Looking at your ECG: the heart rate is 67 bpm (normal), the PR interval and QRS complex appear within normal limits, and the QTc is approximately 446 ms which is at the upper edge of normal but not dangerously prolonged. The rhythm appears regular and there are no obvious ST changes or significant abnormalities on this resting ECG. In summary, the resting ECG is essentially normal â which is actually expected, because your palpitations are position-specific (forward bending during Sujood) and likely only occur in that moment. A resting ECG done outside of that position may not capture the actual episode. Positional palpitations â especially those triggered by bending forward â can be caused by: a positional supraventricular arrhythmia, vagal nerve stimulation from bending, gastroesophageal reflux pressing on the heart, or a benign structural variant like mild mitral valve prolapse.
Next Steps
The next investigation should be a 2D Echocardiogram (heart ultrasound) to check the heart structure, and a 24-hour or 48-hour Holter Monitor recording which will capture your ECG during prayer and throughout daily activity. Also get hemoglobin and
thyroid function (
TSH) checked â both can cause palpitations. If you experience sustained rapid heartbeat, chest pain, breathlessness, or dizziness during these episodes, seek urgent medical care. Please consult me directly on Practo for a detailed evaluation.