She has normal sinus rhythm with sinus arrhythmia. A follow-up Holter monitor noted bradycardia and tach, also her usual PVCs and PACs. Most likely, the q wave in AVL is an incidental finding. I suggest that you speak with your daughter's physician who could compare old and current ECG's to confirm the presence of a q wave in AVL and to determine the significance of this new ECG finding. I hope you find this information useful.
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