Q waves and echos

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GeetaOn the pulmonary hypertension, I'm assuming he was saying he couldn't get a good read on an echocardiogram but would be able to on a right heart catheter? If the right catheter is performed there as it is in the US, then while technically invasive it is painless and has rather minimal risk. I just had one in August. As to the Q in AVL: AVL is an augmented unipolar limb lead in which the positive electrode is on your left arm. Q is a negative wave. Now much more than that would require a doctor's interpretation while looking at all the other lead results as well. However, from what I read a single Q in AVL without other Q's would not generally be considered an issue. Now it gets far more complex as you look at the size and length of the wave and look at the other leads. I would ask the doctor but I suspect its something that by itself didn't concern them. A little on Q waves:Small - septal - Q waves in the left ventricular leads result from depolarisation of the septum from left to right. A Q wave in lead III may represent a normal finding. Pathological Q waves occur if they are 25% or more of the height of the partner R wave and/or they are greater than 0.04 seconds in width - one small square - and greater than 2mm (two small squares) in depth (1). Q waves are a marker of electrical silence, which, when pathological, implies full thickness death of myocardium, which happened a long time ago. They are negative because they are effectively windows through which can be seen the opposite side of the heart, in which depolarisation will be moving away from the electrode. If a Q wave occurs in lead I then check for Q waves in AVL and the chest leads.If a Q wave occurs in lead II or AVF then check for Q waves in the other inferior leads. >> > > > > > Hi friends,> I recently got some cardiac tests done and would like to share the reports with all of you.> LIPID PROFILE> 1.S.Cholestrol 282mg/dl (normal range is120-240)> 2.HDL Cholestrol 50mg/dl (normal>60 for females )> 3.LDL Cholestrol 194.2mg/dl (normal range 60-150 )> 4. Ratio of Cholestrol 5.64 (normal range 0-4.5 0> > My Cholestrol has never been high, though I have been taking prednisone for 13 yrs .This is a new devlopement> Secondly my 2D-Echo report says SKEWED VIEWS OBTAINED > I asked the Cardiologist what the pulmonary pressure was , he said he could not measure it because the heart had moved to a position where he was not able to measure the pressure, he said only an invasive procedure would help measure it.> > my question is can anyone here tell me if it means i will never know if i have pulmonary hypertension?has this happened to anyone else? I have yet to show this report to my pulmo..every thing else was ok in the Echo> > The ECG said Q in AVL> i dont understand it Bruce or Beth could throw some light here.> in blood work all seems normal exceptESR Is 24 mm/1st hr> As you all know I have been stable for quite a while now I am on 10mg of prednisone, cannot go lower ,and i need 2-3 lit of o2 at rest and 6 to 7lit on exertion.> Since a few days i am getting severe pain in my legs upper part , only during the night it wakes me up from my sleep, it goes away as soon as i wake up, it seems to be muscular. My doc told me on the phone to get my Potassium levels checked. My quetion is why this sudden onset of muscular pain the new medications are Assurance and lasix , but that too since 3 month why now?> will be happy to get reactions> Geeta>