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Q: Heart arrhythmia
asked by: DoctorQuestion on February 18th, 2009
I have a question about an EKG that was done because my heart didn't seem to be beating right. The doctor didn't explain my EKG and I can't see a cardiologist until I get insurance. I would totally appreciate any information because I don't understand any of it. Could my anxiety problem be causing my heart to act this way? It's been abnormal for 2 months now. Thank you very much :)


Sinus arrhythmia
Anterior T wave changes are nonspecific
Low QRS voltage on precordial leads

Borderline ECG *Unconfirmed Analysis*

Vent. rate: 87 bpm
RR Interval: 685 ms
PR Interval: 174 ms
QRS Duration: 74 ms
QT Interval: 346 ms
QTc Interval: 393 ms
QT Dispersion: 26 ma
P-R-T AXIS: 60 30 40


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Dr. Goce Aleksovski , MD
replied on February 19th, 2009
Heart Disease and Heart Attack Answer A5822
Current medical status: Anxiety,Heart arrhythmia, Menorrhagia (excessive menstrual bleeding with clots).
Current medical treatment: None


Normal ECG values are: PR interval: 120-200ms; QRS complex: <120ms; QTc interval 420ms; P-R-T axis: -30 to 90
Normal beats per minute (bpm): 60-100


According to the data you reported your ECG shows characteristics of sinus arrhythmia. The numbers are correct, but are usually a sum or an average of the measured numbers in several heart cycles. The heart cycle refers to the period between the start of heart contraction and the start of the following contraction. The numbers do not completely show what exactly happened, because heart cycles can vary from others, especially in different forms of arrhythmia.


Arrhythmia might be a big heart problem depending on the type. You should consult your doctor if any treatment is needed, or ask for a second opinion about the ECG from a doctor who will actually see it.




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