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Suggest Treatment For Premature Ventricular Contractions In A Teenager
Question: My 15 year old daughter was diagnosed yesterday with pvc's these occur 3 at a time and wake her from sleep often, her Dr said to just monitor her for the next 7 days and we will revisit this after the 1st of the year. Shouldn't she be in a halter monitor for 24 hours with this to get an accurate reading of how often and why this is happening? She is healthy and active
Brief Answer:
I would explain as follows:
Detailed Answer:
Hello!
Welcome and thank you for asking on HCM!
I understand your concern and would explain that repeated PVCs can be related to different causes (cardiac disorder, metabolic disorder, thyroid imbalance, electrolytes imbalance, sleep disorder with autonomic dysfunction, anxiety, etc.).
They are usually benign and not life-threatening.
But I agree with you that it is important to perform further tests to establish the cause:
-a cardiac ultrasound to examine her cardiac function
-an ambulatory 24-48 hours ECG monitoring to examine her heart rhythm trend during day and night
-blood lab tests (complete blood count, blood electrolytes, thyroid hormone levels).
Could you please upload her ECG reports for me to review and give another professional opinion?
Maybe, because it is Christmas time and there are some holidays, and because this is not an urgent situation, the doctor has recommended you just to monitor her heart rhythm and perform all those tests after this date.
Meanwhile, besides closely monitoring her heart rate, I would advise avoiding stressful physical activities, strong emotions and caffeine intake during these days.
Hope you will find this answer helpful!
If you have any other questions, don't hesitate to ask me!
Kind regards,
Dr. Iliri
I would explain as follows:
Detailed Answer:
Hello!
Welcome and thank you for asking on HCM!
I understand your concern and would explain that repeated PVCs can be related to different causes (cardiac disorder, metabolic disorder, thyroid imbalance, electrolytes imbalance, sleep disorder with autonomic dysfunction, anxiety, etc.).
They are usually benign and not life-threatening.
But I agree with you that it is important to perform further tests to establish the cause:
-a cardiac ultrasound to examine her cardiac function
-an ambulatory 24-48 hours ECG monitoring to examine her heart rhythm trend during day and night
-blood lab tests (complete blood count, blood electrolytes, thyroid hormone levels).
Could you please upload her ECG reports for me to review and give another professional opinion?
Maybe, because it is Christmas time and there are some holidays, and because this is not an urgent situation, the doctor has recommended you just to monitor her heart rhythm and perform all those tests after this date.
Meanwhile, besides closely monitoring her heart rate, I would advise avoiding stressful physical activities, strong emotions and caffeine intake during these days.
Hope you will find this answer helpful!
If you have any other questions, don't hesitate to ask me!
Kind regards,
Dr. Iliri
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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