ECG During Transport to Hospital

Would appreciate any help reading some data from ECG.  I have dual chamber pm for bradicardia and I also have lung disease (bronchiectasis) and bad GERD.  I've been known to have occasional runs of benign PVC's.  Last week I was having some unusual symptoms of presyncope and syncope.  My cardiologist is sending me some home equipment from Medtronic, I guess to send data when I am symptomatic, and my internist is treating me for an upper respiratory & lower infection.  I have a copy of an ECG from last weekend: QRS dur (duration?) is 145 ms.  QT/QTc: 369/426 ms.  P-R-T axes:  63-50-66.  Also says: Sinus tachycardia, marked left axis deviation, and intraventricular conduction delay.

I understand this is abnormal but how does not tell what is abnormal beyond what would typically show with a PM patient for bradycardia?  It is possible to know this?  With respect to feedback from my cardio, I'm in information limbo until I have some more testing done.  Any feedback is appreciated!  Thank you.

2 Comments

What specifically do you want to know?

by PacerRep - 2018-03-04 00:02:51

The numbers you gave above are consistent with a fasicular block....or....RV pacing from your pacemaker if you do indeed pace. a "normal" QRS is <120ms, yours is a little longer at 145, but if you are pacing, then thats expected. Your QT interval is normal, anything under 440 for men or 460 for females is acceptable, its very problematic over 500, and you are a ways away from that.

The sinus tachycardia, is probably normal, an ECG will call any rate thats "normal" thats faster than 100bpm "sinus tachycardia". its a generic term for fast heart rate. The PRT axes are used to diagnose certain types of heart conditions. Normal range for the P wave vector is between 0 and +75 degrees, the QRS (R) between -30 and +105 and the T wave should be roughtly between -30 and +90. So  you're all good there as well.

It's also important to note on the PRT that it depends too where they place the electrodes, or the "stickies". Nobody does it the same everytime, and that changes the reading of the electrical shift

 

Does this help?

Very Helpful

by Yakkwak - 2018-03-04 17:48:20

Thank you, PacerRep, for the info.  Very helpful.  

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