How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr Khan Your Own Question

Dr Khan
Dr Khan, Doctor
Category: Medical
Satisfied Customers: 1183
Experience:  MB, MRCP(UK), MCPS(Medicine)
28772309
Type Your Medical Question Here...
Dr Khan is online now
A new question is answered every 9 seconds

what does this ekg reading mean. vent rate 75, RR intervals

Resolved Question:

what does this ekg reading mean. vent rate 75, RR intervals 800ms, PR intervals 172ms, QRS duration 140ms, QT intervals 442ms, QTc intervals 468ms, QT dispersion 54ms P-R-T AXIS 66 23-172 I have I LBBB is this dangers. I have read different things on line and they say it could be dangers please let me know what I need to know about all of this. asap thank you becky
Submitted: 4 years ago.
Category: Medical
Expert:  Dr Khan replied 4 years ago.
Hello and welcome to just answer
Your PR interval is prolonged as is QRS duration with borderline QTc
Would you like to tell me that do you have any cardiac problem or other medical problems
Why did you have EKG test
Are you taking any medicines at present
This will enable me to tell you more clearly about your EKG interpretation
Customer: replied 4 years ago.
I was having really bad chest pains I went to the Dr and they did ekg they sent me to heart Dr for stress test said I had alot of blockege did heart cath said everthing was ok still had chest pains about 2 years later went back got anouther ekg thats the results I sent you said everthing was ok but put me on nitro said to keep it with me at all times so I dont know what to think thats the only kind of meds they put me on about a year ago I was in my car felt very strange I gess I passed out dont know for how long when I came to I had droll on the side of my mouth felt like I was out of my body watching myself
Expert:  Dr Khan replied 4 years ago.
Thanks for your detailed input
So your heart cath was clean
Was an echocardiogram (ultrasound of heart) was done to look at heart function? If so how was that. How was your heart function and size
Was that the single episode when you felt passed out or had any more episodes?
Customer: replied 4 years ago.
No they have never done an ultrasound I have felt that way about 3 times in the past year. I asked them why they gave me nitro if there was nothing wrong with my heart they just said just for the chest pains I thought that nitro was only for a herat condition
Expert:  Dr Khan replied 4 years ago.
Yes nitro is commonly used for Angina
There are two possibilities in your case with this EKG
First is a condition of heart muscle weakness called Crdiomyopathy in which there is gradual increase in heart size with declining function. This can only be assessed on Echo cardiogram and it causes such non-specific EKG changes which i see in your case commonly called in this situation as NON-SPECIFIC INTERVENTRICULAR CONDUCTION DEFECTS.
Fist degree heart block......Increased PR interval
Broad QRS complexes
Borderline increased QTC
The other less likely chance is variant angina in which there is episodic spasm or spontaneous contraction of blood vessels of heart. It produces pains like angina and heart cath is normal BUT it should not cause these EKG changes
The third possibility is degenerative disease of heart conduction system but in your age is again less likely
So i would suggest that you try to get your echo cardiogram done and see what it says.
Dr Khan, Doctor
Category: Medical
Satisfied Customers: 1183
Experience: MB, MRCP(UK), MCPS(Medicine)
Dr Khan and 3 other Medical Specialists are ready to help you
Customer: replied 4 years ago.
I payed for another question when will iI recive my answer It was with 10% off for 22.50 thank you becky
Expert:  Dr Khan replied 4 years ago.
Thanks for your question and clarification and sorry for delay in answer.
LBBB , commonly called left bundle branch block ,signifies blockage in one of the conduction pathways of heart, the system which makes the heart beat in an organized fashion
Again it is dangerous only in the clinical context of history and sometimes signifies heart attack or occurs after heart attack has occurred leading to damage in conduction pathways
In your case as heart cath was clean so there is low likelihood of both chances
Chances are again those which i mentioned that either Cadiomyopathy leading to non-specific interventricular conduction defect( of which LBBB is a known component) or it can be degenerative disease of heart conduction system leading to blockage
Hope it clarifies your query
Please feel free to clear any further queries
Dr Khan, Doctor
Category: Medical
Satisfied Customers: 1183
Experience: MB, MRCP(UK), MCPS(Medicine)
Dr Khan and 3 other Medical Specialists are ready to help you

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O. USA
< Last | Next >
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O. USA
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
  • I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well! Claudia Albuquerque, NM
  • Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion. Kevin Beaverton, OR
  • Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
    I feel better already! Thank you.
    Elanor Tracy, CA
  • Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem. Julie Lockesburg, AR
  • You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions. John and Stefanie Tucson, AZ
 
 
 

Meet The Experts:

 
 
 
  • Dr. Thomas, MD

    Board Certified Physician

    Satisfied Customers:

    46349
    Internal Medicine--practice all of internal medicine, all ages, family, also Integrative, CAM, etc
< Last | Next >
  • http://ww2.justanswer.com/uploads/DR/DrThomasMd/2012-7-25_134438_Imagess1.64x64.jpg Dr. Thomas, MD's Avatar

    Dr. Thomas, MD

    Board Certified Physician

    Satisfied Customers:

    46349
    Internal Medicine--practice all of internal medicine, all ages, family, also Integrative, CAM, etc
  • http://ww2.justanswer.com/uploads/MY/mysticdoc/2012-6-8_15615_mysticdoc3.64x64.jpg Dr. D.J.'s Avatar

    Dr. D.J.

    Board Certified Physician

    Satisfied Customers:

    14679
    MD
  • http://ww2.justanswer.com/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Board Certified Physician

    Satisfied Customers:

    76
    Medical Degree, Former Assistant Professor at School of Medicine at Yale University
  • http://ww2.justanswer.com/uploads/FA/FamilyPhysician/2013-8-31_191624_JA550x500Photo.64x64.jpg Family Physician's Avatar

    Family Physician

    Doctor

    Satisfied Customers:

    2562
    Emergency Medicine and Family Practice for over 26 years
  • http://ww2.justanswer.com/uploads/DR/drappapo/2013-8-16_22576_drdavid.64x64.jpg Dr. David's Avatar

    Dr. David

    Board Certified Physician

    Satisfied Customers:

    224
    Treat children/young adults, former chief resident, multiple publications
  • http://ww2.justanswer.com/uploads/DrDLove/2009-08-12_141522_DrDLove.jpg Dr. D. Love's Avatar

    Dr. D. Love

    Doctor

    Satisfied Customers:

    11961
    Family Physician for 10 years; Hospital Medical Director for 10 years.
  • http://ww2.justanswer.com/uploads/CO/commissure/2011-4-15_192514_REISD20080926JR1090.64x64.jpg Dr. David's Avatar

    Dr. David

    Board Certified Physician

    Satisfied Customers:

    10667
    Experienced Physician trained in New York City. I'm ready to help.
 
 
 

Related Medical Questions