue. Since it looks like the p wave is missing and t wave was high.
Though of course i also hope it's not worrisome.

Was it not a problem because pwave&twave considered to be fused? (if it weren't fused was it a problem?)
Does that mean the ECG handheld monitor doesn't really help to detect issue like it should be with 12 lead ecg? Or it depends on the device type/specification?

I really hope i will get response but whichever will it be, i should still try to post.
Best regards. :)
Helpful - 0
Avatar universal
MEDICAL PROFESSIONAL
Kiseki,
This looks like sinus tachycardia (normal conduction in the heart, just at a faster rate than is normal at rest).  The pwave and the twave are basically fused together in this image (it is only one lead, a 12 lead EKG will have different electrical views of the heart where the individual pwave and twave may be seen more clearly).  Your physician is right in that this is nothing to worry about in terms of being a worrisome arrhythmia.  Inappropriate sinus tachycardia may be at play here, which is a well known diagnosis that is usually managed with beta blockers (which it sounds like you are on).  Hope that helps.
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