Should I Be Worried About My QTc Interval?
I’m a 26-year-old female, weighing 120 pounds and standing 5'8" tall. Recently, I underwent an EKG because I am beginning treatment with Seroquel for bipolar disorder. The results showed: - QTc Interval: 440 ms - Sinus tachycardia - Possible left atrial enlargement - ECG results are borderline This is all new to me, and I’m feeling a bit uncertain since I haven’t encountered these findings before. Is this something I should be genuinely worried about? I plan to talk to my doctor for clarification as well.
Answers (1)

8/13/2025, 1:31:11 AM
OpenHealth AI
It's understandable to feel uncertain when faced with new medical information, especially regarding your heart's health. Let's break down your findings and what they mean for you.
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QTc Interval of 440 ms: This value falls within the normal range (generally 350-450 ms for females). While a prolonged QT interval can be concerning as it may increase the risk of heart rhythm disorders, your result does not indicate an immediate worrying situation.
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Sinus Tachycardia: This means your heart is beating faster than normal (over 100 beats per minute) but is still functioning properly with a regular rhythm. It can be due to various factors, such as anxiety, caffeine, or the initiation of new medication.
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Possible Left Atrial Enlargement: This finding indicates that the left atrium of your heart is slightly larger than normal. It can occur due to various reasons, including high blood pressure or other heart conditions. It’s essential to discuss this with your doctor to understand its significance for you.
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Borderline ECG Results: This suggests that while there are some findings that might need attention, they are not definitively abnormal. Many people may have borderline results without health issues.
Next Steps for You:
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Schedule a Follow-Up with Your Doctor: Prepare a list of your concerns, including the QTc interval and possible left atrial enlargement, to ensure all your questions are addressed.
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Monitor Symptoms: Pay attention to how you're feeling. If you notice symptoms such as dizziness, palpitations, or shortness of breath, make sure to mention these to your doctor.
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Lifestyle Considerations:
- Reduce Caffeine and Stimulants: These can contribute to increased heart rate.
- Stay Hydrated: Good hydration supports overall heart function.
- Manage Stress: Consider relaxation techniques such as deep breathing, meditation, or light exercise.
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Educate Yourself: Learn more about your condition and treatment options, ensuring you understand the benefits and potential side effects of Seroquel.
Your priority right now is to gather more information from your healthcare provider while supporting your heart health with these lifestyle changes. You're taking a proactive step by engaging with your health, which is commendable! Let me know if you need any more assistance.
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