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A 40-year-old female asked:

Borderline abnormal ecg : age44 male, hr 90bpm, r-r 662ms, p-r 147ms, qrs 37ms, qt 328ms, qtc 403 , axis 65 , rvs 1.44mv, sv1 0.82mv, r+s 2.26mv, poor r progression, flat t?

1 doctor answer2 doctors weighed in
Dr. Dan Fisher
Internal Medicine 29 years experience
Agree: Machine only doing what it was programmed to do. A good 20% of people have borderline or abnormal ekg. Many related to variation in lead placement and may have no physiologic correlate. Ekg could and probably should say: no significant dysrhythmia, ectopy or morphologic change suggestive of underlying heart disease or ongoing ischemia. Please corellate clinically and review with prior ekg.
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Last updated Jul 15, 2015


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