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Doctor insights on: Pals Ecg Rhythms

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Dr. Jerome Zacks
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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Heart problems ventricular bigeminy?

Heart problems ventricular bigeminy?

Usually benign: Premature or "skipped" beats frome the bottom chambers of the heart are common; they sometimes occur in fixed patterns. When every other beat is a premature beat, it's called ventricular bigeminy. When every 3rd beat is premature, it's called ventricular trigeminy, and so on. Bottom line: with a normal heart, these patterns are completely benign and don't need treatment unless very troubling. ...Read more

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Can atrial fibrillation with rapid ventricular beat cause ventricular fibrillation?

Can atrial fibrillation with rapid ventricular beat cause ventricular fibrillation?

Not usually: Not typically; however, if you also have an accessory pathway (wolff-parkinson-white syndrome), this is a unique situation where af is known to cause very rapid ventricular activation during af, which can lead to vf. Rapid ventricular response may cause cardiac weakening over time, which in turn may increase the risk of vf. ...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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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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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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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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Bradycardia and rbbb, history heart defect?

Bradycardia and rbbb, history heart defect?

Get seen: Some folks are born with problems with the av node and its branches ("right bundle branch block", etc.), or a tiny heart attack or a bit of amyloid or a few other things can cause troubles here as well. A cardiologist visit's probably in order, and you may end up chatting about whether you want an electronic pacemaker. ...Read more

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Skipping heart beats always abnormal?

Skipping heart beats always abnormal?

No: Skipped heart beats are very common, occurring in as many as 80-90% of people, most of whom have no heart disease. Shortness of breath associated with skipped beats is far less common, many of whom have heart disease.. ...Read more

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Heart palpitations and dizziness. Ekg showed- shortened pr interval, and high lateral/lateral repolorization disturbance?

Heart palpitations and dizziness. Ekg showed- shortened pr interval, and high lateral/lateral repolorization disturbance?

R/O LGL Syndrome: The association of tachycardia and a short pr interval on an ekg may indicate an abnormal electrical pathway in the heart that can cause frequent palpitations and a sustained rapid heart rate. There are two syndromes called wolf-parkinson-white(wpw) and lown-ganong- levine(lgl) that are associated with short pr and tachycardia . Medication or ablation can prevent the palpitations and tachycardia. ...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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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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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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Racing heart( 160) sweaty palms, shaking. Panic attack or SVT? ER doc said EKG strip showed Sinus Tachy not SVT, even at that high of rate

Racing heart( 160) sweaty palms, shaking. Panic attack or SVT? ER doc said EKG strip showed Sinus Tachy not SVT, even at that high of rate

Tachycardia : the heart rate could be svt or st, if a resting rate with those Sx then panic attack is a consideration. Discuss with your doc, further work up may be indicated ...Read more

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Sinus Rhythm with RBBB with LAFB withBifascicular Block,left axis deviation. HR 59 BP normal,little dizzy?

Sinus Rhythm with RBBB with LAFB withBifascicular Block,left axis deviation. HR 59 BP normal,little dizzy?

Dizzy: You have some evidence for heart electrical blockage on your EKG. This make at higher risk for heart block. Would expect pauses or slower rate if problem. Is dizziness spinning or do you feel you might black out? First symptom vertigo second more concerning. ...Read more

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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