Question about an ECG

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New Member

Date Joined Jul 2006
Total Posts : 14
   Posted 10/24/2006 5:00 PM (GMT -6)   
I have a question about an ECG printout. My 9 year old had an ecg done today because he is very tired lately and has a hand tremor and a newly discovered heart murmur and they gave us an extra copy for my son to have. They cut it out in the shape of a heart so that all the info at the top was cut off except for the word unconfirmed in the corner. On the 4th row of the graph his QRS is much more negative than positive. There are also alot of other things that look really weird except I can’t explain them. Is it a problem to have this negative thing happening in the bottom row?
Thanks in advance.

Regular Member

Date Joined Feb 2006
Total Posts : 297
   Posted 10/25/2006 8:44 AM (GMT -6)   

What did you son's doctor say about the ECG results?

Today most ECG printouts come with a computer generated 'explanation'.These mean absolutely nothing without a real live cardiologist to interpret the printouts.

ECGs are incredibly complex. Variations in various places mean multiple things. Cardiologists spend years in training to learn to read these things and often need to do so within the context of a patient's history and symptoms. 

A nine-year-old really needs a pediatric cardiologist to take a look at the ECG if there are questions or concerns. I would not feel comfortable with an adult cardiologist.

In fact my own nine-year-old went to her pediatric cardiologist for follow-up just last Monday. Interpretations can be very different in a child than an adult. For example, in my daughter's case, an ECG last year for a fainting episode indicated that she might have a condition that was from a genetic thing for a child but from uncontrolled hypertension for an adult.

Even though the ECG indicated the condition MIGHT be present, we needed to do an echocardiogram to determine if this was accurate or a meaningless variation. Turns out that for us, it was a meaningless variation probably due to the fact that she is very skinny and her chest wall is thin because of this, the ECG can indicate problems that are not truly there. Another explanation for the aberrant ECG is that the leads were placed wrong especially on the side. There is very little wiggle room to get good and accurate results especially on a child.

The bottom line: the ECG printout indicated that my daughter had a very serious, life-threatening, genetic condition. The truth is that she does not and the good news is that she does not even need anymore follow-ups!! :-)  


If you have questions or concerns about you son's results, do not hesitate to ask his doctors. You deserve a clear thorough explanation! I pray that you get good results!


New Member

Date Joined Jul 2006
Total Posts : 14
   Posted 10/25/2006 12:07 PM (GMT -6)   
Our doctor sent ihis ecg to a pediatric cardiologist who has said that initially it supports a septal atrial hole or something like that. He is a little confused as to why it hasn’t been caught before this time. He is also concerned that maybe his asthma symptoms (shortness of breath, etc) could be related and wants to check some things out further. He is scheduled for an echo and xrays on Friday and he feels confident he will know more then. He said that it is very unusual for a nine year old to be experience symtoms from this condition and that asthma is probably the cause. He said surgery is an option in the future but if there is no hypotension or enlargement of the heart that we will just leave things for now until he is a little older.
Thanks for your help!
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