Question:
My ECG/EKG graph values and the possible explanation for the abnormal values...?
DJ SJ
2010-07-30 11:08:02 UTC
i got my ECG done for some health certificate, Some part of the graph was really striking. i decided to check the normal values over the internet and found out most of the values from my graph are way diffferent from those termed as normal. If any of you might tell me if it is so and the possible reasons and abnormalities i might be facing.

heart rate - 53 beats per minutes
PR - 312 milliseconds
QT - 510 milliseconds
ST - 65 milliseconds
QRS - 32 milliseconds
QTC - 510 milliseconds

Axis(degrees) -
P= 33
QRS = 77
T = 46

and the striking feature in the graph that i was talking about is that my V2 graph is almost a straight line , with no sharp crests or troughs whatsoever except for a small upward bulge at the start and the end , but nothing like the other graphs which have easily identifiable sharp waves.
Five answers:
Aziz
2010-07-30 12:03:37 UTC
it is an abnormal ekg, you need to see a cardiologist for further evaluation.
anonymous
2016-12-09 03:58:34 UTC
Ecg Graph Explanation
J B
2010-07-30 11:15:26 UTC
First, EKG machines have their own interpretations built into the machine and these numbers can vary from machine to machine (the milliseconds) depending on the type of graph paper they use in the machine. If the V2 was almost a straight line, it was either the lead placement or the sticker was a little too dry and that is why it wasn't picking up the tracing well. If your doctor voiced no concern about your EKG, then there is nothing to worry about. And, almost all EKG's are read a second time by a cardiologist and if there is any problem, a corrected report comes back to the doctor. All EKG machines have the ability to transmit these EKG's to a cardiologist who reads them to make sure nothing has been missed. I don't believe you have anything to worry about with your EKG.
john e russo md facm faafp
2010-07-30 11:46:25 UTC
The normal resting heart rate is 50 to 90 beats per minute not the 60 to 100 beats per minute that most people refer to. The 50 to 90 normal is based upon more than 200 24 hour studies of blood pressure and pulse. It is too much trouble to rewrite the software for the computer reading the ECG so the computer reading your electrocardiogram (ECG - it in EKG only if you speak German) most likely said 'sinus bradycardia' although your heart rate is normal. The PR interval varies with heart rate. It may be as short as 120 milliseconds with rapid heart rates and as long as 220 milliseconds with slower heart rates. 312 milliseconds is quite a long duration and represents a marked degree of 1st degree atrio-ventricular (AV) 'block'. There is not really an anatomical block but rather a rather slow progression of the electrical impulse from the sinus node through the AV node. The word block historically was used as early studies actually cut the conducting fibers in animals creating a true block. Your QRS duration must be an error. The QRS duration is the time that it takes for the electrical impulse to travel through the ventricles. The QRS is not often below 80 milliseconds and I would not think that a QRS interval of 32 milliseconds is possible. The ST interval is not of any particular interest. The QTc is the 'corrected' for heart rate QT interval. This is the time from electrical activation through electrical recovery in the ventricles. The QTc interval may vary by as much as 70 milliseconds from day to day. The QTc interval is most often less than 450 milliseconds. QTc intervals in excess of 500 milliseconds suggest an increased risk of potentially life-threatening heart rhythm disturbances. The computer in the ECG unit uses the Bazett equation to calculate the QTc interval although at slower heart rates the Fridericia equation is more accurate. By either equation your QTc interval is prolonged. The P QRS and T axis refers to the orientation in the frontal plane and all of yours are within normal. The appearance of V2 likely reflects poor conductivity or a poor connection involving that lead. The interpretation of your ECG would be marked 1st degree AV block with marked prolongation of the QTc interval. I would caution you however that if I were your physician I would repeat the ECG before drawing any conclusions. Your PR QRS and QTc intervals are all well outside of the expected range for a healthy individual. Every technician and every piece of equipment may occasionally be in error. In matters medical if the test result does not 'match' the patient then the test should be repeated for accuracy. If I may be of further assistance please let me know. I wish you the very best of health and in all things may God bless.
Beau
2010-07-30 11:12:15 UTC
Your heart rate is slightly slow. Normal is considered 60-100, but could be normal for you especially if you are young, take beta blockers or calcium channel blockers, or are in really good shape. The flattened V2 just means that the voltage was set too low when they took the reading or that they placed the stickers in the wrong place.


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