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,
Welcome to icliniq.com.
I have reviewed your attached reports (the attachment was 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 a 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 are no other significant abnormalities.
I hope your query was resolved. For further queries, you can consult me at icliniq.com.
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.
Thank you.
Hi,
Welcome back to icliniq.com.
Fragmented QRS may be given significance in 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.
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Answered byDr. Sagar Ramesh Makode
Medically reviewed byiCliniq medical review team
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