What Does RSr On An ECG Report Mean?

Posted on Thu, 23 Aug 2018

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

Thu, 23 Aug 2018 Answered on

Tue, 5 Apr 2022 Last reviewed on

Question : Can you please interpret the attached ekg?

Answered by Dr. Bhanu Partap (42 minutes later)

Brief Answer:
Please refer to the detailed answer below

Detailed Answer:

Hello,

I have reviewed the ECG image attached and I would like to inform you that it’s a pretty normal ECG and there are no significant changes.

Kindly let me know if you have any symptoms so that I can guide you accordingly.

Hope to have been helpful.
Regards,
Dr. Bhanu Partap

Above answer was peer-reviewed by : Dr. Arnab Banerjee

Follow up: Dr. Bhanu Partap (2 hours later)

What does rsr mean? I never had that on ekgs before. Oh also my diastolic BP was 40. Isn't that low?

Answered by Dr. Bhanu Partap (1 hour later)

Brief Answer:
Follow up

Detailed Answer:

Hi,

Having an rSr on an ECG is a normal finding in majority of individuals and can sometimes be seen in individuals with atrial septal defects which is congenital heart disease and is present since birth.

Kindly let me know if you have any history of hospitalization of constant symptoms of breathlessness or palpitations. If yes then further evaluation will be required.

Yes the diastolic BP is on the lower side. So you increase your fluid intake and bit of salt intake.

Hope to have been helpful.
Regards,
Dr. Bhanu Partap

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Bhanu Partap (9 hours later)

Yes I have history of POTS, shortness of breath, palpitations, dizziness. I had an episode of chest pain/discomfort/pressure and feeling like my arms were heavy and hot on and off for several hours. At the time my EKG just was normal sinus. Then when I went for a follow up they said I had an incomplete right bundle branch block. Is that what this shows? Can a chest pain episode cause EKG changes like that?

Answered by Dr. Bhanu Partap (14 hours later)

Brief Answer:
Details below

Detailed Answer:

Hi,

Yes it’s an incomplete RBBB. With all these symptoms I would like to suggest you to get an echocardiogram and after that a TMT test done.

If these two tests comes out to be normal then there is nothing to be afraid of.

Also I would like to suggest to repeat an ECG because sometime technical errors can also cause a small “r” to appear.

Chest pain (in MI) can cause ECG changes but that is generally LBBB, RBBB that to incomplete is not very common.

Regards,
Dr. Bhanu Partap

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

Follow up: Dr. Bhanu Partap (2 days later)

What is a TMT test? I have had a few ekgs that showed the rsr pattern. I know that it can just be something people have, but I don't understand why it would just develop recently.

Answered by Dr. Bhanu Partap (21 hours later)

Brief Answer:
TMT

Detailed Answer:

Hi,

TMT is tread mil test. It’s commonly done to see the working capacity of heart during stress/exercise. If there is some supply demand mismatch of blood to myocardium ECG changes will show up on ECG.

Am suggesting this test to see whether that supply demand mismatch is the reason in your case or not.

Other causes of rSr on ECG could be following
1. Pulmonary embolism
2. Ischemic heart disease
3. Right ventricular hypertrophy

To rule out all these Ecocardiography and TMT is advisable.

Regards,
Dr. Bhanu Partap

Above answer was peer-reviewed by : Dr. Prasad