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Doctor insights on: Right Atrial Abnormality Ecg

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Dr. Steven Griggs
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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Present ECG reort Left Atrial Abnormality and T wave Abnormality in high lateral leads after CABG operatin after one year. In 2016 janurary 19th CABG?

Present ECG reort Left Atrial Abnormality and T wave Abnormality in high lateral leads after CABG operatin after one year. In 2016 janurary 19th CABG?

Need prior EKGs: There's no way to answer your question (presuming there is one) without knowledge of prior EKGs or your medical history. Use HealthTap Prime to upload & discuss, or discuss with your Cardiologist. In general, CABG operations mean that your EKG can change, as the heart shifts in position after the surgery. What the EKG portends requires analysis & testing. Abnormal T wave can be from ischemia. ...Read more

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What is the possible effect on a person having an ECG result sinus tachycardia with left atrial abnormality?

What is the possible effect on a person having an ECG result sinus tachycardia with left atrial abnormality?

Depends: The ekg is one piece of a puzzle. It is also a sensitive test that is sometimes wrong. Those findings may have little to no significance or may be meaningful when looked at in the context of your history. Talk with your doctor to see if further testing is warranted. ...Read more

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They did an ECG and on the report it says "left atrial abnormality", "Sinus Rhythm", "Probable right ventricular hypertrophy" Am I safe? Should I worr

They did an ECG and on the report it says "left atrial abnormality", "Sinus Rhythm", "Probable right ventricular hypertrophy" Am I safe? Should I worr

See below: This are changes observed in particular leads and not absolute but suggestive (depending on the criteria).
Left Atrial abnormality maybe is suggesting hypertension or another etiology that increased pressure. This could be backing up to the RV and cause hypertrophy.

If that is the case you would Short of breath or have some difficulty breathing. More info needed to answer properly ...Read more

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Left atrial enlargement, R-axis -57 Abnormal ECG?

Left atrial enlargement, R-axis -57 Abnormal ECG?

ECG: Without seeing the ecg and only given what you wrote, it isn't possible to know whether the ecg is abnormal or not. An axis of 57 degrees is not a 'right axis', 157 degrees would be. Left atrial enlargement has definite ecg parameters but doesn't always mean significant abnormality is present. If it were possible to see the ecg more comment would be possible. ...Read more

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Can you see an atrial repolarization wave/complex on an ecg/ekg?

Atrial repolarizatio: You can see this on some ecgs but not on most. It is seen when present after the P wave and before the onset of the QRS ...Read more

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ECG Results flag 'Possible Left Atrial Enlargement'. Does this need re-checked?, or if reliable what does it mean for me?

Atrium: EKG diagnosis of left atrial enlargement is often ambiguous. An echocardiogram is the accurate method of measuring the size of the heart chambers. Causes of left atrial enlargement include certain types of valvular heart disease or elevated blood pressure. If you have a heart murmur or hypertension, consult a cardiologist for evaluation. ...Read more

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Is borderline ECG with right atrial overload okay?

Is borderline ECG with right atrial overload okay?

Ecg: Borderline ECG with right atrial overload pattern is a nonspecific finding. You should discuss with your doctor whether it has meaning in you. ...Read more

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Atrial pairs, what are they and why do they show up on my ecg? Benign?

Irregular heart beat: Atrial pairs mean two irregular heart beats coming from the upper heart chambers occuring in pairs or following each other. It is benign and occurs in otherwise normal people ...Read more

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What segment of an ECG tracing represents the end of the atrial action potential?

What segment of an ECG tracing represents the end of the atrial action potential?

Ecg: The ecg represents the surface recording of electrical vectors produced by the summated electrical forces through time produced by the cells of the heart. As such there are millions of atrial action potentials summated in each portion. Roughly the end of the P wave and the rest of theQRS-T would correlate with atrial repolarization and depolarization would be present as the P wave appears ...Read more

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EKG says "Borderline ECG" and "probable left atrial enlargement." Is this anything of concern?

EKG says "Borderline ECG" and "probable left atrial enlargement." Is this anything of concern?

I do not know: Your dr. Who knows you best, will take that reading and compare it to your overall physical condition, and most likely it will be fine, but they need to discuss it with you to be sure. ...Read more

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Is a pointed P wave of 2mm in amplitude still considered right atrial enlargement on an ECG and if not why?

And: Now a transthoracic echocardiogram will answer the question. It is very easy to evaluate the right atrium with ultrasound and you will have the answer right away. Electrical findings often do not correlate with real images. It is nice to have advanced technology. ...Read more

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What does "With run of multiform premature atrial complexes with increasing aberrancy" on a borderline ECG mean?

What does "With run of multiform premature atrial complexes with increasing aberrancy" on a borderline ECG mean?

Many foci: It means PACs from different foci. Severity depends on the cause. Usually it is caused by COPD by smoking, CAD, HT, DM-2, old age, cardiomyopathy, Digoxin toxicity, electrolyte disturbances. And they usually lead to Atrial fibrillation. Must do a thorough w/u with a cardiologist. ...Read more

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It's like someone is hugging me round torsoe for breathing. Oh! My ecg reads: possible left atrial enlargement, QRS low voltage, abnrml t wave abnrmlty?

It's like someone is hugging me round torsoe for breathing. Oh! My ecg reads: possible left atrial enlargement, QRS low voltage, abnrml t wave abnrmlty?

See cardiologist..: 45 y/o female says, It's like someone is hugging me round torso for breathing. Oh! My ECG reads: possible left atrial enlargement, QRS low voltage, abnormal T wave. Abnormality? Yes, could also be having Atypical Angina for a woman at mid-life. Need to see Cardiologist for proper evaluation and management. No panic just see PCP/ Cardiologist. ...Read more

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What is the ECG finding for an atrial fibrillation and atrial flutter?

What is the ECG finding for an atrial fibrillation and atrial flutter?

This: In atrial fibrillation, there are no P waves seen, or the P waves are highly irregular and not directly correlated with the qrs complexes. In atrial flutter constant, regularized activity is seen, generally without a fixed baseline. ...Read more

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ECG Result: Vent Rate 115, Atrial Rate 115, P-RInt 128ms, QRS dur 096ms, QTint 326ms, P-R-T Axes 068 081-01 degrees, QTc Int 450ms. Anything abnormal?

Tachycardia: The ekg demonstrates sinus tachycardia as the normal resting heart rate should be less than 90. In addition the qtc interval appears prolonged but the regular qt interval is within normal range. There is no description of morphology in this report and I wonder what the overall conclusion by the ekg reader was. Have a cardiologist read the ekg for you. ...Read more

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Had ECG and was told Atrial enlargement so was referred to a cardiologist, I was told all is normal but letter states resting ECG "possible left Atrial?

Don't be concerned: An ECG shows the electrical rhythm of the heart for a few seconds time. By looking at an ECG sometimes one might deduce information about the heart such as size of different chambers. This is only a deduction/hypothesis that needs to be verified typically with imaging. I am assuming the cardiologist performed an echo (US of the heart) that showed all is normal which is why he said so. ...Read more

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What should the ECG tracing of mat (multifocal atrial tachycardia) look like?

What should the ECG tracing of mat (multifocal atrial tachycardia) look like?

Typically: To be classified as mat there needs to be 3 different P wave morphologies. ...Read more

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Does someone with atrial fibrillation always have an abnormal ECG result?

Does someone with atrial fibrillation always have an abnormal ECG result?

If they're in fib...: If you're in fibrillation at the time of the ekg, it will always produce an abnormal ekg. ...Read more

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What does it means when ECG stated : atrial-ventricular dual-paced rhythm? Is it abnormal? I'm wearing dual chamber pacemaker.

Interpreting hard: It is hard to interpret an ECG once a pacemaker is implanted. Your electrophysiologist (EP - or cardiologist who implanted the device) wd b a better source of information. In general, A-V dual-paced rhythms on ECG mean that both wires on the pacemaker r working or firing. Thereafter, interpreting the pattern of 'squiggles' on the ECG requires knowledge of ur pre-implant ECG & ur specific condition ...Read more

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I had done ecg. My pulse rate is 120. Fast pulse rate. They suspect left atrial enlargement. 2nd time ecg done. Only fast pulse rate found. I'm pregnent.

May be physiologic: Since a large left atrium is suspect have your physician have you see a cardiologist. WE call this a tachycardia but it may be normal depending on you physical status. Your evaluation will clarify the situation. ...Read more

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I have atrial fibrillation but the blood work and ECG are normal. How is that?

I have atrial fibrillation but the blood work and ECG are normal. How is that?

Fleeting AF: Many people are not in atrial fibrillation continuously but, rather, on and off. An ECG is a 12 second strip - you may have been in an "off" period (in normal rhythm) during the ECG recording. Blood work is usually not affected in atrial fibrillation. ...Read more

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What should I do if my ECG says sinus bradycardia with premature atrial complexes?

Nothing: If you are an athlete, this may be normal. As long as you are not symptomatic then this is usually not dangerous. Normal sinus rhythm is 60-100 beats/min. Sinus bradycardia is < 60 beats/min. Very common in young athletes. Was the ECG otherwise normal? ...Read more

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Short PR wave intervals, bilateral atrial enlargement, right ventricular conduction delay. What do I make of my recent ECG? Is this serious?

Depends....: Your ECG findings may be nonspecific; biatrial enlargement - may actually be interatrial conduction delay ; u need an echocardiogram to noninvasively look at structure of your heart and see a cardiologist for full history and examination. ...Read more

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I have COPD and Asthma, I had a ECG done 2 weeks ago and had the results, my left and right atrial are enlarged, I am not on oxygen. Any advice please!

I have COPD and Asthma, I had a ECG done 2 weeks ago and had the results, my left and right atrial are enlarged, I am not on oxygen. Any advice please!

Unusual: It is very unusual, just on the basis of COPD and asthma alone to have both atria to be enlarged unless there is something else like an arrhythmia like Atrial Fibrillation which is not uncommonly associated with chronic lung disease. Other causes like coexisting mitral valve disease would have been identified by the echo ...Read more

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"With run of multiform premature atrial complexes with increasing aberrancy" borderline ECG result, been having chest pains for a week now. To worry?

"With run of multiform premature atrial complexes with increasing aberrancy" borderline ECG result, been having chest pains for a week now. To worry?

May not be related: Frequent premature atrial complexes are usually benign and increasing aberrancy means the beats cause a slight delay in the conduction of the impulse. The chest pains will require an evaluation and the urgency depends on the quality of the symptoms, associated symptoms such as shortness of breath, nausea or fatigue, and you own cardiac risk profile. If you are feeling worse, go to the ER today! ...Read more

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Saw my cardiologist. Told me ECG was fine. But the report: Normal synus rthm, possible left atrial enlarg., ST abnormal, possible digitalis effect. Abn. ECG?

Saw my cardiologist. Told me ECG was fine. But the report: Normal synus rthm, possible left atrial enlarg., ST abnormal, possible digitalis effect. Abn. ECG?

ECG- in context: The ECG needs to be taken in context of an individual situation. If one of the ECG waves is prolonged, the computer may raise concern of atrial enlarge., if another segment is lower or of a different shape, the computer may raise concerns for a medication (digitalis) effect. The computer does not know you. It just knows that if a calculation is seen, to print certain text. Your MD will correlate. ...Read more

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16 yo son had an EKG indicating rt atrial enlargement. Weeks til referral apt for ECG. Is a note for no ROTC PT needed? Shortness of breath

16 yo son had an EKG indicating rt atrial enlargement. Weeks til referral apt for ECG. Is a note for no ROTC PT needed? Shortness of breath

YES!: It is very prudent to get a note exempting your son from strenuous excercise until he has been evaluated by a cardiologist. Breathlessness with excercise is the heart signaling inability to tolertate that level of activity.
Take care! ...Read more

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How would Atrial flutter or fib feel different to normal sinus tach or PSVT? Are there telltale symptoms, or must need to be caught on ECG to tell?

Arrhythmia: Variable, symptoms can be none to an awareness of palpitations or a general sense of being unwell-a wide range exists;diagnosis can often be made on exam;certainty requires an ECG ...Read more

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If you have an echo suggesting that the the left atrium appears small. Is it possible that the heart was originally small within normal limits and that the right atrium may of enlarged making the left atrium appear small? Also, if the ECG also shows point

If you have an echo suggesting that the the left atrium appears small. Is it possible that the heart was originally small within normal limits and that the right atrium may of enlarged making the left atrium appear small? Also, if the ECG also shows point

Echo: I note you list scoliosis has condition you have. Echo appearance is highly beam angle influenced. It is possible you have a normal size L atrium but the beam angles because of the scoliosis make it look small. If everything else is OK, no reason for you to be concerned unless the cardiologist is concerned about the echo. ...Read more

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As codeine can cause respiratory depression, can it also cause right atrial enlargement or abnormal ECG findings?

Codeine: Very unlikely codeine would cause such cardiac issues. Overdose might result in secondary cardiac issues, but these would likely be acute. Right atrial enlargement takes more time to develop. "ECG findings" is pretty vague. At your age, if you have such cardiac issues, it is critical to be seen by a cardiologist. ...Read more

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Can mildly dilated left atrium and mild pulmonary hypertension 42mmHg appear on ECG?

There are EKG: Findings that are consistent with left atrial enlargement and some changes can suggest pulmonary hypertension as well however the exact pressure cannot be determined. Did you mean ECHO rather than EKG? ...Read more

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At rest laid down, I get Premature Atrial Contractions now and again, usually a few times per day. I had 3 in a row, I have a ECG. Is that Atrial Fib?

Here are some...: Premature heart beat is common but its clinical significance to individuals widely varies among the affected. To address your concern more appropriately, it would be most logical for yo to refer this question to your treating doctor who is expected to possess more clinical pertinence about you than anyone online. So, ask her/him timely. Further online inquiry may induce more unnecessary confusion. ...Read more

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14 yr old fainted while sitting 4 weeks ago. In last 5 mnths lost 17 pounds unintentional. 1st AM Urine shows protein of 30, midday 100. Aorta bruit heard. Ecg shwd possible atrial enlrg. Aorta velocity of 1.89 on vasc u/s. R/o Ideas? Go from here?

14 yr old fainted while sitting 4 weeks ago. In last 5 mnths lost 17 pounds unintentional. 1st AM Urine shows protein of 30, midday 100. Aorta bruit heard. Ecg shwd possible atrial enlrg. Aorta velocity of 1.89 on vasc u/s. R/o Ideas? Go from here?

Proper workup: Junior needs a full history and physical, including a stool guaiac, and probably a Holter monitor for 24 hours. There are red herrings here -- I suspect the proteinuria is orthostatic. Aortic bruits are common in healthy young kids, and need to be distinguished from a renal artery bruit. Ultrasonography could clarify this, as well as whether there is real pathology in the heart. ...Read more

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The doctor said that they "think" I have ectopic atrial tachycardia. Can it actually have been interpretated wrong on the ECG or should I trust them?

The doctor said that they "think" I have ectopic atrial tachycardia. Can it actually have been interpretated wrong on the ECG or should I trust them?

ECG=not best: The ECG only provides clues to the mechanism of an atrial tachycardia. The exact mechanism can only be determined with intra-cardiac electrodes. Nonetheless, I would stick with your doctors - there are many treatment options, but they the must be tried empirically. If the problem is refractory, an electrophysiologic study can always be done down the road. ...Read more