What is Sinus Arrhythmia?
What is sinus arrhythmia? Heartbeats are like clockwork. In the same way the second hand on a clock ticks regularly each second, the heart has an electrical impulse that is generated and leads to a heartbeat in a regular manner. The timing between each of these generated impulses is known as the P-P interval.
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Most individuals have a minor variation in the P-P interval. Usually however this is small, <0.16 seconds. In individuals with sinus arrhythmia however, the P-P interval may vary by > 0.16 seconds.
Is Sinus Arrhythmia Normal?
There are typically 2 types of sinus arrhythmia. By far the most common is basically benign and known as respiratory sinus arrhythmia. Here the variation in the heart rate is related to the breathing cycle. The rate increases when the person breathes in and decreases when the person breathes out. Its what we call a physiological response and isn’t considered a significant abnormality. Its much more common in children and tends to decrease with age. The cause isn’t exactly known, but is thought related to reflexes related to the pulmonary and the vascular systems. As you can imagine, the sinus arrhythmia may be more pronounced in very heavy breathers, such as people with sleep apnea.
The other form of sinus arrhythmia is less common and known as non-respiratory sinus arrhythmia. It is more common in the elderly where it may occur in association with heart disease. Once again the exact cause is unknown.
Sinus arrhythmia is most commonly seen when the heart rate is slow. And when the heart rate speeds up, during exercise for example, the rhythm tends to become regular. In general, the presence of sinus arrhythmia is not indicative of the need for further testing and people can be reassured as to its generally benign nature.
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This was the result of electrocaridographic report of a 12 y/o student of mine. I want to know it her case is serious? I hope for your reply.
Rate:
Rhythm: Sinus Autricular: 70-90/min PR Interval: 0.14 sec.
QRS Axis: Normal Ventricular: 70-90/min QRS Interval: 0.06 sec.
QT: 0.36 sec
INTERPRETATION: Sinus Arrhythmia
Looks pretty normal to me.
I also have sinus arrhythmia. Is it still okay if I play basketball?
Sinus arrhythmia, asymptomatic, is not a contraindication in of itself to playing basketball. So likely yes unless you have been told otherwise by a medical professional.
This is my results of a 48hr holter monitor . please help me understand it. Thank you raughn, Andrea was in Sinus with Sinus Arrhythmia.
The average heart rate, excluding ectopy, was 70 BPM with a minimum of 51 BPM
at 11:41 D3 and a maximum of 119 BPM at 19:42 D1.
Heart beats, including ectopy, totaled 202431 beats.
VENTRICULAR ECTOPICS totaled 4 averaging 0.1 per hour with 4 single, 0
paired, 0 trigeminy and 0 R on T.
SUPRAVENTRICULAR ECTOPICS totaled 10 ,with 7 single and 0 paired beats.
There was 1 SUPRAVENTRICULAR TACHYCARDIA with 3 beats at 12:28 D3 at a rate
of 102 BPM.
Draughn, Andrea was in Sinus with Sinus Arrhythmia.
The average heart rate, excluding ectopy, was 70 BPM with a minimum of 51 BPM
at 11:41 D3 and a maximum of 119 BPM at 19:42 D1.
Heart beats, including ectopy, totaled 202431 beats.
VENTRICULAR ECTOPICS totaled 4 averaging 0.1 per hour with 4 single, 0
paired, 0 trigeminy and 0 R on T.
SUPRAVENTRICULAR ECTOPICS totaled 10 ,with 7 single and 0 paired beats.
Interpretation:
1. Rhythm is Sinus with Sinus Arrhythmia.
2. PR and QRS are within normal limits.
3. (4) Single VE’s.
4. (7) Single SVE’s, (1) run of 3 beats of run.
Looks pretty non eventful and no obvious cause for concern.
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I’ve had EKG’s in the past and they were all normal just recently at 33 years old they had discovered sinus arrhythmia. Only because I went to the hospital for very swollen legs that comes and goes aka pitting edema… Is it normal to get sinus arrhythmia at 33 when you’ve never had it before ? And could that be the cause of the swollen legs
Hi Dr. Mustafa,
I had this result earlier on my ecg and I would like to seek help on your expertise to interpret the below data.
Rhythm: Sinus
Rate: 90
P.R. 0.16
Q.R.S 0.08
Axis Position 45
Q.T. 0
Q.T.C 0.44
Interpretation: (N) Axis, NSSTWR
I am looking forward for your respond regarding my question, thanks
My 4 year old got this diagnosis today. Basically he said it can happen in athletic toddlers. Any thoughts on that?
She is a dancer and just went through dance camp for 3 months and danced 5-6 hrs a day out of a 9 hr day. Then she continues dancing t home.
Its essentially a normal variant, and i agree its not likely a cause for concern.
So my GP said I have Sinus Arrhythmia and another medical professional said I had an ectopic heartbeat. Doing the inevitable google – they are different things and Sinus Arrhythmia says there are no cardiovascular symptoms yet I get bouts of dizziness and pre-syncope episodes, chest pain and prolonged shortness of breath – to be these are all CV symptoms.
Any idea?
p.s. I’m a 29 year old guy who does a lot of sport and exercise both cardio and weights etc.
Hi sir ! This my ECG report . HR 74bpm P: 110ms PR: 149ms QRS : 89ms QT/QTC : 401/446 Ms P/QRS/T : 48/10/36 RV5/SV1 : 0.695:0.576 mV Diagnosis Information. sinus arrhythmia. Poor R wave progression. Flattened T wave (VL,V6). Inverted T wave(V4) pls advise Iam 38yrs old . I have sinusitis @ gastric problem
I am 30, was diagnosed years ago and I have more experiential knowledge about my sinus arrhythmia than my docs can tell me. It’s caused by either stress, spiced foods (actually lots of different types of hard to digest foods can upset it) but by far the thing that upsets it the most is lack of cardio exercise. If I go a week without it, I get palpitations randomly, especially while sitting for too long. As long as I do regular, consistent, non-interval cardio training.. I’m fine!
Hi!
I too get random palpitations and notice that if i exercise regularly they seem to go away, but yes long periods of sitting and lack of cardio will trigger them for me as well! I was also told i had a sinus arrhythmia. I am 36 and also have low bp.
Do you know if the palpitations are related to the arrhythmia? I’ve never come across someone with the same symptoms. Thank you for sharing!!
Wow I finally sound two people with similar symptoms as myself! I am a 20y/o healthy active female, I have extremely low BP, and some tummy issues too. Whenever I run or work out it tends to sort out the arrhythmia. But days where I don’t work out or or have a lazy day my heart beat gets so slow when I exhale it’ll start to hurt and sometimes palpate. It feels like it has to catch right at the end or something.
I started having multiple heart palpitations per week or sometimes per day about 6 months ago. I am almost 31. I agree, a short, 30 minute, non-interval cardio once a day does help to control it. I do not experience palpitations during or after exercising. However, I do get them if I get up and walk wast or chase the cat, or walk up the stairs or if I worry or stressed out about something. I have not been diagnosed with a specific type of arrhythmia. But I just know I have one and it is related to my bathing. I also seem to have a bradycardia. I am about to schedule an appointment to do some heart testing. When palpitations happen, sometimes very strong ones, they gives me chills and I get very scared. I am not sure what caused them to start happening 6 months ago. I’ve never had them before.
Any updates on this. I just started experiencing same symptoms and was diagnosed with sinus arrhythmia. Still have more tests that need to be done but what have y’all done?
Thanks in advance
I have been experiencing the same thing and now seeing a cardiologist but yet to get more results back. Did you happen to have any more information from your side?
Thanks Adrian
This was the result of my Electrocardiogram. I’m 18 years old.
RHYTHM: Sinus Arrhythmia
PR INTERVAL: 0.14
POSITION: 75
QRS DURATION: 0.08
VENTRICULAR RATE: 60-71
QT: 0.40
QTC: 0.426
I am a 50 year old started having fast heart rate in 90-100 and frequent PVCs been having them constantly for 2 weeks now ….no heart disease otherwise ….. Should I be concerned?
You should have an EKG, some blood tests and an echocardiogram to start with.
I’m 76 years of age.
I take daily 2.5 mg Amlodipine for BP, 20mg Telmisartan, 75 mg Clopivas, 5mg Atorvastatin
My ECG on 17 July mentioned i have Bradycardia.
Today’s ECG mentions sinus arrhythmia.
Should I be concerned about the results of the ECG?
Should my medication be changed or dosage modified?
Any further tests to be done?
Would appreciate your advice by e-mail.
Thanks
Sinus arrhythmia itself is not a cause typically for concern. I cant really comment on the rest without knowing much more about your case. An echocardiogram would be reasonable.
Dear Doc Can i know about my heart condition. i am daignoserd with sinus arrhythmia with unspecified st-t abnormality. i am taking andral 40 day and night and escilotopram. but i feel my cardiologist has not considered or treated me well.As while talking my heart goes down,i feel constant pain in my left shoulder just near armpit.i wonder whats wrong.what should i do now ?
Hi sir ! This my ECG report . HR 74bpm P: 110ms PR: 149ms QRS : 89ms QT/QTC : 401/446 Ms P/QRS/T : 48/10/36 RV5/SV1 : 0.695:0.576 mV Diagnosis Information. sinus arrhythmia. Poor R wave progression. Flattened T wave (VL,V6). Inverted T wave(V4) pls advise Iam 38yrs old . I have sinusitis @ gastric problem
My ECG says that I have Sinus arrhythmia. I’m constantly tired and sleepy. With a few bouts if syncope. I’m an active 29 year old. Lady and my doctor says there’s nothing to worry about. But even after resting as long as I do something physical for a few minutes I often feel tired and sleepy. I’ve been taking naps 2-4x a day even with enough sleep. Someone please help me.
My ecg report is sinus arrhythmia with normal sinus rhythm and heart rate is 87 and 82 bpm
P 96
Did i need to worry
Hello I am a healthy 46 year old female. I was experiencing lightheadedness upon position changes. I had an EKG at my routine check up. He results were Sinus rhythm with short PR interval.
Vent rate 69 BPM
PR int. 117 ms
QRS duration 93 ms
QT/QTc 357/376 ms
P-R-T 9. 69. 74
Could you please email your opinion? Thank you very much for your time!
Looks like fairly normal values. Would need to see the tracing for further comment.
hi..
I am 41 years old, with a lot of medical problems GERD, Helia Hernia, Ulcer, Asthma, etcs
I just had a sleep studies and they did a EKG no significant myocardial rate or rhythm changes associated with any sleep related physiological events but during sleep I had a relatively fast heart rate with an average of 77, a minimum of 63 and a maximum of 101 Bpm. During all recording both awake and asleep my highest heart rate was 101 bpm, and my lowest rate was 62 bpm but in the meantime my asleep SaO2 87.6% and awake SaO2 95.8% ..
Please can you tell me if I need to see my Doctor or if I need to be concerned about this .. thank you
I would recommend you see a Dr for a follow up if i were you, simply to discuss the results of the sleep study.
my brother has his ecg report ‘short sinus otherwise normal’…is it normal Dr. ahmed…?.
Sounds normal. Im not familiar with the term short sinus it doesn’t exist.
Hi Dr. Mustafa Ahmed,
This is my ECG result. I do not know how to write it but the Dr put it as HR 70, and diagnosed it sinus arrhythmia. Im having constantly pain in my left side chest. Sharp pain.
I got short breath when happen to sleep. Even during breathing, i can feel the pain happen in center or left side chest. The Dr referring me to specialist next week but i would like to find somethg for myself first. Can you help me for this?
The sinus arrhythmia itself is not a cause of chest pain. I suggest further work up is performed and depends on the nature and character of the pain.
https://myheart.net/articles/angina-or-some-other-chest-pain/
Hi,
Im atik
Additional information
Dr put statement like this, no acute ischaemic changes
That means the EKG itself does not show evidence of heart blockage.
Hello Dr,
my 9 year old gal was diagonised with sinus arrhythmia, her results are as follows; HB:90bpm
P :92ms PR:125ms QRS79ms QT/QTc :345/423ms P/QRS/T :44.68/33 deg. RV5/SV1: 1.351/1.614mV. is there cause for worry? what should i do
I will ask the pediatric cardiologist to comment. Sinus arrhythmia in isolation is not felt to be dangerous.
may ecg test have findings that i have a sinus arrythmia is this dangerous? how to cure it or prevent? if thres a medicine to take? thanks….
Hi Dr. Mustafa Ahmed,
Firstly thank you for taking the time, and having the patience, to help everyone :))
My mom (57, slim and healthy) has just had an ECG done and been told she has Sinus Arrhythmia. Shes the opposite of a hypochondriac and says theres nothing to worry about, but the little bit of googling I’ve done says its normal in youth but probably caused by something else in the elderly…so could you please advise:
1. Should I be concerned and push to take her to a more thorough heart exam?
2. Is there ANYTHING she can do to help this condition? Exercise (she does enough, but maybe more cardio I hear?), medication (maybe half an asprin everyday to thin the blood?), diet changes etc?
My Gran died of high blood pressure related issues in her 50’s so I’m really worried my moms not taking it seriously enough…or maybe thats just making me more paranoid?? Please help!
Thank you so much for your time and consideration:)) Best wishes xx
Why was the EKG done in the first place?
Sinus arrhythmia isn’t necessarily a disorder, it is in most cases benign. If your mother is only 57 and has no symptoms of cardiac disease and only sinus arrhythmia on an EKG there is likely nothing to worry about and no further testing needed.
If you are interested in cutting edge information and therapy for heart disease then follow my twitter at @MustafaAhmedMD
Hi im may diola 25y/o and female. This is the result of my ECG ; rythm- Sinus , qt axis- normal, position – vertical, pr interval- 0.16, qrs-0.04,qt- 0.28
Interpretation sinus arrythmia
..is this okay??
The read itself looks fairly normal.
If you are interested in cutting edge information and therapy for heart disease then follow my twitter at @MustafaAhmedMD
hello doctor mustafa. can you please help me with this ECG result of my five year old daughter. the following result:
Vent Rate 88 bpm
PR Interval 118ms
QRS Duration 77ms
QT/QTc 342/413 ms
PP/RR Interval 682/685 ms
P/R/T axis 4/81/50
result
Sinus Rythem with sinus arrythmia
T wave changes in anterior leads
is this a case to worry ?????
thanks
Hi Dr.mustafa my name is Abby 23y/o last September. 2017 and this is my ECG result..
Cardiac rate 70
P.R interval. 0.16
Q.R.S. 0.10
Q.T. 0.38
AXIS. .+60
INTERPRETATION: SINUS ARRYTHMIA OTHERWISE NORMAL ECG.
Is this a case to worry? Bcos until now I have a chest pain and hard breathing?
Doesn’t look concerning just based on the report. Make sure you follow up with the person that ordered the test.
you can follow my twitter at @MustafaAhmedMD
Hi Dr.Mustafa this is the result of the ECG of my 13 y/o daughter
Axis Deviation +60
Rates Atria: 58 / Vent: 58
Interval PR: 0.16 / QRS: 0.08 / QT: 0.32
Implications: SINUS BRADYARRYTHMIA
May I know your opinion regarding this?
Thank you
Looks relatively normal. Were any concerns raised?
Hi Dr.Mustafa Ahamad my name is Dicappa 40 y/o last Dec. 2017 and this is my ECG result..
Dignosis Information
Sinus Arrhythmia
Poor R eave Progression(V2)
Inverted T wave (VS, V6)
Slight ST Depression (V6)
Sloght ST Elrvation (V1)
HR : 92 bpm
P : 98 ms
PR : 129 ms
QRS : 99 ms
QT / QTc : 341 / 423 ms
P / QRS / T : 67 / 33 / 222
RV5 / SV1 : 1.632 / 0.852 mV
Is it dangerous please suggest doctor
You need to have it reviewed by someone that can see the tracing and evaluate your history.
Hi Dr.Mustafa Ahamad my name is Dicappa 40 y/o last Dec. 2017 and this is my ECG result..
Dignosis Information
Sinus Arrhythmia
Poor R eave Progression(V2)
Inverted T wave (VS, V6)
Slight ST Depression (V6)
Slight ST Elevation (V1)
HR : 92 bpm
P : 98 ms
PR : 129 ms
QRS : 99 ms
QT / QTc : 341 / 423 ms
P / QRS / T : 67 / 33 / 222
RV5 / SV1 : 1.632 / 0.852 mV
Is it dangerous please suggest doctor
Thank you
Hi I am a 36 year old female who is experiencing palpitations on a regular basis. My heart feels like it is going to pop put of my chest and are very uncomfortable. They are starting to interfere with everyday life. I have been diagnose with irregular sinus. All bloods normal. My ecg results as follow:
Rate: 88
PR: 143
QRSD: 89
QT: 374
QTc: 453
P: 67
QRS: 66
T: 37
Is this dangerous? What do you suggest?
Thanks
How do tachycardia, sinus arrhythmias and AFIB feel different? I will describe my episodes below. Cardio said i don’t have afib although we haven’t caught an episode. Said 24 hr monitor would show some signs. Suggested it’s sinus arrhythmia. Your thoughts?I’ll describe the episodes below:
+ They happen in-frequently–sometimes multiple in a week, sometimes i go a couple weeks without any. I have only had 1 in the last 3 months. I’m sure in the past I have gone even longer
+ They last 5-20 seconds mostly, but sometimes a couple mins..in the past (when drinking coffee or alcohol) have had episodes that lasted 20 to 40 mins.
+ They occur mostly at night in bed, laying down, but also from sudden/awkward change of posture, or drinking coffee/alcohol, from stress/anxiety.
+ They feel like a steady, constant, elevated heart rate(120-150ish). “Pounding” in my chest. There is not fluttering.
Do you agree with my cardio these aren’t to be worried about? Beta-blockers do great for my blood pressure but would drop my heart rate sometimes into the 40s… So I shouldn’t take them, correct? I didn’t really ever feel faint or anything, though i had ectopic beats sometimes.
When off the beta-blockers, is it ok that my heart rate is mostly 50s-60s…but sometimes during high stress/anxiety itll get up to 90ish…I take a xanax and it calms down. Cardio said I have sinus rythtm but its very irregular. Do you think i’ll need a pacemaker? Sure hope not .
Hello, I am a 46-year-old woman. In October 2014 I ignored some serious pain after contracting pericarditis from a virus and ended up in the heart hospital, acute pericarditis with myopericarditis(small scar on my heart and pericardium). I had prominent edema and atelectasis with air bronchograms. The cardiologist assigned discharged me, October 31, 2014, with one Colcrys and didn’t see me or follow up with me until January 28, 2015. He used an EKG, SED, and CRP to “clear” me while I was still on Colcrys, which can mask those tests! February 18, 2015 , I ended the Colcrys taper) my MRI indicated “resolving myocarditis”, and my “pericarditis” pain returned fairly similar to the first time February 28th, 2015. I had a follow up with my local cardiologist March 2, 2015, and he diagnosed me “recurrent pericarditis”; however, the pain was the “same” as the myopericardits pain…left arm. He prescribed 2 Colcrys twice a day for 6 months. It returned 6 months after I stopped the Colcrys, March 2016; same type of pain…through my left arm. I took the Colcrys again. I had some small flares, but then a larger flare March 2017 again..through my left arm. April 2017 my ECHO showed “no effusion”. (NewsfIash: Large effusions are not visible on ECHOS unless I had a miraculous recovery October 29th, 2014 when my MRI showed prominent effusion and an ECHO 50-minutes. October 29th, 2014, later showed “no pleural effusion”.) I saw his assistant and followed up with him May 2017 and was put back on Colcrys. It seemed to be resolving, but maybe it was just hiding…again! I think I over-did life in July, doing some home remodeling and gardening and never needed ibuprofen, so I didn’t use it properly when the pain increased. My August 2017 MRI revealed that I still had pericarditis, which I guess I knew never left, and I had trace pleural effusion. This attack was straight to my heart…no left arm…completely horrible! I had an MRI August 2018 because my cardiologist thought I was somatic, which also was partially true…that pain made me feel like I was dying, even though I really did almost die in 2014 I never felt I was dying, zero anxiety) until this year! That MRI suggested no constriction, but I am aware that constriction is not always detectable. Since walking helped the new anxiety I found because this attack hurt way more than all the others, I started walking in August. I had a second flare, which I am assuming was due to influenza exposure. (I am fairly convinced I have Dressler’s syndrome with seasonal flares. I let my cardiologist know that’s what I believe as all other auto-immunes have been excluded, and I know what happened to me now! I made a grave error in 2014 by ignoring pain!) That November 2017 flare lasted until January 2018. My heart monitor in September 2017 was unremarkable.(some PVCs). My cardiologist noted “sinus rhythm and sinus arrhythmia” in January 2018. He said I can ask for another holter monitor if I want, but he felt it was just a phenomenon when I asked him in a mychart message. Usually when I start walking my heart rate goes to 100 HBM fairly quickly. I just have odd jumps to 150-170 occasionally throughout the walks that last 1-5 minutes. I am able to talk in complete sentences and am never breathless..like ever…even though other people who try to keep my pace are! I haven’t tried running because I do know that I “lose” my heart beat when I run. My resting heart rate is 59 HBM. I have changed my whole lifestyle this year and am at a healthy weight with very, very little sodium. I’ve lost 80 pounds since August 2017 and 100 total since January 2017. I walk 8 miles a day and have been since November 2017. I know sinus arrhythmia is usually benign, and I am hopeful that my sinus arrhythmia is just a phenomenon; however, maybe I should be more concerned than I am due to my history. My cardiologist is very good, but I don’t believe he had known I had myopericardits until January 2018. He also didn’t realize I had had trace pleural effusion until January when I had him go into my August MRI. That, the pleural effusion, is what really hurts! I mean the other flare in November “hurt” more at night, but at least during the day I didn’t have to stand all day to avoid the pain..I just had to tap my heart, stop and breathe when the sharp jabs came and at night just suck up the pain and not move at all. Pericarditis is a horribly painful, yet not deadly, disease! I am just wondering if my myocarditis is finally healed and did it cause this arrhythmia or is it just a phenomenon? Is there anything else I can do?
i have a sinus rhythm pvc with rbbb rate 58, shoulder blade pain and left breast pain, and shortness of breath
I had a holter monitor test done for 24 hrs and it states Rhythm was sinus with episodes of sinus arrhythmia and sinus tachycardia. I do have high bp and am on medication for it. My heart also was beating over 150 times. I am exhausted and feel like my heart is going to jump out of my chest. I just do not feel right. Can you help with what these results mean? Thank you
The monitor states that you did not have any out of the ordinary arrhythmia, rather you had some episodes of fast heart rate only that were not due to electrical ‘short circuits’ in your heart conduction pathway. I would recommend you go over the results of the monitor with your physician. Were the episodes of fast heart rates 1) at times of activity? 2) at times of exercise or activity or 3) were they random. This needs to be clarified prior to investigating further.
you can follow my twitter at @MustafaAhmedMD
Hello,
Have been complaining about a pain from the left side of my neck to the ankle sometimes it like a stiffness…..it starts from my neck then to my shoulder down to my chest to the back then to my elbow,waist,knee finally my ankle.at times I feel a sharp pain in my chest too…. These my third year still feeling the pain done series of test and x-ray and it all looking fine until recently I did an ECG and it say’s ‘borderline abnormal ECG..sinus arrhythmia’…..would be glad if you can help in any way…..looking forward to your reply.
The EKG is most likely normal and the symptoms unrelated.
Hello,
I had a ECG recently and my Dr called me in for the results.
Test shows I had Sinus Arrhythmia
Low QRS volage in extremity leads
Normal Variant of ECG
P/PQ; 97 ms/128 ms
ORS; 84 ms
QT/QTc/QTd/ 332 ms/ 418 ms/32 ms
P/ORS/T axis 75 / 57/ 50
Heartrate 95 bpm
My Dr has requested that I wear a holter Monitor for 24 hrs to check further.
I’m somewhat scared….Not sure what this all means.
My chest hurts, but not like I’m having a heart attack, just achy…pain down my left arm. I’m honestly thought I just pulled a muscle and have brushed it off…Now, I’m concerned.
A holter monitor is simply wearing a monitor. https://myheart.net/articles/holter-monitors-explained-by-a-cardiologist/
you can follow my twitter at @MustafaAhmedMD
Hi! I’m Daryl, 29 years old… My Ecg result showed my heart rate of 58 bpm…
P 0.12axis 53 Deg
Qrs 1.19 axis -14 Deg
T0.22 axis -2 Deg
Left type
Rhythm
Sinus arrhythmia
Check AV block of higher degree
QRS-T interpretation: Pathological left anterior hemi block
Hello Doctor,
I am a 26 year old female who is now on bispoprolol, because I could feel my heart beat and flutter 24/7. I suffered with chest pain daily!
Can you tell me from the below what condition I have please and will it go away?
Can I exercise?
5 VE beats
570 APB beats
Highest hear rate 237
Lowest heart rate 58
PR Interval 0.122
QR duration 0.06
Comments – sinus rhythm and episodes of sinus tachycardia.
Occasional APBs and one ventricular run.
They also found on a CT a very tiny amount of calcium… But didn’t really expand on this… Is it something to worry about?
Thanks in advance.
Hi I’m Meghan,
Messaged you on Twitter 🙂 I’m 26 years old, due to the following I’m on bisoprolol 2.5mg.
I had a monitor on for 17 hours, looking for some feedback on the sheet I was given.
I had 5 VE beats and 570 APB beats.
Max heart rate of 237 and minimum 58.
PR Interval – 0.122 secs
QRS duration 0.06
Comments where: sinus rhythm with episodes of sinus tachycardia.
Occasional APBs and one ventricular run.
What condition do i have?
Will it go away?
Can I exercise?
Is pain in chest , dizziness, headaches and ability to feel heart beat 24/7 normal? (Never blacked out)
They also mentioned I had calcium build-up but nothing to worry about and otherwise a good structure inside.
Thanks in advance 🙂
Hi Meghan,
You have some extra beats that originate from the top chamber of your heart known as PAC’s. Firstly, don’t worry its not dangerous. It may go away over time it may not. There are sometimes triggers such as alcohol that can trigger these beats, sometimes they just happen. People with PAC’s can exercise just fine. The symptoms you have aren’t normal, and not necessarily anything to worry about, although you should get checked out for sure. The normal heart structure, i assume from an echocardiogram, is reassuring.
Hello Doctor,
I am a 26 year old female who is now on bispoprolol, because I could feel my heart beat and flutter 24/7. I suffered with chest pain daily!
Can you tell me from the below what condition I have please and will it go away?
Can I exercise?
5 VE beats
570 APB beats
Highest hear rate 237
Lowest heart rate 58
PR Interval 0.122
QR duration 0.06
Comments – sinus rhythm and episodes of sinus tachycardia.
Occasional APBs and one ventricular run.
They also found on a CT a very tiny amount of calcium… But didn’t really expand on this… Is it something to worry about?
Thanks in advance.
Hi doctor ahmed I recently had an ecg at my doctors surgery, the nurse does the test, think the sounds are relayed onto the hospital, they said it was abnormal and had to wait to see the doctor, I was very nervous, he said what was I worried about that’s it’s ok, I had a minamal inverted T wave, but when I saw my records it also said sinus rhythm. He said come back in couple of weeks more relaxed has I was very anxious during ecg, the Minimal inverted t wave is across v1-V6 I’ve not got chest pain. Can you please tell me if you think I have anything to worry about, having 2nd ecg tomorrow..look forward to your reply .. kind regards Linda .. I feel so anxious right now
Non specific T wave changes are not necessarily worrying particularly if the treating dr is reassured.
you can follow our twitter at @MustafaAhmedMD
In general it sounds like its relatively normal. A repeat is a good idea.
you can follow our twitter at @MustafaAhmedMD
Hello sir
I am 28 year old female.I suffered with my fast heartbeat daily(my realisation).This is my Ecg report which showed
HR=73bpm
P=82
PR=103
QRS=78
QT/QTc=358/396
IQRS/T=17/26/39
IVS/SVI-1.400/1.004
Diagnose Information-Sinus Arrhythmia,Short PR Interval
Hello,
Please advise… I am a 26 year old female 5’6 160 pounds, active. I have genetically high cholesterol (225) and just had an EKG done. These are my results:
Ventricular Rate 59 BPM
Atrial Rate 59 BPM
P-R Interval 118 ms
QRS Duration 84 ms
Q-T Interval 408 ms
QTC Calculation(Bazett) 403 ms
Calculated P Axis 35 degrees
Calculated R Axis 56 degrees
Calculated T Axis 36 degrees
INTERPRETATION:
Sinus bradycardia with sinus arrhythmia
Otherwise normal ECG
Any cause for concern in your opinion?
Sinus bradycardia with sinus arrhythmia
Otherwise normal ECG
25mm/s 10mm/mV 150Hz 9.0.3 12SL 241 HD CID: 54
Vent. rate 59 BPM
PR interval 118 ms
QRS duration 84 ms
QT/QTc 408/403 ms
P-R-T axes 35 56 36
Test ind:palpitations
The intervals listed look relatively normal,
Its not really possible to comment on an EKG without seeing it though.
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Disclaimer: The comment response is opinion and in no way affiliated with my employer. It is a vague response that is not to be used as direct medical advice and in no way should replace the opinion of a medical provider.
Rhythm : Sinus
Axis : Normal
Atrial Rate : 63
Ventricular rate : 63
PR Interval : 117
Qrs Duration : 84
Qtc : 426
Interpretation : Sinus Rhythm
Hi Doctor I have episodes where I feel like my heart isn’t beating right kind of irregular and I feel weak legs and jittery & a bit breathless. During these episodes my ecg and holter show sinus Arrhythmia & sometimes sinus bradycardia. Everything I read seems to suggest that sinus arrhythmia shouldn’t cause symptoms. I get these “episodes” a few times a day and they make me feel unwell.
I’m 42 and I also have prinzmetal angina.