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Doctor insights on: Ecg Rhythm Practice

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Dr. Arthur Balin
3 doctors shared insights

Electrocardiogram (Definition)

Electrocardiogram (ecg, ekg) is a print-out of the electrical forces detected by electrodes on the chest wall, as electricity travels through the heart with each heart beat. The electrodes are placed in different positions, and each position "sees" the electrical activity of the heart from its own vantage point. Abnormalities in signal detected at chest surface ...Read more


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Is this normal qt interval 335 and qtc 435 and heart rate 104? Ecg showed sinus tachycardia,

Is this normal qt interval 335 and qtc 435 and heart rate 104? Ecg showed sinus tachycardia,

HR slightly fast : A hr of 104 at rest (sinus tach) is slightly higher than the normal range of hr's between 60-100 at rest. That said, there could be plenty of reasons that this coud happen (like anxiety, dehydration, caffeine, pain, etc). Also anemia, hyperthyroidism , breathing or pulmonary problems could result in physiologically appropriate faster hr's. Inappropriate sinus tach considered if no cause seen. ...Read more

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On ECG results rightward axis boderline ECG nornal sunius rhythm?

On ECG results rightward axis boderline ECG nornal sunius rhythm?

Possible hemiblock: An abnormal right axis plus minimally prolonged qrs duration defines what is termed a left posterior hemiblock (block of the posteroinferior fascicle of the left branch of the bundle of his). An abnormal right axis can also occur in conditions with elevated right heart pressure and resultant right ventricular enlargement. Normal sinus rhythm means no rhythm disturbance. ...Read more

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Holter- 24 run superventricular events 20 beats 88bpm 3 beats 99 BPM 5 beats 86bmp. Longest rate 128 BPM 0:01:48. Echo, ecg, angio normal. Concerned?

Holter- 24 run superventricular events 20 beats 88bpm 3 beats 99 BPM 5 beats 86bmp. Longest rate 128 BPM 0:01:48. Echo, ecg, angio normal. Concerned?

No need to worry....: Findings appear benign. You do not have any structural heart disease or coronary artery disease and have benign electrical findings based upon the information provided. However discuss with your cardiologist. ...Read more

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Ecg , cardiac echo, heart enzyme , chest ct, cardiac angio ct, all ok.Still resting heart pulse 53-62.Increase when move.Exclude cardiac issue?

Ecg , cardiac echo, heart enzyme , chest ct, cardiac angio ct, all ok.Still resting heart pulse 53-62.Increase when move.Exclude cardiac issue?

Normal : Low heart rates w/out symptoms can be nl in healthy active individuals. The fact that ur hr increases w/ movement is helpful and points towards normalcy. ...Read more

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Heart echo echo ekg holter and 1month event monitor normal.Having skipped beats and chest tightness.whats causing it.Skipped beats notrecoded on event?

Heart echo echo ekg holter and 1month event monitor normal.Having skipped beats and chest tightness.whats causing it.Skipped beats notrecoded on event?

Ask details.: Were there isolate atrial or ventricular premature beats on the Holter. Even if there were, if they are infrequent and if a stress-echo test was normal, it sounds as though everything indicates nothing serious. Simply continue to monitor symptoms and, if symptoms worsen, repeat monitoring. ...Read more

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I have tachycardia! rate of 130+ always! which i've had ekgs, holter monitors, event monitor, CT angiogram, & heart ultra sound which were all norm?

I have tachycardia! rate of 130+ always! which i've had ekgs, holter monitors, event monitor, CT angiogram, & heart ultra sound which were all norm?

It depends: Even though the work up has been normal, you could still have inappropriate sinus tachycardia or supra ventricular tachycardia (avnrt for instance). If the tachycardia persists, you should see an electrophysiologist - doctor that specializes in heart rhythm disorders - and she or he can take a look at your tests and decide if something else needs to be done. ...Read more

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Does an holter montior detect cardiac arrythmias?

Does an holter montior detect cardiac arrythmias?

Holter monitor: Yes, but even better are monitors that you can wear for 2 - 4 weeks as they may pick up arrhythmias that may not show in a 24hr holter. ...Read more

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Halter monitor for palps.No pauses, no ventricular ectopy. Symptoms did not correlate with ECG changes 62 BPM bradycardia episodes no answer for palp?

Anxiety, palpitation: if a Holter shows normal ECG correlated accurately with symptoms present then anxiety likely is responsible for your symptoms ...Read more

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Sinus Rhythm Low voltage in precordial leads. -Old anterior infarct. ABNORMAL ekg?

Yes, by tracing only: It is an abnormal ekg by reading of the tracing but what is most important is the ekg in relation to a good history and clinical exam. Questions to ask: do you have a past history of heart disease, high BP, diabetes, smoking? Do you have chest pain/jaw pain/pain down L arm? Is your BP high on exam? Any of these findings along with the above ekg is a MAJOR concern. Please talk with your doctor!! ...Read more

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Do ekg's detect arrhythmia?

Do ekg's detect arrhythmia?

Not always: Sometimes an ekg can't detect an arrhythmia. A patient must be experiencing the rhythm disturbance when the ekg is performed. There are other methods to detect arrhythmias such as a holter monitor or an event monitor. Check with your primary provider if your condition warrants this test. ...Read more

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Results of a 24-hour holter test: 9 VPC's, 381 APC's, 3 nonsustained atrial tachycardia 4-9 beats each, at 100-102 beats/min. Is this normal?

Results of a 24-hour holter test: 9 VPC's, 381 APC's,  3 nonsustained atrial tachycardia 4-9 beats each, at 100-102 beats/min. Is this normal?

Sounds: like a bit too many APC''s The reason for this , in my opinion, should be determined..(EG Cardiac ECHO) Hope this helps! BTW nothing "dangerous" but needs attention! Dr Z ...Read more

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My heart structurally fine on echo, MRA, ECG, MRI, holter monitors. Is it unlikely my frequent PVCs will turn into Ventricular tachycardia/death?

My heart structurally fine on echo, MRA, ECG, MRI, holter monitors. Is it unlikely my frequent PVCs will turn into Ventricular tachycardia/death?

Unlikely: With a normal heart based on all the studies you have had, PVCs are usually benign and not like to precipitate ventricular tachycardia. The caveat is that you are on diltiazem as well as amitriptyline both of which can affect the heart rhythm. Thus you should continue to have your EKG monitor. All the best to you! ...Read more

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Ekg says normal sinus rhythm, nonspecific st abnormality, abnormal ecg, what to do?

Ekg says normal sinus rhythm, nonspecific st abnormality, abnormal ecg, what to do?

ECG: That is a common ECG reading which can indicate something is wrong but also can be as it says nonspecific and 'no big deal'. Ask your doctor if there is reason for concern or further investigation. ...Read more

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Ecg says regular rhythm with P wave difficult to define. What does that mean. Had an Ecg dx me with supravent tachy too. Workup last year was good.

Ecg says regular rhythm with P wave difficult to define. What does that mean. Had an Ecg dx me with supravent tachy too. Workup last year was good.

ECG: that wording suggests that p waves were difficult to see on the tracing. It could mean they were there but could also mean maybe they weren't. They are there in normal sinus rhythm. ...Read more

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On ECG results rightward axis boderline ECG nornal sunius rhythm?

Possible hemiblock: An abnormal right axis plus minimally prolonged qrs duration defines what is termed a left posterior hemiblock (block of the posteroinferior fascicle of the left branch of the bundle of his). An abnormal right axis can also occur in conditions with elevated right heart pressure and resultant right ventricular enlargement. Normal sinus rhythm means no rhythm disturbance. ...Read more

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How can a ECG go from normal ECG sinus rhythm to unspecified t wave abnormalities within a few hours?

T waves: Non specific T waves often occur on movement of the leads and are of no significance. It is also possible that they were so minimal that they were not reported in the reading of the first E.K.G. ...Read more

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Borderline ECG, These Minor Changes are of Equivocal Significance only. Sinus Rhythm T wave changes in anterior leads.

Borderline ECG: I am not certain of the circumstances leading to your having an ECG. T wave changes in anterior leads could be a sign of underlying atherosclerotic heart disease. Risk factors for this include high Blood pressure, high cholesterol, diabetes, smoking and 1st degree female relative with heart attack before 60 or 1st degree male relative with heart attack before 50. You need to see a physician ...Read more

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What do you suggest if my ECG report says 'sinus rhythm r-s transition zone in v leads displaced to the right. what does it mean ?

Clockwise: It means that when you were born, your heart was rotated just a little tiny bit counter-clockwise in your chest. It has NO clinical significance. Doctors report it to prove that they were awake when they were reading EKGs. Forget it! ...Read more

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I had an EKG done it came there sinus rhythm incomplete right bundle on branch block borderline ECG what does this mean is it serious?

Unremarkable: Incomplete right bundle branch can be a normal variant in 15% of the adult population. It does not carry any significance. Left bundle branch does. Further it refers to the conduction system of the heart, or electrical wiring of it so to speak, and it means your right ventricle gets a signal to pump few milliseconds after the left side. No worries. ...Read more

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I received a diagnosis of "Sinus Rhythm, T Wave Abnormality in anterior leads, borderline abnormal for age (29) and gender (F). Abnormal ECG. Worried?

I received a diagnosis of "Sinus Rhythm, T Wave Abnormality in anterior leads, borderline abnormal for age (29) and gender (F). Abnormal ECG. Worried?

Cardiologist: These T wave abnormalities are nonspecific and it's important to compare them to any prior EKG if one is available. If none are available the findings may not necessarily be due to any cardiac pathology and may even be a normal variant in a young woman. A cardiologist is best qualified to evaluate and examine you and recommend further testing like an echocardiogram if deemed advisable. ...Read more

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What does sinus rhythm - borderline short pr interval mean on an ecg?

Usually nothing.: The pr interval, the time between the p wave (atria contract) and the qrs (ventricles contract) is typically between 0.12 and 0.20 seconds. If it is a bit shorter than 0.12 seconds but the ECG is otherwise normal, there is generally nothing to be concerned about. If you have episodes of heart racing, you should tell your doctor, as there may be a condition in which you are prone to fast rhythms. ...Read more

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Ekg says normal sinus rhythm, nonspecific st abnormality, abnormal ecg, what to do?

ECG: That is a common ECG reading which can indicate something is wrong but also can be as it says nonspecific and 'no big deal'. Ask your doctor if there is reason for concern or further investigation. ...Read more

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Ekg says normal sinus rhythm, nonspecific st abnormality, abnormal ecg, what does this mean?

Ekg says normal sinus rhythm, nonspecific st abnormality, abnormal ecg, what does this mean?

Common reading: "abnormal" because there are non-specific changes which are not specific enough to meet a true diagnosis, but not normal enough to say normal, so somewhat of a soft call or indecisive read, but very common and does not necessarily mean anything. The bottom line, the ECG findings need to be placed in the clinical context in which it was taken, and compared to previous and subsequent ECGs. ...Read more

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What is the significance of incomplete left bbb? My son is 32 years old ECG showed normal sinus rhythm BP is 135/71 .

What is the significance of incomplete left bbb? My son is 32 years old  ECG showed normal sinus rhythm BP is 135/71 .

Often very little: Incomplete left bundle branch block often means that there's delay rather than complete block in a portion of the heart's wiring. While this can progress to complete block in that portion of the wiring, that still leaves the right bundle unaffected. There are more complicated long-term issues to this, but those vastly exceed our 400-character limit here :). ...Read more

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My ECG result says sinus rhythm r-s transition zone in v leads displaced to the left t abnormality in anterior leads. What is wrong with me?

Probably nothing: Unless you are having symptoms referable to your heart. If you do have symptoms then discussing this in relation to your ECG with your doctor would be wise. ...Read more

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What does this mean? - BORDERLINE ECG - SINUS RHYTHM BORDERLINE R WAVE PROGRESSION, ANTERIOR LEADS BORDERLINE T ABNORMALITIES, INFERIOR LEADS

Finding not a diagno: Assuming ur EKG was collected correctly (i.e., the wires & patches were put on correctly), it's not entirely as expected for a person of your age & gender. You have sinus rhythm, but the spikes (R waves) do not progress between the wires as expected, & minor changes in the signals from the front (anterior) & bottom (inferior) part of the heart may be "just you" or signs of (prior?) damage. TTYD. ...Read more

Rhythm (Definition)

Rhythm "any regular recurring motion, symmetry may be generally defined as a movement marked by the regulated succession of strong and weak elements, or of opposite or different conditions, this general meaning of regular recurrence or pattern in time may be applied to a wide variety of cyclical natural phenomena having a periodicity or frequency of anything microseconds ...Read more