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EKG question- Q wave

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  • EKG question- Q wave

    I was informed just last week that my 4 yr old son's EKG(done Nov 2003) showed "prominent Q waves". His echo(Nov 2003 also) was completely normal. Can someone please explain what this means before I lose mind?!?

    Thanks and much appreciated.

    Pam
    It's not what you gather, but what you scatter that tells what kind of life you have lived.

    Dx in Feb/99. Obstructed. No ICD, no surgeries, no family history. 2 sons ages 14 and 6.

  • #2
    Re: EKG question- Q wave

    Pam,

    I wish I could give you a better answer, but as I read it, this does indicate the possibility of HCM, particularly since it is in a family with previously diagnosed HCM. If you follow links on Google for "prominant Q wave HCM", you will get a number of hits. One said:

    Electrocardiogram. Main features include left ventricular hypertrophy (LVH) pattern and the presence of prominent Q waves which resemble Q waves of myocardial infarction (pseudo-infarction pattern). Ambulatory electrocardiogram may reveal atrial and ventricular arrhythmias including non-sustained ventricular tachycardia (NSVT).

    This was found at http://www.brown.edu/Courses/Bio_281.../handout6b.htm

    I wish this was better news, but I think you should push your doctor for more evaluation and information.

    Rhoda

    Comment


    • #3
      Re: EKG question- Q wave

      Abbygirl Pam,
      It is great hearing from you again – although the circumstances could be better.

      I’m afraid that my knowledge of Q waves extends only to them going around in circles and wagging their little puppy dog tails.

      When it comes to going out of your mind though – well there I am definitely your man.

      Tell me, have you checked it out on the internet. You have the whole world at your fingertips – and you could ask your doctor for confirmation of your findings.

      Take care Hon, and if your going to go out of your mind give me a call and I’ll go with you. (I sure could use the break.)
      Burt

      Comment


      • #4
        Re: EKG question- Q wave

        How old is your son? Did he also have an Echo?

        Lisa
        Knowledge is power ... Stay informed!
        YOU can make a difference - all you have to do is try!

        Dx age 12 current age 46 and counting!
        lost: 5 family members to HCM (SCD, Stroke, CHF)
        Others diagnosed living with HCM (or gene +) include - daughter, niece, nephew, cousin, sister and many many friends!
        Therapy - ICD (implanted 97, 01, 04 and 11, medication
        Currently not obstructed
        Complications - unnecessary pacemaker and stroke (unrelated to each other)

        Comment


        • #5
          Re: EKG question- Q wave

          Hi all, thanks for your replies. My son is 4, and yes he did have an echo about a year ago. The ped. cardiologist said it was completely normal and sent us on our way. A few weeks ago, we see a Dr at the Genetics Centre and he informs us for the first time that my son had an abnormal EKG(a year ago). He saw our family Dr last week and had another EKG done and the Dr said it was normal. (Although he has never heard of HCM). I have been trying since to get another Dr to look at his echo from last year but the clinic that performed the echo LOST his chart. UGH.

          Anyhow thats the story(the short version)

          I appreciate all your help, and Burt, you may have missed the boat-I think I have already LOST my mind. . Maybe next time around.

          Pam
          It's not what you gather, but what you scatter that tells what kind of life you have lived.

          Dx in Feb/99. Obstructed. No ICD, no surgeries, no family history. 2 sons ages 14 and 6.

          Comment


          • #6
            Re: EKG question- Q wave

            Pam,
            Has he had an echo yet?
            Lisa
            Knowledge is power ... Stay informed!
            YOU can make a difference - all you have to do is try!

            Dx age 12 current age 46 and counting!
            lost: 5 family members to HCM (SCD, Stroke, CHF)
            Others diagnosed living with HCM (or gene +) include - daughter, niece, nephew, cousin, sister and many many friends!
            Therapy - ICD (implanted 97, 01, 04 and 11, medication
            Currently not obstructed
            Complications - unnecessary pacemaker and stroke (unrelated to each other)

            Comment


            • #7
              Re: EKG question- Q wave

              No, not since last November. I am trying to get him in for another one.

              Pam
              It's not what you gather, but what you scatter that tells what kind of life you have lived.

              Dx in Feb/99. Obstructed. No ICD, no surgeries, no family history. 2 sons ages 14 and 6.

              Comment


              • #8
                Re: EKG question- Q wave

                When I was 16 years old (18 now) I had an EKG that showed Q waves and also inverted T waves. My echo at the time was deemed 100% normal. Two years later with the very same EKG, my echo shows HCM.

                Keep in mind that many younger people have abnormal EKG's. In the setting of cardiomyopathies, I would think an echo and other imaging studies would be able to better evaluate your child. I'm sure a pediatric electiophisalgist would be able to answer any questons you have regarding the abnormal EKG.

                Wish you the very best,

                Nigel
                I cannot fear death, because when dead, death does not exist. Love is the reason for being, it can never be taken away nor lost, so hold on I will, and in death I will not part, but rejoice for the time I’ve had with you.

                Comment


                • #9
                  Nigel, thanks for the post, sorry for a slow response but I just saw the post. One thing I am grasping on to is the knowledge that it is not uncommon for young children to show such irregularities(such as LVH) on their EKG's. Like I said earlier, his echos all showed normal. The EKG his family Dr did several weeks back now was sent to a cardiologist for evaluation and I have not heard back yet. No news is good news I hope. Thanks for taking the time to give me your input. It is appreciated.

                  Pam
                  It's not what you gather, but what you scatter that tells what kind of life you have lived.

                  Dx in Feb/99. Obstructed. No ICD, no surgeries, no family history. 2 sons ages 14 and 6.

                  Comment


                  • #10
                    Hey Pam,

                    I just saw this post. I had some Q waves on my 24 hour monitor. And the Doctors said this was also known as a delta wave. As they were telling me that if a delta wave is prominent all the time than that is a sign of Wolf Parkinson White disease. But, it turned out in my case to be just hcm. So I think it is something maybe worth looking into.


                    Mary S.

                    Comment


                    • #11
                      When my youngest's first EKG turned out a little weird (he was also 4) they said that many kids have odd EKG's because the machines are set up to read adult waves, not kid waves.

                      Reenie
                      Reenie

                      ****************
                      Husband has HCM.
                      3 kids - ages 23, 21, & 19. All presently clear of HCM.

                      Comment


                      • #12
                        Thanks all.
                        Reenie, did your son end up developing HCM? I really need to learn how to read EKG's.

                        Thanks
                        Pam
                        It's not what you gather, but what you scatter that tells what kind of life you have lived.

                        Dx in Feb/99. Obstructed. No ICD, no surgeries, no family history. 2 sons ages 14 and 6.

                        Comment


                        • #13
                          So far my son is still clear. He's 9 now and had his last echo in August. We still check every year for him and his brother and sister. Thank goodness all of them are clear at this point.

                          Reenie
                          Reenie

                          ****************
                          Husband has HCM.
                          3 kids - ages 23, 21, & 19. All presently clear of HCM.

                          Comment


                          • #14
                            Reenie, Its great that your kids are doing fine. No matter how much I stress about my own health, the moment I even think of one of my kids getting this, my problems seem small in comparison. Many prayers that your children remain HCM free.

                            Take care,
                            Pam
                            It's not what you gather, but what you scatter that tells what kind of life you have lived.

                            Dx in Feb/99. Obstructed. No ICD, no surgeries, no family history. 2 sons ages 14 and 6.

                            Comment


                            • #15
                              Thank you. You're so right, I do worry about my kids the most. The best I can do for them is to learn what we might be up against and keep an eye on them.

                              Reenie
                              Reenie

                              ****************
                              Husband has HCM.
                              3 kids - ages 23, 21, & 19. All presently clear of HCM.

                              Comment

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