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What Does My ECG Report Indicate?

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Posted on Tue, 10 Mar 2015
Twitter Tue, 10 Mar 2015 Answered on
Twitter Mon, 30 Mar 2015 Last reviewed on
Question : I was in ER somewhat recently due to a catching, clenching sensation in my chest which I will get sometimes and can be startling and which was occurring a lot. My cardiologist stated this sensation correlated sometimes with PVCs per event recorder monitoring, but that the PVCs occurred only as frequently as in any normal individual. I was wondering about this portion of electrocardiogram from hospital report, since my cardiologist seemed to barely look at the report, and I'm not sure he saw this:

"Possible left atrial enlargement
RSR' or QR pattern in V1 suggests right ventricular conduction delay
Borderline ECG"

Other stats from electrocardiogram:
Ventricular rate: 81 bpm
Atrial rate: 81 bpm
P-R interval: 126 ms
QRS duration: 94 ms
Q-T interval: 356 ms
QTC calculation (Bezet): 413 ms
P Axis: 71 degrees
R axis: 36 degrees
T axis: 47 degrees
Diagnosis: Normal sinus rhythm

I asked an anesthesiologist friend about atrial enlargement and right ventricular conduction delay, and he was saying this is normally benign, but wanted to get a second opinion from this site since I'm paying for subscription.
doctor
Answered by Dr. Lilit Baghdasaryan (24 minutes later)
Brief Answer:
No significant abnormality

Detailed Answer:
Dear Sir,

RSR' pattern in V1 are suggestive for incomplete right bundle branch block (RBBB). It is a type of conduction delay, which is seen in healthy individuals quite common and is not considered as abnormality.
About "possible left atrial enlargement" _ ECG is not enough sensitive for detecting left atrial enlargement, and sometimes there can be signs of left atrial enlargement on ECG, when there is no enlargement at all. For detecting left atrial enlargement the echocardiography should be performed.
In my opinion you have normal left atrium, but if you want to be a 100% sure, you can undergo echocardiography.

Hope I could help you

Wishing you good health

In case of further questions don't hesitate to ask

Regards,


Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Lilit Baghdasaryan (1 hour later)
Thank you so much Dr. Baghdasaryan! I am very obliged for your insights here. A follow up question I would have then would be this: Do you think there could be a correlation between the clenching, catching chest sensation and the ventricular conduction delay, and if so, would it be possibly helpful if my medical team could increase the nerve conduction capacity of my body? I was thinking if there are conduction delays, optimizing conduction could be beneficial, just as for example if one has malabsorption challenges, optimizing absorption would be indicated.
doctor
Answered by Dr. Lilit Baghdasaryan (1 hour later)
Brief Answer:
No correlation at all

Detailed Answer:
Dear Sir,

Actually, incomplete RBBB never cause any symptom, and your complaints are not related to this finding.
Incomplete RBBB is a benign condition, and no treatment is needed.
Your doctor should look for another cause for your complaints.

Wishing you good health

Regards,

Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
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Dr. Lilit Baghdasaryan

Cardiologist

Practicing since :2007

Answered : 1536 Questions

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What Does My ECG Report Indicate?

Brief Answer: No significant abnormality Detailed Answer: Dear Sir, RSR' pattern in V1 are suggestive for incomplete right bundle branch block (RBBB). It is a type of conduction delay, which is seen in healthy individuals quite common and is not considered as abnormality. About "possible left atrial enlargement" _ ECG is not enough sensitive for detecting left atrial enlargement, and sometimes there can be signs of left atrial enlargement on ECG, when there is no enlargement at all. For detecting left atrial enlargement the echocardiography should be performed. In my opinion you have normal left atrium, but if you want to be a 100% sure, you can undergo echocardiography. Hope I could help you Wishing you good health In case of further questions don't hesitate to ask Regards,