Help needed reading Kardia 6L ECG - Atrial Fibrillati...

Atrial Fibrillation Support

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Help needed reading Kardia 6L ECG

12 Replies

This Kardia 6L ECG apparently shows a slightly raised T segment and is indicative of "multiple conditions including angina." It was shown to a registrar and a GP who referred to a "raised plateau" on it. The GP said that he didn't know enough about the Kardia to know what could be inferred from it. But a cardiac nurse and registrar felt that as it differed from a Kardia ECG taken in March, it was imperative to go to A and E.

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12 Replies
etheral profile image
etheral

I agree, could've an acute anterior

Septal MI .Would need to see leads 1 thru 5. Are you having symtoms. At the least you need a full EKG done ASAP. If you are having any symptoms you should certainly go to a+e,,etheral

CDreamer profile image
CDreamer in reply toetheral

Reading Samazeulh’s previous post may help - healthunlocked.com/afassoci....

philologus profile image
philologus

When I got my kardia I started learning how to understand the readings by looking at this site:-

practicalclinicalskills.com...

in reply tophilologus

Thanks for the reply. When I clicked on the link the message, “sorry, there is nothing at this site” came up. But it sounds interesting; would you mind checking the link?

CDreamer profile image
CDreamer in reply to

I checked it - worked fine - however not sure how helpful it would be unless you want to test your knowledge of ECG analysis?

in reply toCDreamer

Ok, it worked when I tried it again. Previously, I didn’t get the usual HU redirect message.

philologus profile image
philologus in reply to

practicalclinicalskills.com...

Palpman profile image
Palpman

This is not a diagnosis as I'm not trained in ECG's.Seems like the Ventricle depolarisation is taking too long hence the the ST being below the baseline.

Could this be due to muscle thickness or BBB?

in reply toPalpman

They mentioned some “block” which has been picked up in earlier ECGs. I think it’s only level 1. The Troponin test showed a reading of 16 (I don’t know the unit) when the upper limit for a normal reading is 14 which related to the heart muscle. They were a bit vague about what this meant, just saying it “could be angina in view of your other symptoms, an infection or something else.”

Thanks for the reply. I went yesterday. The upshot was that my Troponin level was elevated slightly and I have to undergo treadmill tests etc. Various doctors noticed the ST segment was abnormal from the Kardia. It does show how useful this device is.

Palpman profile image
Palpman

Looking at it again I think you may have Left Axis Deviation.

Lead 1 is positive and 11, 111 and aVF are negative. Same as mine has been for years.

in reply toPalpman

Correct! I was diagnosed with LAD several years ago-in fact a year or so before I was diagnosed with AF. I'm awaiting an investigation for "suspected angina" and will ask whether it's got worse. Thanks for replying.

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