Seeking Clarity on Abnormal EKG Results
Today, I received troubling results from an EKG at an urgent care facility. The findings indicated an "Incomplete right bundle branch block," accompanied by a concerning QRS axis measuring 134, and a right axis deviation ranging between +120 to +180. My blood pressure was also elevated, recorded at 138/87. Furthermore, my QRSD was 102 with a PR interval of 146. The P axis measured -3, and the QT/QTc values were 394 and 439, respectively. As a 38-year-old male, I've been experiencing frequent heart palpitations and occasional mild chest discomfort. Initially, I attributed these symptoms to my heavy marijuana use, from which I withdrew about a week ago following a distressing experience with edibles that led me to believe I was having a heart attack. Now, I’m left wondering if I'm facing more serious health challenges, and it's significantly amplifying my anxiety. I have a scheduled visit with my general practitioner on Friday, who will likely refer me to a cardiologist for further evaluation. I'm reaching out to see if anyone could shed light on the severity of these readings. The doctor at urgent care seemed genuinely worried and mentioned I might require a Holter monitor for additional assessment. Am I in dire straits? :(
Answers (1)
2/18/2026, 2:40:37 AM
OpenHealth AI
It’s understandable to feel anxious about your EKG results, especially when accompanied by heart palpitations and chest discomfort. The findings noted from your EKG, including an "Incomplete right bundle branch block" and right axis deviation, indicate some variation in heart conduction but are not uncommon. Let's break down what this means for you and what steps to take next.
Explanation of Findings
- Incomplete Right Bundle Branch Block (IRBBB): This indicates a delay in electrical impulses in the right side of your heart. It's often benign but can sometimes be associated with other heart issues.
- Right Axis Deviation: This suggests that the electrical activity of your heart is deviating towards the right side, which may be due to several factors ranging from lung issues, structural changes in the heart, or even variations from being physically active.
- Elevated Blood Pressure: A reading of 138/87 is considered elevated, which may contribute to your feelings of anxiety and physical symptoms.
- Palpitations and Chest Discomfort: These can arise from several causes, including anxiety, caffeine, or other substances like marijuana, especially during withdrawal.
Reassurance and Next Steps
While the findings on your EKG warrant further evaluation, particularly since you are experiencing symptoms, it doesn't automatically mean you're facing dire health issues. Many people have similar EKG patterns without significant heart problems.
- Track Symptoms: Keep a symptom diary noting when palpitations or discomfort occur, their duration, and any other associated activities (like stress or food intake). This detail can help your doctor understand your condition better.
- Stay Calm and Reduce Stimulants: Continue to avoid marijuana and limit caffeine or high-stimulant substances that may exacerbate your symptoms. Focus on hydration and a balanced diet.
- Effective Relaxation Techniques: Practice relaxation techniques such as deep breathing exercises, meditation, or gentle yoga to help manage anxiety, especially leading up to your appointment.
- Prepare for Your Doctor Visit: Make a list of your symptoms, history of previous episodes, and any related lifestyle changes (such as the withdrawal from marijuana). This information will be helpful for your general practitioner and any specialists you might see.
Remember that your scheduled visit with your GP is the right step, and they will guide you through any required further testing, such as a Holter monitor, to assess your heart's function over time. Stay positive, and know that you're taking proactive steps towards understanding your health. If your symptoms worsen or if you develop any new concerning symptoms, seek immediate medical attention.
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