HomeAnswersCardiologyecgI am a 23-year-old with abnormal findings in ECG and high heart rate. Please provide your opinion.

Do the abnormal findings in ECG and elevated heart rate indicate any heart diseases?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

iCliniq medical review team

Published At October 28, 2023
Reviewed AtOctober 28, 2023

Patient's Query

Hi doctor,

I am a 23-year-old male, 5 feet 8 inches tall, weighing 158.7 pounds. Recently, I underwent a cardiology examination, and the results have left me quite concerned. During the checkup, I was very nervous, which might explain the higher beats per minute observed. Upon reviewing the results, I am particularly worried about leads III and aVF, although there could be issues with others as well. While I am not an expert, I thought it best to reach out to you for your professional opinion. Could you please examine the attached images and share your thoughts or recommendations? I am truly anxious about these findings. For better quality, I have split the image into two parts.

Thank you for your attention to this matter.

Hello,

I have reviewed your attached reports (attachment removed to protect the patient’s identity). Except for your heart rate which is around 107, there are no other significant abnormalities. So, overall ECG (electrocardiogram) is fine. Elevated heart rate may be due to anxiety. In the AVF (augmented vector foot - standard leads used in an ECG), QRS complexes are notched, which may be normal variant or may be related to intraventricular conduction delay (which can be seen in individuals who are engaged in sports and due to other causes). QTc (corrected QT interval) is also normal.So in a nutshell, in my opinion there is no other significant abnormalities.

I hope your query got resolved. For further queries, you can consult me at icliniq.

Thank you.

Patient's Query

Hi doctor,

Thank you for the reply.

Since the doctor's visit (the doctor who made this ECG), I have not been able to sleep. She did not provide me with any information. I am extremely worried and do not know what to do. I read that fQRS is associated with scarring of the heart, bad arrhythmias, and even sudden death. If I understand correctly, leads III and aVF (and maybe others) have that fragmented QRS. Please give your opinion.

Hi,

Welcome back to icliniq.com.

Fragmented QRS may be given significance in the individuals with coronary artery disease or other structural heart diseases, where it may indicate the risk for arrhythmia. I feel it is likely a benign and non worrisome finding in your case (who is young, otherwise healthy and there are no associated ECG or electrocardiogram changes to suggest any associated cardiac disease).

I hope this information will help you. Please revert in case of further queries.

Thank you.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Sagar Ramesh Makode
Dr. Sagar Ramesh Makode

Cardiology

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