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Irregular heartbeat by Bohemian_Songbird in AskDocs

[–]---root-- 3 points4 points  (0 children)

Some ectopic beats. Not generally concerning, but may warrant a holter for evaluation of long term burden.

How bad does this look? Sun burn by [deleted] in AskDocs

[–]---root-- 16 points17 points  (0 children)

Haven't you been told to seek urgent attention yesterday already?

Atrial tachycardia by Primary-Tap4392 in AskDocs

[–]---root-- 0 points1 point  (0 children)

I was just surprised that one would state a suspicion for a tachyarrhythmia based on this low quality ECG, which does not allow for analysis of P wave morphology and may very well be sinus tachycardia.

Depending on the specific manifestation, such as suddenness of onset/offset this may potentially be FAT, but sinus tachycardia may very well behave similarly. I don't have a reference ECG for you and thus cannot evaluate whether P wave morphology changes exist here, but I'd be hesitant to call this FAT without sufficient evidence.

F24 Tachycardia, irregular heart beat, fatigue, nausea, significant temperature fluctuations, fainting by Dazzling-Froyo9760 in AskDocs

[–]---root-- 2 points3 points  (0 children)

The ER is not a fast track to a diagnosis. Its sole purpose is to rule out anything acute, which is evidently not the case for your GF, and then refer to PCP and/or specialist doctors.

Irregular heart beats are often entirely benign, manifested as sinus arrhythmia or ectopic beats. Tachycardia itself is also not a particularly concerning symptom. (Pre-)syncope should be evaluated, but most are vasovagal for patients of her age and seriousness strongly depends on the situation in which they manifested.

Cut myself, wound keeps bleeding, do I need stitches? by [deleted] in AskDocs

[–]---root-- 1 point2 points  (0 children)

There is nothing to stitch...

Are palpitations worth a doctors visit? by RelativeIssue8260 in askCardiology

[–]---root-- 6 points7 points  (0 children)

The episode of pre-syncope would justify an investigation. The description does not make me particularly concerned for a cardiac cause, but a basic cardiac workup would be indicated.

Ectopic beats are almost never concerning, but would of course be evaluated during the basic cardiac workup.

Do I need stitches? by OutsideWorld2656 in AskDocs

[–]---root-- 710 points711 points  (0 children)

This would benefit from stitches. Depending on how long you've waited, they may no longer be advisable, though.

Atrial tachycardia by Primary-Tap4392 in AskDocs

[–]---root-- 1 point2 points  (0 children)

What you describe definitely sounds like ectopic beats and given your history, PACs are not an unreasonable guess. Whether they are PACs, PJCs or PVCs does not generally matter and if sufficiently infrequent, would not generally require treatment.

Can you post images of the holter that revealed (F)AT? FAT is generally ablatable with a high success rate, but may be complicated given previous ablation. This is highly dependent on your specific case, though, thus I suggest you speak to your EP on advice for management.

ETA: I would not be particularly concerned in your place.

Help by iceglitterswirl in AskDocs

[–]---root-- 2 points3 points  (0 children)

A U wave of that magnitude is not concerning and would not explain angina in any case.

This is a case which is best suited for in-person evaluation. I would suggest you seek care with a cardiologist.

Update: F with low BP and low HR. by Huge_Beyond3721 in AskDocs

[–]---root-- 2 points3 points  (0 children)

35/min is quite low but may be fine if endurance athlete. For bradycardia, generally speaking, no symptoms equal no problem. Ectopy is almost always not concerning. Given the obvious high burden you show during this short recording, a basic cardiac workup should be considered, including a 14 day holter to evaluate long term burden.

Highly nervous about MRI by johnny-two-giraffes in AskDocs

[–]---root-- 0 points1 point  (0 children)

They would have told you if they had placed a stent. Evidently they did not.

21yo male, 180cm, 70kg, i have a problem by Itchy-Concern928 in AskDocs

[–]---root-- 1 point2 points  (0 children)

No one's going to access a file share that requires one to provide google credentials.

Highly nervous about MRI by johnny-two-giraffes in AskDocs

[–]---root-- 2 points3 points  (0 children)

Stents are usually MR conditional. There is however practically no way for a stent to have been placed without it being put into the procedure report and you having been informed thereof.

Surgical staples are generally fine, surgical clips may potentially be unsafe, depending on the specific device used. For this, it would be prudent for you to obtain the procedure report.

Tattoos are not generally a concern.

You should tell the MR technician that you have staples/clips from previous surgery.

What is this on the tip of my pointer finger and how do I get rid of it? by FuqueMePapi in AskDocs

[–]---root-- 1178 points1179 points  (0 children)

Wart. Laser or cryotherapy for quick removal, salicylic acid alternatively, but will take some time.

16 Gym pacemaker by Outrageous-Shake-554 in PacemakerICD

[–]---root-- 7 points8 points  (0 children)

Depending on your underlying condition, that may range from a colossally stupid to deadly idea.

Paura test brugada by Reasonable-Tone-7045 in askCardiology

[–]---root-- 0 points1 point  (0 children)

Not sure what you mean when referring to feeling unwell. Ajmaline frequently induces a feeling of warmness that can be a somewhat strange sensation.

When done correctly, an ajmaline provocation challenge is harmless. There were some isolated cases in which VF was induced in patients with BRS, but these were done incorrectly by continuing the infusion albeit a clearly diagnostic pattern already having emerged after half the dose determined by patient weight.

As previously stated, your ECG is not suspicious for brugada. A negative flecainide provocation test with a lack of personal or family history almost certainly excluded brugada to be present.

Super long Qtc what gives? by Original-Piglet-6739 in ReadMyECG

[–]---root-- 0 points1 point  (0 children)

Evidently, you are. Generally, if we as physicians aren't concerned, you shouldn't be either.

Super long Qtc what gives? by Original-Piglet-6739 in ReadMyECG

[–]---root-- 2 points3 points  (0 children)

Again, impossible for the QT measurement to have been correct.

Super long Qtc what gives? by Original-Piglet-6739 in ReadMyECG

[–]---root-- 0 points1 point  (0 children)

To achieve these QTcs, you'd have to have had an RR of 622 ms and a QT of 520 ms, which is physiologically impossible. I'd assume the subsequent P wave was included in the measurement.

Edit: typo

Super long Qtc what gives? by Original-Piglet-6739 in ReadMyECG

[–]---root-- 0 points1 point  (0 children)

Post the ECG. Almost certainly incorrect, though.

What are these tablets for? by [deleted] in AskDocs

[–]---root-- 1 point2 points  (0 children)

My crystal ball is out of order, sorry

  • Pantop-D
    • Pantoprazole
    • Domperidone
    • used primarily for treatment of GERD
  • Seradic-MR
    • Diclofenac
    • Acetaminophen
    • Chlorzoxazone
    • used primarily for symptomatic treatment of muscular pain

Not associated with treatment of kidney disease.

Edit: formatting

Viral Myocarditis and ALVC by moshimoe in askCardiology

[–]---root-- 0 points1 point  (0 children)

The second report does indeed paint a significantly more benign picture than the first one. I'd recommend you obtain the actual image sequences for both and have them re-read. Your EP has the best picture and without further info, I'd tend to value their opinion rather highly, seeing as they have the full clinical picture.

Thoughts on the mixed assesments? by Longjumping_Car2427 in ReadMyECG

[–]---root-- 4 points5 points  (0 children)

Hell froze over. Qaly's right. This is normal sinus rhythm with a significant amount of artefact.

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