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Can anybody read an EKG

jltrentjltrent Member Posts: 9,330 ✭✭✭✭
in General Discussion

Took a good friend of mine to Urgent Care this morning as he is 82 yo., takes no meds and appears in good health. I checked his BP yesterday, as he asks, and my machine throwed and irregular heartbeat symbolism. Can anybody read this as the NP there was not sure about it and I plan to seek better help for him as now I know he has an irregular HB.

ekg09232024.jpg

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  • FrogdogFrogdog Member Posts: 2,989 ✭✭✭✭

    No knowledge personally. I did, however, drop your photo into ChatGPT, and this is what it said about it…….

    “This is an electrocardiogram (ECG or EKG) reading. Based on the data visible in the image, I can help break down some basic details:

    1. Heart Rate: The ventricular rate is shown as 59 beats per minute (BPM), indicating bradycardia (heart rate below 60 BPM).
    2. PR Interval: The PR interval is noted to be 232 milliseconds (ms). The normal range is between 120-200 ms, so this appears to be prolonged, which might suggest first-degree AV block.
    3. QRS Duration: The QRS duration is 117 ms. A normal QRS duration is between 70-110 ms, so this is slightly prolonged, which may indicate some conduction delay in the ventricles.
    4. QT/QTc Interval: The QT interval is listed as 394 ms, which falls within the normal range for QTc (corrected for heart rate).

    From a quick glance at the waveform:

    • There doesn't appear to be any major ST-segment elevation or depression, which would indicate ischemia or myocardial infarction.
    • The rhythm seems regular, and there are no obvious signs of atrial fibrillation or other arrhythmias.

    Summary:

    • Bradycardia (ventricular rate of 59 BPM)
    • Prolonged PR interval (232 ms), potentially consistent with first-degree AV block
    • Slightly prolonged QRS duration (117 ms), which may suggest a conduction delay

    This is a basic interpretation, and a full clinical evaluation would be needed to understand any underlying conditions. A cardiologist's review is recommended for any further action.”


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  • JunkballerJunkballer Member Posts: 9,280 ✭✭✭✭

    At least it appears he's not flat-lining, which is good.

    "Never do wrong to make a friend----or to keep one".....Robert E. Lee

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  • allen griggsallen griggs Member Posts: 35,609 ✭✭✭✭
    edited September 23

    I used to do this for a living and I was good. I know a Normal Sinus Rhythm, which is Normal Heartbeat, and this ain't it.

    I also know v-fib, which means, shock him, or else call the funeral home. I have defibrillated many, many patients with v-fib. This ain't v-fib [ventricular fibrillation].

    Asystole aka flat-line, you don't need to be a rocket scientist to see that. Not asystole.

    It is an irregular heartbeat, but I am a little rusty and I can't help. Sorry.

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  • jltrentjltrent Member Posts: 9,330 ✭✭✭✭
    https://forums.gunbroker.com/discussion/comment/11451501#Comment_11451501

    Great information Frogdog. The NP did mention possible heart block but wanted another opinion. Thanks for your time and knowledge.

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  • FrogdogFrogdog Member Posts: 2,989 ✭✭✭✭

    Also…..Way to be a good friend! Your buddy is lucky to have you looking out for him.

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  • jltrentjltrent Member Posts: 9,330 ✭✭✭✭
    https://forums.gunbroker.com/discussion/comment/11451513#Comment_11451513

    He was a good friend of my mothers, and he has no close family to help. Pretty much by himself as his wife past several years ago and just trying to help.

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