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What Causes Supraventricular And Ventricular Arrhythmias?

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Posted on Mon, 8 May 2017
Question: Had 24 hr ecg and all it showed was 2 sve/ve. Is this normal?
doctor
Answered by Dr. Dr. Meriton Siqeca (22 minutes later)
Brief Answer:
Normal

Detailed Answer:
Greetings and welcome to HCM. Thank you for your question.

This is a normal finding in 24-hour Holter monitoring. Due to the physiological "play" of hormonal and neurotransmitter levels during a day, extrasystoles are expected to be found in every human being, if they would undergo a 24 hour rhythm registration. Therefore, there is nothing to be worried about.

I hope this is helpful. I am happy to help, if you have follow-up question.

Kind regards,
Dr. Meriton
Above answer was peer-reviewed by : Dr. Nagamani Ng
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Follow up: Dr. Dr. Meriton Siqeca (30 minutes later)
Thank you for quick response. I also have had 6 ecg, the first one said possible left ventricular hypertrophy but was dismissed by consultant and my GP as a computer misreading when they calculated manually. The other 5 ecg's after this were all normal and two chest X-rays were also normal. Based on these and my 24hr ecg should my GP be suggesting an echo? Had full bloods and all normal also. My GP has said all good and enjoy life normally but I worry as a VE and left ventricular hypertrophy could be dangerous. Thanks again.
doctor
Answered by Dr. Dr. Meriton Siqeca (46 hours later)
Brief Answer:
Normal findings.

Detailed Answer:
Hello again.

Well, these findings seem all normal, maybe that one time the EKG caught an artefact and there is nothing to be worried about. Also, Holter monitoring confirmed the same thing. On the other hand, an echo cardiogram would only help if we want to assess the heart by means of structure, movement and function of the chambers and the valves. Up until now, everything is normal and I, too, would recommend you to continue living a normal life. If these signs and symptoms you are having interfere with the quality of your everyday life, then I think you should consult a clinical psychologist, so therapy for stress relief can be started.

I hope my follow-up was helpful. If you do not have further questions, close the discussion and rate the answer.

Best regards,
Dr. Meriton
Above answer was peer-reviewed by : Dr. Remy Koshy
doctor
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Follow up: Dr. Dr. Meriton Siqeca (27 hours later)
Thank you once again.

I have seen my full 24hr ecg and it say.

Normal Sinus Rytham, no arrhythmia.

2 SVE / VE

Short PR Noted. No WPW morphology.

Bradycardia 1 - min heart rate 42 4.08am

Is this all ok, my GP seems to think so but I am unsure what Short PR means and is it dangerous? I assume a low heart rate when asleep is normal?

Thanks
doctor
Answered by Dr. Dr. Meriton Siqeca (21 hours later)
Brief Answer:
All normal. Not dangerous

Detailed Answer:
Hi again.

Bradicardia is normal during sleep, even in the late night hours, because of the physiological predominance of the parasympathetic (vagal) tone. As for the P-R interval matter, it is often found shorter than normal interval in normal and totally healthy individuals, without any risk of any arrhythmia. I would "stick" to the recommendation that you should see a clinical psychologist, if these preocupations are causing you to have interference in your everyday activities.

I hope this follow-up helps.

Best regards,
Dr. Meriton
Above answer was peer-reviewed by : Dr. Remy Koshy
doctor
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Follow up: Dr. Dr. Meriton Siqeca (5 hours later)
Thank you once again for another quick and reassuring response.

Also said no XXXXXXX waves, 2 premature beats and 0 premature abarrents?

Do you think exercise could have caused the short PR interval as I went for a 15 minute bike ride whilst wearing the Holter Moniter?

I just don't understand why short PR interval has not shown up on 6 ecg's but it does on a 24hr ecg? IS it something that comes and goes?

Thanks once again.


doctor
Answered by Dr. Dr. Meriton Siqeca (19 hours later)
Brief Answer:
Nothing to be worried about

Detailed Answer:
Welcome back.

During exercise, there is a increased heart rate, therefore intervals may become shortened, but this is not pathological. With all the findings you have provided, everything seems to be normal and in place, therefore there is nothing to be worried about.

Kind regards,
Dr. Meriton
Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Kampana
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Answered by
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Dr. Dr. Meriton Siqeca

Cardiologist

Practicing since :2009

Answered : 775 Questions

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What Causes Supraventricular And Ventricular Arrhythmias?

Brief Answer: Normal Detailed Answer: Greetings and welcome to HCM. Thank you for your question. This is a normal finding in 24-hour Holter monitoring. Due to the physiological "play" of hormonal and neurotransmitter levels during a day, extrasystoles are expected to be found in every human being, if they would undergo a 24 hour rhythm registration. Therefore, there is nothing to be worried about. I hope this is helpful. I am happy to help, if you have follow-up question. Kind regards, Dr. Meriton