Dr. Vivek S Narayan Pillai
Cardiology
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Patient's Query
Hello doctor,
I have abnormal t-wave, high QRS Voltage, abnormal Qtc and pulse of 60 beats per minute. Two readings were taken. Marfan syndrome present. I am a 33 year old male with a weight of 180 lbs and height of 6.1 feet tall. I also have chest tightness, heart palpitations, fast heartbeat, fluttering, fatigue, inverted sternum since birth (abdominal area protrudes, not due to fat but possibly due to chest deformity, sunken in). Do you see signs of ischemia, what could be wrong based on these readings?
Hi,
Welcome to icliniq.com.
I have gone through the ECG and images (attachment removed to protect patient identity). The abnormally high QRS voltage could be due to the chest wall deformity and thus the heart being closer to the chest wall than usual. Hence, the recording electrodes recording higher voltages from the heart muscle. The QT also seems normal. I think the palpitations could be due to underlying mitral valve prolapse which is common in Marfan's syndrome as also aortic root disease. You need to get an echo done to diagnose these conditions.
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Cardiology
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