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What Does This ECG Report Indicate?
Question: Sir,
My daugher (Age 17) was asked to take ECG and the ECG measurements are as under:
HR 79 bpm
QRS : 86 ms
QT / QTcB : 398 /458 ms _/
PR : 118 ms
P : 92 ms
RR/PP : 754/750 ms
P /QRS /T : 60/ 70/ 35 degrees
QTD/QTcBD : 32 / 37 ms
Sokolow : 2.2 mV
NK : 11
Kindly help me to interpret the measurement.
XXXXXX
My daugher (Age 17) was asked to take ECG and the ECG measurements are as under:
HR 79 bpm
QRS : 86 ms
QT / QTcB : 398 /458 ms _/
PR : 118 ms
P : 92 ms
RR/PP : 754/750 ms
P /QRS /T : 60/ 70/ 35 degrees
QTD/QTcBD : 32 / 37 ms
Sokolow : 2.2 mV
NK : 11
Kindly help me to interpret the measurement.
XXXXXX
Brief Answer:
The reports seem fine to me
Detailed Answer:
Thanks for asking on HealthcareMagic.
I have gone through the attached ECG as well as the blood parameters. Both of them seem absolutely fine and there seems no cause for concern. I would just need to ask why these investigations were done. The answer to this question would help me to clinically correlate with the reports, which is essential.
Regards
Dr. Kunal Saha
The reports seem fine to me
Detailed Answer:
Thanks for asking on HealthcareMagic.
I have gone through the attached ECG as well as the blood parameters. Both of them seem absolutely fine and there seems no cause for concern. I would just need to ask why these investigations were done. The answer to this question would help me to clinically correlate with the reports, which is essential.
Regards
Dr. Kunal Saha
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
My daughter is 17 years of age. Before 2 years she had a complaint that after getting up from bed or from prolonged sitting, she would have complete black out for few seconds. This continues for some days and thereafter she feels completely normal for months.
Since last few days, she had been complaining on and often about the recurrence of black outs and the main concern was regarding her loss of balance during her black outs. Due to such black outs, she had fallen down on ground but was conscious enough to talk and give us a call. As a matter of concern, we consulted a Physician who recommended to see a cardiologist, who after examining her advised us to go for blood test and ECG.
The reports of the said tests are already mailed to you.
The cardiologist diognised "Likely Neuro Cardio genic symptom" with "Postural Fall of 10 mm** " and prescribed "Orthostatic training" with the drug "Paroxetine 25 mg (IPCA Laboratory) once a day" with Vitamin D tablet.
We over heard his talk with other doctor wherein he was talking about "Grade 1 MVP"
Therefore, kindly help us to interpret the same and advise us for the next step. Kindly note that she had never complained about the black outs during her sports events, trekking camps, international tours nor on her dancing practices. The complaint about fainting is only noticed when she is getting off the bed after sleep and after prolonged sittings.
Since last few days, she had been complaining on and often about the recurrence of black outs and the main concern was regarding her loss of balance during her black outs. Due to such black outs, she had fallen down on ground but was conscious enough to talk and give us a call. As a matter of concern, we consulted a Physician who recommended to see a cardiologist, who after examining her advised us to go for blood test and ECG.
The reports of the said tests are already mailed to you.
The cardiologist diognised "Likely Neuro Cardio genic symptom" with "Postural Fall of 10 mm** " and prescribed "Orthostatic training" with the drug "Paroxetine 25 mg (IPCA Laboratory) once a day" with Vitamin D tablet.
We over heard his talk with other doctor wherein he was talking about "Grade 1 MVP"
Therefore, kindly help us to interpret the same and advise us for the next step. Kindly note that she had never complained about the black outs during her sports events, trekking camps, international tours nor on her dancing practices. The complaint about fainting is only noticed when she is getting off the bed after sleep and after prolonged sittings.
Brief Answer:
You need to understand the ailment carefully
Detailed Answer:
Thanks for writing back.
I have thoroughly gone through the details provided and clearly understand the situation. Let me explain it in simpler terms. The heart has its own rhythm that is generated from SA node or sinus node. The vagus nerve exerts neurogenic (mediated by nerve) control over the heart rate by inhibiting the sinus node when it feels necessary. But there is a condition called sick sinus syndrome where the heart beats are intermittently not produced thus leading to cessation of blood flow to the brain and the brain temporarily shuts down causing a blackout and a fall. But as the body comes into a lying condition, the blood supply is restored and the condition normalizes. The condition can be effectively diagnosed with a 'Tilt table test' and can be successfully treated with tilt training or orthostatic training. Under normal circumstances, the calf muscles pump the blood back from our lower limbs to the heart when we are in standing position, thus preventing the blood from pooling in the legs. During a tilt training, the patient is strapped to a bed which is tilted to almost a standing position. The calf muscles do not work and the blood is allowed to pool. Excessive pooling may decrease the blood flow to the brain and cause blackouts. But as the body gets exposed to the stimulus, it gets physiologically acquainted to it and the response eventually ceases. The duration is gradually increased till the patient becomes capacitated naturally and the blackouts do not occur further.
Hope that the information would be useful to you. In case you found it useful, please close the thread with a positive review and a 5 star rating.
Regards
Dr. Kunal Saha
You need to understand the ailment carefully
Detailed Answer:
Thanks for writing back.
I have thoroughly gone through the details provided and clearly understand the situation. Let me explain it in simpler terms. The heart has its own rhythm that is generated from SA node or sinus node. The vagus nerve exerts neurogenic (mediated by nerve) control over the heart rate by inhibiting the sinus node when it feels necessary. But there is a condition called sick sinus syndrome where the heart beats are intermittently not produced thus leading to cessation of blood flow to the brain and the brain temporarily shuts down causing a blackout and a fall. But as the body comes into a lying condition, the blood supply is restored and the condition normalizes. The condition can be effectively diagnosed with a 'Tilt table test' and can be successfully treated with tilt training or orthostatic training. Under normal circumstances, the calf muscles pump the blood back from our lower limbs to the heart when we are in standing position, thus preventing the blood from pooling in the legs. During a tilt training, the patient is strapped to a bed which is tilted to almost a standing position. The calf muscles do not work and the blood is allowed to pool. Excessive pooling may decrease the blood flow to the brain and cause blackouts. But as the body gets exposed to the stimulus, it gets physiologically acquainted to it and the response eventually ceases. The duration is gradually increased till the patient becomes capacitated naturally and the blackouts do not occur further.
Hope that the information would be useful to you. In case you found it useful, please close the thread with a positive review and a 5 star rating.
Regards
Dr. Kunal Saha
Above answer was peer-reviewed by :
Dr. Shanthi.E
Thank you Doctor for your detailed response...
Well, our concern is only to detect the exact ailment... Is she suffering from "Ortho Postural fall" or "Grade 1 MVP" or "Syncope attack" ????
What is the line of treatement?
Who needs to be consulted?
HOW SERIOUS IS THIS AILMENT ???
Well, our concern is only to detect the exact ailment... Is she suffering from "Ortho Postural fall" or "Grade 1 MVP" or "Syncope attack" ????
What is the line of treatement?
Who needs to be consulted?
HOW SERIOUS IS THIS AILMENT ???
Brief Answer:
There are different ways of referring to the same things
Detailed Answer:
Thanks again for writing back.
Orthostatic refers to problem with standing as I explained. Postural refers to the change in positions between lying, sitting, standing. Syncope refers to the blackouts caused due to the sudden lack of blood flow to the brain. So, basically we are referring to the same thing from different angles. The thing is as mentioned. I have already explained the mechanism of orthostatic training or tilt training. On the first day the patient would be strapped to the bed for 5 mins. The next day 10 mins. Next day 15 mins. Next day 20 mins. Then the patient stands with a wall behind (so that she can take the support of the wall in case she feels a blackout impending) and does not shift the weight between legs. She stands still like this for 20 mins on the first day, 25 mins on the second day, 30 mins on the third and so on upto 40 mins. Then this is continued for one and a half months. It is tiresome but effective. Without treatment this ailment might be serious, but with the above mentioned treatment, the blackouts are likely to go away altogether.
I would consider Grade 1 MVP as unrelated. If you wish to consult, consult a cardiologist for its seriousness and line of treatment too. He is the best person to enquire about it.
If you found my answer helpful, please close the thread with a positive review and a 5 star rating.
Regards
Dr. Kunal Saha
There are different ways of referring to the same things
Detailed Answer:
Thanks again for writing back.
Orthostatic refers to problem with standing as I explained. Postural refers to the change in positions between lying, sitting, standing. Syncope refers to the blackouts caused due to the sudden lack of blood flow to the brain. So, basically we are referring to the same thing from different angles. The thing is as mentioned. I have already explained the mechanism of orthostatic training or tilt training. On the first day the patient would be strapped to the bed for 5 mins. The next day 10 mins. Next day 15 mins. Next day 20 mins. Then the patient stands with a wall behind (so that she can take the support of the wall in case she feels a blackout impending) and does not shift the weight between legs. She stands still like this for 20 mins on the first day, 25 mins on the second day, 30 mins on the third and so on upto 40 mins. Then this is continued for one and a half months. It is tiresome but effective. Without treatment this ailment might be serious, but with the above mentioned treatment, the blackouts are likely to go away altogether.
I would consider Grade 1 MVP as unrelated. If you wish to consult, consult a cardiologist for its seriousness and line of treatment too. He is the best person to enquire about it.
If you found my answer helpful, please close the thread with a positive review and a 5 star rating.
Regards
Dr. Kunal Saha
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Above answer was peer-reviewed by :
Dr. Pradeep Vitta
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