Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
141 Doctors are Online

COPD, ECG report shown as QT 428 ms , chronic smoker - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Lung and Chest disorders
Answered by

General & Family Physician
Practicing since : 2008
Answered : 2690 Questions
Doctor :   hello
User :   hi sir
User :   In ECG QT interval is 428 ms
Doctor :   may i know your age and gender
User :   59
Doctor :   tell me your symptoms ?
User :   my father suffering from COPD + ECG report shown as QT 428 ms ,he was chronic smoker
Doctor :   ok
User :   what its imply how severe is the condition
Doctor :   The normal QTc interval varies from 0.35 to 0.45 seconds (350 - 450 milliseconds). so this value is in the normal range
User :   but in ECG report it is written that QRS (T) contour abnorbility...........consider inferior myocardial damage prolonged QT interval
Doctor :   QRS is different parameter than QT
Doctor :   what are his symptoms ?
User :   so why it is wriiten as what i said above that there is mycardial damage
Doctor :   the QRS is the indicator for damage
User :   QRS is 104
Doctor :   it is not normal
User :   what this value implies
User :   what should be done
Doctor :   now was a echo cardiogram done after this
User :   no
User :   i like to know it is treatable
Doctor :   it implies a blockage that is the cause of the myocardial damage
User :   is it curable
Doctor :   a ECHO CARDIOGRAM is must that will tell us the exact extent of damage
Doctor :   and based on that we can see if it can be cured
User :   in Aug 2010,, he was detected as COPD
User :   and then ECG was taken after he got discharged from the hospital
Doctor :   ok , well he needs to see a cardiologist and further tests have to be done
User :   nothing was done
User :   is it extend
Doctor :   well dont worry i will suggest that you should set up an appointment with a cardiologist and get it assessed
User :   no sir, he died on 1 st march
User :   was this is the reason or COPD
Doctor :   both the lungs working and heart working are interconnected
Doctor :   i cant tell you the cause of death unless there was a proper examination
User :   sir is this QRS 104 treatable
Doctor :   it is a symptoms of the underline cause
User :   means
Doctor :   we first need to see why is it increased
User :   but this ECG was taken 7 month back
User :   7 month time is sufficient to increase this damage as he continued smoking
Doctor :   then it only made it worse
User :   what is exactly inferior myocardial damage
Doctor :   lower portion of heart muscle is damaged due to low blood supply
User :   how it is cured
Doctor :   it will depend on what had caused it
Doctor :   it can be a blockage
User :   so it is curable
User :   or not
Doctor :   it depends on the extent of blockage if it was too much then it cant be cured
User :   sir in my case ... my father was suffering from acute excerbation COPD plus this inferior mycardial damage
User :   6 month back...he was not able to walk 15 minutes without stopping
User :   plus he continued smoking
Doctor :   that only made things worse
User :   but had we shown the ECG to doctor what was the suggested method to control or remove the damage
Doctor :   what was your father's age ?
User :   60
Doctor :   was he put on medications ?
User :   nebulizer impravent
User :   asthalin
Doctor :   ok well thats the correct protocol . but since he did not stop smoking in COPD it will only deteriorate the condition
User :   correct protocal measn
Doctor :   that mean the right medications were given
User :   for inferior mycardial damage
Doctor :   COPD can cause the heart damage
Doctor :   as i told you that both the systems are interconnected
User :   Sir but once inferior myocardial damage was detected, was impravent and asthalin was the right medicine for both COPD and myocardial damage
Doctor :   yes it was
User :   sorry for troubling u a lot
User :   any other which we could have taken to avert the condition
Doctor :   well not smoking would have helped
Doctor :   as it only accelerated the condition to worst
User :   but any bypass surgery / or angyiplasty
Doctor :   not with acute COPD
Doctor :   its not recommended
User :   so we can conclude that only quitting smoking could have increase the life span
Doctor :   yes
User :   how much life span can i expect
Doctor :   i am unable to say that
User :   with smoking continued
Doctor :   we can not tell the expectancy of human life span
User :   if we have been to doctor then
User :   just i want to know is inferior myocardial damage
User :   curable
Doctor :   i have told you that it depends on the severity
Doctor :   and other medical conditions
Doctor :   you have to understand that
User :   from Aug 2010 to 6 months he didnt complain about chest pain
User :   sir i m feeling that had we been to doctor at that time in august, we could have averted his death
User :   m feeling guilty about this
Doctor :   i can understand your concern but there is nothing that can be done now
User :   what to do please suggest
Doctor :   you have to let it go
Doctor :   life and death are not always in our hands
Doctor :   you did your best
User :   only impravent and asthalin
Doctor :   what could have been done is done
User :   sir m i guilty
Doctor :   we cant change the past
Doctor :   you should not be
Doctor :   you did what you could
User :   but i miss showing ECG to doctor as my dad was reluctant to go to hospital and after some days he started behaving completing ok
Doctor :   well there is nothing we can do right now, i will suggest you can talk to a counselor and it might help you with the guilt
User :   but i always ask my dad to quit smoking but he didnt
Doctor :   its not your fault here
User :   and u said with acute COPD , inferior myocardial damage cannot be cure
Doctor :   thats all i can say
Doctor :   yes i mean smoking has to be stopped
User :   is inferior myocardial damage curable
Doctor :   i have told you many times
Doctor :   it depends on the severity
Doctor :   you need to understand that
Doctor :   i cannot tell you in detail on a online consultation about a disease prognosis
User :   what is expected life span for smokers
Doctor :   depending on the duration and quantity
User :   20 cigarrates for 35 years
Doctor :   thats a lot
Doctor :   i will honestly suggest you that you should talk to a counselor
Doctor :   it will help you
User :   ok thanks
Doctor :   your welcome
Doctor :   take care
© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor