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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Chest Pain. EKG Showing Right Ventricular Conduction Delay, T Wave Abnormality. What Does It Mean?

I am a 46 year old male who has no chest pains and watches what he eats works out 4 to 5 times a week. I went for my yearly physical and after getting a ekg the results came backrsr (QR) in v1/v2 consistent with right ventricular conduction delay nonspecific t wave abnormality consider left atrial abnormality borderline ecg . What does that mean and should I be worried.
Fri, 15 Mar 2013
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Cardiologist 's  Response
Hi friend,
Welcome to Health Care Magic

rsR' pattern is called Right Bundle Branch Block / said to be complete or incomplete depending on the duration. The common cause is delay in the conduction in the right nerve. It is commonly seen in many normal people and an incidental finding. At times, it is due to volume overload of the right side - like Atrial Septal Defect and so on.

qR pattern has different connotations like posterior infarct, some forms of Cardiomyopathy and so on.

Left atrial anomaly may be a conduction delay or chamber enlargement.

You should see your cardiologist.
You need further investigations for proper assessment

And EKG should not be read in isolation - it should always be correlated with clinical examination and total picture

Take care
Wishing speedy recovery
God bless
Good luck
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Cardiologist Dr. Hemant Kumar's  Response
AFTER 40 YEAR 3-5 % ECG SHOWS THESE CHANGES
DO AN ECHOCARDIOGRAM( MOST PROBABLE IT WILL BE NORMAL)\DO NOT WORRY
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Chest Pain. EKG Showing Right Ventricular Conduction Delay, T Wave Abnormality. What Does It Mean?

Hi friend, Welcome to Health Care Magic rsR pattern is called Right Bundle Branch Block / said to be complete or incomplete depending on the duration. The common cause is delay in the conduction in the right nerve. It is commonly seen in many normal people and an incidental finding. At times, it is due to volume overload of the right side - like Atrial Septal Defect and so on. qR pattern has different connotations like posterior infarct, some forms of Cardiomyopathy and so on. Left atrial anomaly may be a conduction delay or chamber enlargement. You should see your cardiologist. You need further investigations for proper assessment And EKG should not be read in isolation - it should always be correlated with clinical examination and total picture Take care Wishing speedy recovery God bless Good luck