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What Does My ECG Report Indicate About My Hypertention?

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Posted on Thu, 22 May 2014
Question: Sir, My ECG report is follows
Vent Rate(BPM): 58
PR Int(ms): 159
P/QRS/T Int(ms): 116 91 200
QT/QTc Int(ms): 399 394
P/QRS/T Axis(Deg): 64 -24 22
RV1/SV5 Amp(mV): 0.12 0.11
RV5/SV1 Amp(mV): 1.37 0.80
Analysis says
801 Sinus Bradycardia
623 Slight ST Depression
124 Marked Counter Clockwise Rotation
212 Left Axis Deviation
***Undefined Abnormal ECG***
I am a 54 years old person . I am very fit and run 6 kms every day. I have been diagonised with essential Hypertention since 1980. It will be kind of you if you can explain what my report states Thanks.
doctor
Answered by Dr. Indu Kumar (51 minutes later)
Brief Answer:
Findings are expected in hypertensive patient.

Detailed Answer:
Hello XXXX
Thanks for writing to HCM

According to reports,

1.You have sinus bradycardia.Sinus bradycardia is a condition when heart rate is below 60 beats/min.This is expected finding as you do heavy work in the form of running.

2.Slight ST depression can be ignored.It is significant if it is more than 1 mm in V5-V6 leads or 1.5 mm in AVF lead or lead III.

3.Counterclockwise rotation refer to change in the electrical activity in a horizontal plane through the heart.Marked counter clockwise Rotation is related to long standing hypertension.It is mainly due to sclerotic lesions in the thoracic aorta which develop due to chronic hypertension.It doesn't require any treatment or intervention.

4.Left Axis deviation is also due to hypertension and this is expected finding.

So,findings are expected in your case and you only require controlled blood pressure.
You should continue your daily activity.

Get well soon.
Hope i have answered your query.
Further queries are most welcome.

Take Care
Dr.Indu XXXXXXX
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Indu Kumar

Radiologist

Practicing since :2004

Answered : 6729 Questions

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What Does My ECG Report Indicate About My Hypertention?

Brief Answer: Findings are expected in hypertensive patient. Detailed Answer: Hello XXXX Thanks for writing to HCM According to reports, 1.You have sinus bradycardia.Sinus bradycardia is a condition when heart rate is below 60 beats/min.This is expected finding as you do heavy work in the form of running. 2.Slight ST depression can be ignored.It is significant if it is more than 1 mm in V5-V6 leads or 1.5 mm in AVF lead or lead III. 3.Counterclockwise rotation refer to change in the electrical activity in a horizontal plane through the heart.Marked counter clockwise Rotation is related to long standing hypertension.It is mainly due to sclerotic lesions in the thoracic aorta which develop due to chronic hypertension.It doesn't require any treatment or intervention. 4.Left Axis deviation is also due to hypertension and this is expected finding. So,findings are expected in your case and you only require controlled blood pressure. You should continue your daily activity. Get well soon. Hope i have answered your query. Further queries are most welcome. Take Care Dr.Indu XXXXXXX