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Irregular Heart beats. When should you worry. (Read 5647 times)

Fultonius

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Had to get an ECG for work (but not really any "opinion" with it, it was done at a sports medical clinic. All came back "normal", but my PR int and QRS duration were both at the longer end. (206ms for PR, 108ms for  QRS).

Any heart experts care to comment on there being any point in looking deeper?

And OMM, how's your missus? Well I hope!

Oldmanmatt

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She seems much better, thanks.
Her ECG was pretty similar to the Apple watch read and a bit of discussion with the specialist, lead to her cutting out all caffeine.
This seems to have had a dramatic effect.

Fultonius

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Great, glad to hear it.

PeteHukb

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Had to get an ECG for work (but not really any "opinion" with it, it was done at a sports medical clinic. All came back "normal", but my PR int and QRS duration were both at the longer end. (206ms for PR, 108ms for  QRS).

Any heart experts care to comment on there being any point in looking deeper?

You might want to point out to both your work and the "medical" clinic doing the ECG the sheer pointlessness combined with the potential for unnecessary anxiety and/or wasting of your time caused by doing a test without any clinical interpretation or advice to follow on from it.

As you've already recognised, the PR interval is long, so technically first degree heart block. The QRS is very slightly long. In the right context these might be normal variants, but that depends on the interpretation of the rest of the ECG (not the automatic "report" you get which is notoriously unreliable), your symptoms, medical history, age and a whole bunch of other stuff that no-one should be attempting over the Internet.

Sorry, it's probably not what you're looking for but the answer is (as it is so often): see your GP if you're concerned.

Fultonius

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Ha, I wasn't expecting a full and proper diagnosis over the internet.  It was a requirement put on us by a site in Finland I'm going to. I presume in Finland you actually get a proper medical exam which includes an ECG (mandatory apparently) but also some analysis / comment on it. To be fair, the clinic is a sports medical centre and they were a bit bemused by the whole thing.

I'll maybe give the doc a phone. I got an ECG done a few years back (maybe 5 or so) and it was all normal.

Does seem from my rudimentary measurements that the PR int is slow, but the QRS (by my measurements) is more like 80ms.



A picture always adds a bit of context. This is a plot that may or may not resemble something like the one I got, maybe, or maybe not  ;)

 

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