My 12-lead

[akroeze]

Hey folks, just had a 12-lead done. I'm wanting to say some kind of a hemi-block or fascicular block but I don't know why... I just vaguely remember reading about them at one time. Also, notice the u waves in V2? Be curious to see what my blood work shows when I get it back.

Anyone else see anything on it? Am I totally off base?

[fiznat]

Looks pretty normal to me. I would even wonder about the automated "sinus arrhythmia" interpretation, since your R-R looks very regular except for one single beat. Seems more to me that this might be movement or respiratory related rather than any genuine cardiac condition.

I wouldn't post that complete ECG with your full name and DOB, but I suppose that is your choice to make. Congrats on your healthy heart though haha.

[jjones1418]

First, Why did you have a 12 lead done?

I think your 12 lead looks good. Rate is normal. Slightly irregular, probably normal. QRS axis is normal. All of the durations are normal - PR=.15 , QRS=.10. QT looks good. No ST/T changes.

Where are you seeing this hemi block or fascicle block?

Jason Jones CC/NREMT-P, FP-C

Flight Paramedic

[Scaramedic]

There is a slight arrhythmia. A quick way to check is on lead II, count the boxes between R waves and you'll see.

But I am not seeing any widening QRS jumping out at me. If I had a clue where my calipers were I might be able to tell you a bit better.

[akroeze]

I'm looking at the unusual morphology of the QRS in III and aVF as well as the slope of the R in I and II that changes to sharp half way and thinking that is some kind of abberancy.

Or am I imagining it?

I got the ECG because I mentioned to my doc that I am getting fairly frequent palpitations

[Scaramedic]

I see the rabbit ears you are talking about in III and AVF, which would be indicative of an LBBB but I just don't think they are wide enough. LBBB's or any branch block tend to be wider. I could be wrong, hopefully we can get one of the Docs to weigh in.

[akroeze]

For the record I'm not one of those hypochondriac I'm gonna die types. I know that this is almost 100% certainly nothing of clinical importance. I ask more for academic reasons than anything.

[Scaramedic]

Didn't think you were Ak.

[akroeze]

Hey, it just occured to me. Is it possible it's WPW? Explains the initial abberant conduction plus the normal QRS size. Although the PR interval is normal.

[fiznat]

Hey, it just occured to me. Is it possible it's WPW? Explains the initial abberant conduction plus the normal QRS size. Although the PR interval is normal.

No. Its a normal ECG my friend.