ecg reading

[mjm1971]

can you give me a verdict on my ecg please

Is it showing a flutter ?

Thanks

matt

[Cat04]

I'm no expert but it looks very similar to my flutter

Ecg

[mjm1971 in reply to Cat04]

hi Cat

What does a flutter cause ? Is it bad what can side effects of a flutter be ?

[Cat04 in reply to mjm1971]

My atypical atrial flutter was running at approx 120 bpm with resultant shortness of breath, chest pain and fatigue. I saw my GP who did the above ecg, was sent home to review after a few days and eventually was told by gp's receptionist to call 999. Taken to hosp by ambulance & admitted. Subsequent echo showed my left atrium dilated and other abnormal measurements. Despite different drug treatments I remained in flutter for approx 6 months until the doctors got the drug dosages right and it stopped. Since had surgical ablation and LAA clip.Atypical atrial flutter felt like hell for me!

[Halfheart in reply to Cat04]

No. Yours has no p-waves and is going at twice the number of beats per minute.

[fairgo45 in reply to Halfheart]

I don't have p waves but do have afib your ecg looks nice and regular but this is only my opinion not flutter

[frazeej in reply to Halfheart]

I see P waves, and measure the rate at ~54bpm. To my eyes this looks like NSR, as near as can be seen from just a one lead trace.

[SeanJax]

it is sinus rhythm. P waves are there.

[mjm1971 in reply to SeanJax]

hi Sean , what are P waves ? Are they good or bad ?

[SeanJax in reply to mjm1971]

move on. Your ecg is absolutely normal.

[mjm1971 in reply to SeanJax]

excellent thanks

[mjames1]

what is the heart rate? Looks low. What did Apple Watch say it was?

[mjm1971 in reply to mjames1]

my heart rate averages at 48bpm at rest . No one seems concerned but I must say I don’t feel it should quite that low

[mjames1 in reply to mjm1971]

That ekg is from Apple WAtch? Did it say afib or normal rhythm?

[mjm1971 in reply to mjames1]

Yes it’s Apple Watch and says NSR

[mjames1 in reply to mjm1971]

It also looks like NSR to me. Only rarely will flutter present at such a low rate. That said, if symptomatic, or concerned about your low pulse, speak to your doctor.

Jim

[Ronnieboy in reply to mjm1971]

My hr can be as low as 43 but it comes out about the same as yours,nobody has ever queried it,and I'm absolutely fine.

[frazeej in reply to mjames1]

That HR measures at 54bpm. (5.6 large squares between R peaks.)

[BobD Volunteer]

P waves are the little blip before the main wiggle (p qrs t) and mean NSR . Reading ECGs is a highly skilled job which none of us here are qualaified to comment on. Many Gps get it wrong so ask your EP.

[mjm1971 in reply to BobD]

ok Bob thanks 🙏

[Halfheart]

Completely normal. You heart rate is in the range 50bpm - 60bpm and regular.

[wendy6]

Hi Matt,

This is my home ECG I did back in February before I went into A&E as had had this for 5 hours at 150bpm. It self converted after 7 hours. Yours looks like sinus rhythm, but what was your HR?

Home you are ok now.

Wendy

Atrial Flutter diagnosed by ER in February. HR 150 bpm for 7 hours.

[2learn]

Hi, you say hour HR is about 48, this would usually mean you are a regular hard exerciser. If you are not it may need investigating. My personal experience was HR around 55 which I thought was as aresult of lifelong exercise, but turned out it was a leaky heart valve which had to be repaired. My docs said they were happier if my rate was around 60-70 and I now have a pacemaker to stop it going below 60. Also I'm 74 so age makes a difference.

[Chico1954]

looks great to me - in sinus rhythm and a healthy P way showing 👌

[Palpman]

That notch in the R wave could be a benign LBBB. Have it looked at by an EP. Goodness knows how you to do that though.I have BBB that causes my Bradycardia.

[Autumn_Leaves]

The notching in the R-S segment is one thing that I also noticed straight away. It’s something you’ll need to get checked out preferably on a 12 lead ECG as there may be reciprocal changes on the other leads that can give a better overview. Only someone with an experienced and qualified eye can tell you whether this has a ‘benign’ cause or whether further investigations are warranted.