Having Prolonged QT Due To Potassium Deficiencies

Posted on Fri, 26 Mar 2021

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Fri, 26 Mar 2021 Answered on

Wed, 29 Jan 2025 Last reviewed on

Question : Hello, I'm a 32 male with off and on heart concerns. I've had PVC's, PAC's, right bundle branch block and bradycardia as well as ectopic heart beats, also have been noted for inverted T waves at times. I also had prolonged QT due to potassium deficiencies. My heart lately as been pausing after meals, even up to 2 seconds and then pounding extremely hard. I've had Holter monitors in the past and nothing significant was found at those times besides what us mentioned above. I'm never able to catch my symptoms XXXXXXX purchased my own and don't know how to interpret the results and can't see a doctor due to being out of work and having no insurance.

Answered by Dr. Bhanu Partap (1 hour later)

Brief Answer:
Please refer to the detailed answer below

Detailed Answer:
Hello

After going through the medical query raised by you I can understand your concern and before proceeding ahead I would like to know few things

1. When was the holter done? Kindly upload the holter report images from your profile dashboard.

2. Any other medical condition like diabetes or thyroid disease

3. Smoking or tobacco habit

4. Alcohol intake

Kindly provide the required information.

Kind Regards

Above answer was peer-reviewed by : Dr. Nagamani Ng

Follow up: Dr. Bhanu Partap (1 hour later)

I've had multiple halters done but due to having no insurance and not being able to be seen by a specialist I purchase my own Holter monitor and have done some recordings of myself these results are from yesterday I do not drink alcohol anymore this past year I did drink heavily however. I was diagnosed with hypothyroid but I'm currently taking medication for that as well. No tobacco or drugs of any kind. My bradycardia has been study according to my SmartWatch my lowest has been 38 beats per minute

Answered by Dr. Bhanu Partap (21 hours later)

Brief Answer:
Helo again

Detailed Answer:
The ecg image which you have attached is an incomplete ecg with only three leads. However those three leads doesn’t show any abnormality.

If you have multiple holters done what was the report of those holters? Was there any abnormal findings?

In healthy young individuals heart rate can go as low as 35 beats during rest or sleep and that’s not an abnormality.

See without a proper report no one can diagnose what’s going on. It’s important to see the 24 hours holter report for proper guidance.

Kind Regards

Above answer was peer-reviewed by : Dr. Nagamani Ng