ekg ????

[rachael60]

Hi im a 37 female went to the ER an I got a EKG done can u plse tell me if this is anythng to worry???

Vent Rate 73 BPM
PR interval 108 ms
QRS duration 90 ms
QT/QTc
p-R-t  50 103 83



Sinus rhythym with short PR
Left atrial enlargement
Rightward axis
Right bundle block
abnormal EKG

[Mom2four85]

if you're worried, get a full cardiac workup just to be sure by a cardiologist outside of an ER =)

it's always better to be sure there isn't anything else going on

[is_something_wrong]

No, it doesn't sound serious. But you should ask a medical professional. Good luck:)

[rachael60]

i was getting upper abdominal pain...its jus reflux...im seeing my doctor 2day...so my mind wil b eased...hopefully!!!! I kno ur not a doctor ur a big help thou!!!!  i kno ur not a doctor but does my ekg sound serious to u???

[is_something_wrong]

Some people have an extra pathway between upper and lower chambers in their heart. In that case, the conduction time is reduced because this pathway leads electricity quicker than the ordinary pathway (the AV node, which is meant to have a slight delay so the main chambers can fill with blood before they contract). It's visible on EKG like a "slow start" on the main spike, the so-called QRS complex.

This extra pathway can cause events of rapid heart rate. It's by all means not sure that you have an extra pathway, but ask your doctor.

Why did you take this EKG?

I think you should discuss your EKG with a doctor, because we are just community members, not medical professionals. In addition, we can't see your EKG (and even if we could, it would be a mistake to interpret it. I can interpret EKG's but I only interpret mine. It would be seriously unethical to try to diagnose you, when I'm not a medical professional).

I can only explain the terminology.

[rachael60]

wat do u mean a extra path way an wat to rule out???

[is_something_wrong]

Hello,

You should ask a doctor to interpret your EKG, there are no doctors here. A doctor should see the EKG, the numbers themselves are a bit worthless, and they may be wrong. I believe they are.

First, the PR interval is short (too rapid conduction between upper and lower chambers) and this may be a sign of an extra pathway, which can also explain the rightward axis. A cardiologist needs to confirm or rule this out. General physicians are generally not good at reading EKGs for structural changes.

The other numbers are normal (you've wiped out the QT/QTc numbers for some reason but they are almost always normal).

QRS duration of 90ms will rule out right bundle block, though an incomplete right bundle block may be present. This is usually a normal variant, 10% are born with it.

Left atrial enlargement requires a P wave wider than 120 msec, while your PR interval (from P wave beginning to ventricular activation) is only 108 msec and the entire interpretation seems strange.

As I said, ask your doctor. It's also important why you did the EKG, if some of this can explain your numbers. If you had a sudden onset of rapid heart rate, it may explain it, possibly, but not necessarily.