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Q waves on an EKG, and understanding an EKG.

So I was in the hospital the other day with feeling really faint and heart skips, as I have been having many PVC's per day (thousands), lots of couplets per day (maybe 30 lately), my first 4-5 beat run of nsvt. My doctors and cardio tell me it's all benign, my recent ECHO of my heart showed completely normal with an EF of 60%.

My EKG was on me for 2.5 hours, and it reads

SINUS RHYTHM (normal P axis, Vrate 50-99)
VENTRICULAR PREMATURE COMPLEX (V Complex w/ short R-R interval)
BORDERLINE RIGHT AXIS DEVIATION (QRS AXIS 90, 99)
Borderline Q waves, probably normal variation.
Minimal ST depression, inferior leads ST <-0.03mV

RATE 99 B/min
PR 102/ms
QRSD 88ms
QT 264ms
QTc 467ms

AXIS
P 73 degree
QRS 97 deg
T deg



The day before my EKG said:

*Normal sinus rhythm with sinus arrythmia and short PR
*Nonspecific ST abnormality
*Rightward axis (P-QRS axes) 68 degrees 94 degrees 20 degrees
Qt/QTc 0.346/ 0.474s


The doctor said both of these EKG's were completely normal.
Is this true?

Doc had just noted "Small Q waves present on II, III, and aVF, this is probably not due to a prior heart attack, but the patient's size, patient is very thin"

Thanks! Smile
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replied February 5th, 2011
Hi,

Welcome to the forum. I am really glad to help you out. Both your EKG's are normal. Normally, the non sustained VT is not treated with drugs. However, some cardiologists do use amiodarone for the same especially if there's an associated structural heart disease.

NSVT in the presence of structural heart disease carries a more serious prognosis than NSVT in the absence of a cardiac abnormality. Hence, as your echocardiography is normal, I suppose there shouldn't be much to worry. I sincerely hope that helps. Take care.


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