What Does This ECG Report Indicate?

Posted on Mon, 27 Mar 2017

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

Mon, 27 Mar 2017 Answered on

Wed, 19 Apr 2017 Last reviewed on

Question : Kindly provide an opinion on attached ECG. Known case of Hypertension

Answered by Dr. Sagar Makode (27 minutes later)

Brief Answer:
It's a normal ecg

Detailed Answer:
Hello,
It's a normal ecg.
The only abnormality q wave in lead 3 which is non significant since it's present in only one lead. It suggest some old problem if present in multiple leads. I guess she didn't have any old heart issues.
Get back if you have any doubts.

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

Follow up: Dr. Sagar Makode (2 hours later)

Thanks for opinion Doctor. But in this ecg 1st QRS complex every 3 large squares & Next QRS complex every 4 large square. is this normal or is it irregular rhythm. Requesting you kindly opine.

Answered by Dr. Sagar Makode (42 minutes later)

Brief Answer:
These are called as atrial ectopics or extra beats.

Detailed Answer:
These are called as atrial ectopics or extra beats. These are common with age. Needs no treatment. No need to worry about these and not life threatening. However, it may later progress to atrial fibrillation which is also a common condition, but heart rate can rise and it will need certain medicine.
Further management depends on the symptoms of the patients. Does she have any palpitations, shortness of breath, hypertension, chest pain, if yes then she ll need further test like echo or holter monitoring. So please get back with details of the patient for further opinion.

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