Posted: 9/17/2008 12:55:51 PM EDT
| Any arfcom Drs here or people involved with ECG? |
All diagnoses must be presented in the form of a catchy tune. www.youtube.com/watch?v=GVxJJ2DBPiQ |
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Understanding ECGs is pretty simple. The electrical impulse controlling your heart rate is normally initiated in your SA node. It then travels to the isle of langerham, where it produces insulin, which is an alpha agonist causing herniation of the brain stem and resulting pupil changes, widening pulse pressure and an erection lasting more then 4 hours. Wait... I think some of my lecture notes got stuck together. |
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I had my annual PHA today. Everything was normal except my ECG. They did it three times with the same results. They cleared me, but referred me to a cardiologist. They said it could be a problem or a mistake. I just don't know what any of the numbers and crap means. I run 6 miles 4 or more days a week and have never had a medical problem. The sheet says: P/PR 130/184 ms Sinus Rhythm QRS 84ms Left-precordial ST elevation, consider acute ischemia QT/QTc 388/413 ms Abnormal ECG P/QRS/T Axis 64/45/29 deg Heart Rate 68 BPM Then it has a bunch of squiggly lines. Am I dying? |
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The ST elevation (in lead II) could be an indicator for ischemic activity of the cardiac muscle. (Translation - as near as I can recall) The repolarization (electrical reset) of your L ventricle, after depolarization (pumping action's electrical trigger) takes a little longer than normal becausethe electricity stays in the wiring of your lower L ventricle a little longer than normal. I apologize if the years have taken a toll on my cardiology. |
1) Talk to a cardiologist. 2) One of the findings on your ECG (ST elevation) is a finding that sometimes occurs when part of a patient's heart isn't getting enoigh oxygenated blood. However, with your exercise tolorance and lack of symptoms (I assume you're not geting chest pain, back pain, nausea, etc with running?), it simply isn't that alarming. Your cardiologist might decide to stick you on a treadmill and take an ECG, maybe with some other imaging of the heart thrown in, just to rule out any problem. You don't need to be too alarmed though. Just a little blip that warrants a closer look. |
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Do you have the EKG that you can scan? It would be helpful to see it. The reading above may be a computer reading. Is this your first EKG? (do you have one to compare it to?) Usually, if you have ST elevation due to "acute ischemia", you know it. If this was a routine physical, the changes may be due to "early repolarization", which can be a normal variant. Odds are against you dying in the near future. |
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