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What Does The Following ECG Report Indicate?
Posted on
Tue, 24 May 2016
Medically reviewed by
Ask A Doctor - 24x7 Medical Review Team
Tue, 24 May 2016
Answered on
Mon, 27 Jun 2016
Last reviewed on
Question : My ECG shows rare premature atrial contractions and right axis deviation. Nothing else of significance. My bp was normal at 123/76. Stress test was alao normal. I'm 6ft 2 and 190lbs. Are PACs and right axis deviation a concern?
Brief Answer:
Nothing to be worried about
Detailed Answer:
Hello and welcome to HCM. I understand your concer. Thank you for your question.
You see, both of these findings, right axis deviation and premature atrial contractions, are not uncommon in the overall population in the world. The right axis deviation may signify a slight delay in conduction in one of the bundle branches, but is found in up to 20% of the world population and is without any clinical significance, so there is nothing to be worried about. As about the premature atrial contractions, they are premature beats generated somewhere in the atria, not from the original pacemaker of the heart. When they are single and rare, they also do not have any pathological significance as they may be found in every single adult, including me. Stressful situations to the organism, such as physical activity, psychological stress, caffeine-containing beverages, produce them commonly. They may be called pathological only if they are found 10.000 times during a day. I would reassure you that there is nothing to be worried about and no treatment or restraints are needed.
I hope I was helpful with my answer. I am happy to help, if you have follow-up questions.
Kind regards,
Dr. Meriton
Nothing to be worried about
Detailed Answer:
Hello and welcome to HCM. I understand your concer. Thank you for your question.
You see, both of these findings, right axis deviation and premature atrial contractions, are not uncommon in the overall population in the world. The right axis deviation may signify a slight delay in conduction in one of the bundle branches, but is found in up to 20% of the world population and is without any clinical significance, so there is nothing to be worried about. As about the premature atrial contractions, they are premature beats generated somewhere in the atria, not from the original pacemaker of the heart. When they are single and rare, they also do not have any pathological significance as they may be found in every single adult, including me. Stressful situations to the organism, such as physical activity, psychological stress, caffeine-containing beverages, produce them commonly. They may be called pathological only if they are found 10.000 times during a day. I would reassure you that there is nothing to be worried about and no treatment or restraints are needed.
I hope I was helpful with my answer. I am happy to help, if you have follow-up questions.
Kind regards,
Dr. Meriton
Above answer was peer-reviewed by :
Dr. Sonia Raina
Thank you very much for your answer. This is re-assuring. Can these findings in any way be related to blood pressure? I am not hypertensive but I do monitor my blood pressure and have seen some readings above 130/80 for some instances. Will attach some of my bp recordings
Brief Answer:
No relation between the two
Detailed Answer:
Hi again and welcome back.
No, there is no relationship between the high blood pressure and premature atrial contractions. However, for the reasons that may generate PACs, as I listed them in the original answer, blood pressure also may be elevated, independently. But, there is nothing to be worried about, as blood pressure is the most variable parameter of the organism, which varies many times during a day, physiologically.
I hope this follow-up helps. Kindly, if you do not have further questions, close the discussion and rate the answer.
Best regards,
Dr. Meriton
No relation between the two
Detailed Answer:
Hi again and welcome back.
No, there is no relationship between the high blood pressure and premature atrial contractions. However, for the reasons that may generate PACs, as I listed them in the original answer, blood pressure also may be elevated, independently. But, there is nothing to be worried about, as blood pressure is the most variable parameter of the organism, which varies many times during a day, physiologically.
I hope this follow-up helps. Kindly, if you do not have further questions, close the discussion and rate the answer.
Best regards,
Dr. Meriton
Above answer was peer-reviewed by :
Dr. Sonia Raina
Answered by
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