Based on the ECG reports, kindly suggest whether I have any heart disease.

Question

Hi doctor,

My ECG report reads as sinus bradycardia with first degree AV block, rSR' or QR pattern in V1 suggests right ventricular conduction delay, borderline ECG. How serious is this? I can scan ECG if that helps.

Answer 1

Hi,

Welcome to icliniq.com.

Are you symptomatic at the moment, like dizziness on exertion, chest pain or heaviness on exertion, etc.? Are you on any medications at the moment? Did you undergo a thyroid profile recently? How active are you, or are you an athlete? First, this is not a serious issue now, as a resting heart rate of more than 55 (or even more than 50) is acceptable to have, and PR interval is mildly prolonged only. Besides these, there are no other significant abnormalities. So in all such patients, we usually advise undergoing 24-hour monitoring to be sure and rule out the possibility of high degree blockages. Also, an echo scan should be done to screen and rule out any structural heart disease, although the probability is low. So at the moment, abnormalities are not serious, but you may undergo further tests to be sure. However, it would help if you get the ECG (electrocardiogram) repeated after few months and subsequently every six months to a year. I hope this helps you and get back if you have any doubts. Thanks.