black art. While the relationship between the traces and the electrical activity of the heart is fairly simple, the interpretation of the electrical activity and the prognosis are not. The introduction of automatic report writing software in the recent generations of machines has resulted in a huge amount of overdiagnosis of cardiac disease, as the algorithms have been designed to be fail safe. Fine clinically, but a complete pain when an otherwise apparently fit person, such as the original poster here is suddenly saddled with a potentially life changing diagnosis.
Having said that, the particular observation here is fairly straightforward. What is not straightforward is the interpretation, which should incorporate a full clinical assessment of the individual, including family history, social factors etc. etc. It is true that this conduction disturbance is associated with a higher degree of heart disease, but it is not
an automatic sentence to pain, suffering and death! It is interesting to see that the incidence of this condition is higher among athletes than it is in the general population. Good luck to the original poster in the process of recovering his employment health status.
I well remember years ago in my former life as a rural GP I had a patient who was given an ECG as part of his employer's health benefits. He was a keen long-distance runner; not marathons, oh no no no, faaaar too short; fifty to sixty miles at least! He was a rather diffident anxious man, and came to me in a state of some alarm, having been told he had an enlarged heart. He was tall, lightweight, and had a pulse of about 40 beats per minute (known in the profession as 'change the batteries in your pacemaker'). I did my best to reassure him that he was probably the fittest man on my books, but he was not content. I referred him to one of my local specialist cardiology colleagues. The letter back said that his was the healthiest heart my colleague had ever seen.
Machines are good servants, and poor masters in the exercise of any technical skill.