ECG REPORT

[s_dey99]

SUBHASIS DEY 37 M  5'10" 65.5 KG,  HR-78  P  DUR-144MS,PR INT-178MS,  QRS DUR-104, QT/QTC-354/404 MS, P/QRS/T AXIS-66/97/70 0  RV5/RV1 AMP-1.039/0.309 MV,RV5+SV1 AMP-1.348 MV, RV6/SV2 AMP-1.013/0.785 MV,
DIAGNOSIS INFORMATION: 800:SINUS RHYTHM, 841:PREMATURE ATRIAL CONTRACTION 203:RIGHT AXIS DEVIATION.

MINNESOTA CODE:
8-1-1
9-4-1(V3)
2-3-0
ANYTHING SERIOUS ABOUT THAT

[Dave2923]

  Another thing I forgot to mention is that you may have actually had a PVC, not a PAC, because the most common form of "benign PVC's" originate from the RVOT (right ventricular outflow tract) and they will have a right axis deviation and a QRS >90ms, whereas "benign PAC's" would be more likely to have the opposite.

[Dave2923]

  The QRS is slightly long at 104ms. That is not a problem at all, though. QRS is just how long it takes the heart to depolarize (the part where it "beats" as opposed to relaxes, which is repolarization). The "normal" range is 60-100ms, so 104ms is nothing, it's a number that fluctuates throughout the day.
   Your QRS axis is "right pointing" which could mean a number of different things, the most common of which would be RVH (right ventricular hypertrophy). Just as systemic hypertension can lead to LVH pulmonary hypertension can lead to RVH. Your axis is very slightly right pointing, so it could just be a normal variant, or maybe you are a smoker or something and have some higher pulmonary pressure. It could also be to a "pre-excitation" issue, where somewhere in your atriums or ventricles depolarizes too soon, thus creating PAC's or PVC's (one of which you had during this EKG). Honestly, it's not concerning at all.
     Overall, it looks like a very normal EKG. If you were going in for palpitations it would appear that you probably found your culprit (the PAC's, which in the absence of structural heart disease are totally benign). If you went in for chest pain or other symptoms, this looks pretty good, but ask your doctor to review the tracings with you and see if you warrant further testing (i.e. an echo or stress test). If it was a routine check-up and you are asymptomatic then you are done, the EKG is basically as normal as it gets with a few minor, non-serious variants.

[Midijane]

Hello,
I'm reading a normal sinus rhythm at 78 beats per minute with PACs and a right axis deviation. Looks good.

PACs are funny little beats of our hearts which are usually benign. A normal sinus rhthm is just what you want, and the heart rate is within normal limits. I've usually seen a right axis deviation when a person has pulmonary disease, but I'm not sure about other causes.

Personally, I'm no expert at reading EKGs but your rate and rhythm look pretty good. A few of the numbers towards the begining of the report show timing of certain sections of the EKG and nothing is jumping out at me as abnormal. What made you go for an EKG inthe first place?