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    Suggest treatment for EKG

Posted on Sat, 5 Aug 2017 in Hypertension and Heart Disease
Question: Hello again.
Would you mind looking at this ekg for me?
This i took some time ago and the doctor Said it was probably nothing and the computer could misread results
As i read it says i have lqts here but why then does the doctor say it was fine?
I supposedly have a incomplete right Block but i found this and now i am worried that this ecg in fact is correct that the qtc is long.
Answered by Dr. Ilir Sharka 2 hours later
Brief Answer:
My opinion as follows:

Detailed Answer:
Hello again, dear Kaj,

Welcome back on HCM!

I passed carefully through your uploaded ECG recordings and would explain that you don't have ECG criteria of long QT syndrome.

An accepted scoring is used for investigating the probability of long QT syndrome beyond what may be concluded by the ECG findings only:

Your QTc length is only 414 ms,

- there is not a history of syncope,
- no T wave notching or alternans,
- no confirmed evidence of ventricular tachycardia or syncope,
- no family history of sudden death,
- no congenital deafness

So there is no enough scoring to confirm a high or intermediate probability of having a long QT syndrome.

Coming to this point, I would recommend you to relax and don't worry about this issue.

Your ECG confirms only a complete right bundle branch block (QRS duration is greater than 120 ms).

So it is not accurate to rely only on the ECG machine interpretation, as it usually uses rigid softwares to give some general conclusions.

It is always necessary to have the medical interpretation of a cardiologist or a doctor expert on the field.

Hope to have been helpful to you!

In case of any further uncertainties, feel free to ask me again.

Kind regards,

Dr. Iliri

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
Follow up: Dr. Ilir Sharka 11 minutes later
I am again amazed by you.

I would like to add:
I have near syncopes many times, especially when physically active, when getting alot of adrenaline, etc.
I have had sudden bursts of rapid heartrate which comes after a wobblywobbly efctopic weird heart bubbling (might be tachy)
But I dont know about T wave, Complete syncope, sudden Death or deafness.

Further, I am wearing a 24 hr ecg monitor on the 18th of August. This is not a 12 lead monitor. Will it still see prolonged qt?
And will you be kind enough to og through the results for me then?

I will try to provoce "attacks" during that.

Thank you so very much. You must be so fed up With my questions, I am forever gratefull that you do not think of me as a hypochondriac, since my symptoms are very very real that there definately IS something going on With the electrical system.

I think earlier they said the blockage was INcomplete. And now it is COMPLETE? Is that a sign of Dangerous Development?
Answered by Dr. Ilir Sharka 19 hours later
Brief Answer:
I would explain as follows:

Detailed Answer:
Dear Kaj,

As far as you don't have QT prolongation syndrome on ECG, no full syncope, no family history of sudden death, it doesn't seem that you suffer from Long QT Syndrome.

Regarding your palpitations, I would like to review your Holter monitoring reports for a more professional opinion.

I think that the Right Bundle Brunch Block is complete. This ECG finding is not rarely seen in adults. It may indicate certain cardio-pulmonary disorders, but may also be present even in the absence of an obvious pathology (disorder).

So, I don't think that this is something serious.

Just relax and try not to worry about it!

Hope to have clarified some of your uncertainties!

If you have any other questions, please don't hesitate to ask me again!

Wishing all the best,

Dr. Iliri

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
Follow up: Dr. Ilir Sharka 3 hours later
Ok thank you :)

Yes, I am sure it is Complete NOW. But I think other doctors earlier in my life has said it was INcomplete. So over time it may have gotten worse then.

Thank you, I will upload the holter when I have done it Sir.
Answered by Dr. Ilir Sharka 23 minutes later
Brief Answer:
My opinion as follows:

Detailed Answer:
Dear Kaj,

As the QRS duration is greater than 120 ms, it is surely a complete bundle branch block.

But, as this interval is near 120 ms, probably may be misdiagnosed for incomplete RBBB.

Nevertheless, you shouldn’t worry about this issue.

I don’t believe this is new finding.

I would be glad to review your rhythm monitoring results.

Kind regards,

Dr. Iliri

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
Answered by
Dr. Ilir Sharka


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