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Hello, Variations in the PR interval is possible and not a point of concern if pattern of the ECG is normal. You can share the ECG for confirmation. Also a consultation with a physician is advised if you have symptoms such as palpitations, giddiness, etc.

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Your age ECG with varying PR interval would suggest there is an additional (electrical) conduction path in your heart. We call it aberrant AV conduction. If there is any history of *sensation that heart is beating fast (we call it palpitations) with or without chest discomfort *collapses/faints *periods of breathing difficulties (that can’t be explained) *any family member (parents, siblings,blood relatives) who had sudden unexplained death in the age less than 60 years Then further assessments are required. Do share your ECG and also include the whole sheet as doctors like to see the readings at the top and bottom of the sheet. All the best. J G S R (online) clinic

Yes

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Can you please share the picture of ecg strip? I think that can be helpful for us to interpret and understand the problem if any.

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Yes, this can happen and is usually normal. When your heart rate increases, the electrical conduction speeds up a bit, so the PR interval becomes shorter. When your heart rate slows, the PR interval becomes slightly longer. So seeing a shorter PR at 90-110 bpm and a normal PR at 70-80 bpm is common and not dangerous if the PR is within the normal range and you have no symptoms. If the PR interval is extremely short (<100 ms) or you have palpitations/rapid episodes, then a doctor may check for pre-excitation (WPW). However, slight variation with heart rate is normal.

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Your ECG findings are quite unnatural. I think you are quite anxious about your ECG findings. Be relaxed and send us the ECG, as your age is 25 and heart rate is below 100 WPW is unlikely

The PR interval on an ECG can vary slightly with heart rate, and what you are noticing is generally a normal physiological phenomenon. When the heart rate increases (for example, 90 to 110 beats per minute), the electrical conduction through the AV node speeds up to keep the rhythm coordinated, and the PR interval naturally becomes shorter. When the heart rate slows down (around 70–80 beats per minute), the AV node conduction time lengthens slightly, and the PR interval can appear longer. So yes -heart rate and PR interval often change together, and this variation is usually normal. A true short PR interval that is considered abnormal (such as seen in pre-excitation syndromes like WPW or LGL) is consistent in every ECG, regardless of heart rate. If your PR interval is sometimes normal and sometimes just slightly shorter depending on the heart rate, that is not considered pathological.

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