HomeAnswersCardiologypvcMy ECG reveals borderline prolonged PR interval and non-specific intraventricular conduction delay. Kindly help.

Is it concerning to have borderline prolonged PR interval and non-specific intraventricular conduction delay?

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Published At August 16, 2023
Reviewed AtAugust 16, 2023

Patient's Query

Hello doctor,

I developed new sudden PVCs after catching a nonspecific upper respiratory virus. Mostly occurs in the morning. ECG at ER says borderline prolonged PR interval and non-specific intraventricular conduction delay. Kindly help.

Answered by Dr. Yash Kathuria

Hello,

Welcome to icliniq.com.

I read your query and understand your concern regarding palpitations and ECG (electrocardiogram) changes. I have gone through your reports that you have provided. All your reports are alright. Your ECG show normal rate and rhythm, PR interval seems full but not significantly prolong, QRS complexes are normal, there are no PVCs in this ECG and there is no intraventricular conduction delay. Drugs like Ritalin, Caffeine and decongestants may cause VPC (virtual private cloud) but you have already stopped them. I have checked for drug interactions also, but drug adverse effect is ruled out. Do you also feel dizziness or chest pain during palpitations? Any history of smoking or alcohol intake? Kindly answer the above questions to geta clear picture.

Thank you.

Patient's Query

Hello doctor,

I have no dizziness or chest pain, I just get hot and start sweating when they happen. No alcohol or tobacco use but I am a medical marijuana patient for PTSD.

Answered by Dr. Yash Kathuria

Hello,

Welcome back to icliniq.com.

Marijuana is known to cause cardiac arrythmias and vpcs and i am sure you are taking it in prescribed doses. Because marijuana overdose may lead to sweating, feeling hot and palpitations. I would advise you to increase the dose of Inderal (Propranolol) thrice daily if you are still having episodes of vpc or drug modification may be required after consultation from your treating doctor. 2D Echocardiography can be done to rule out any structural problem in your heart that may be causing vpc. I hope I have cleared all your doubts.

Thank you.

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

Dr. Yash Kathuria
Dr. Yash Kathuria

Family Physician

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