HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

question-icon

Suggest Treatment For Ventrixular Arrhythmia

default
Posted on Thu, 8 Jan 2015
Question: What do these results tell me? Is this benign of something i need to be concerned about?

Am i in immediate medical danger?

What is the impact to my life. Can i travel, or should i seek immediate attention?

Do i have heart disease, what are the next steps?
doctor
Answered by Dr. Benard Shehu (38 minutes later)
Brief Answer:
Ventrixular arrhythmia, not an emergency...

Detailed Answer:
Hi,

I am sorry for the situation you are in.

From what you are reporting, you are suffering of ventricular arrhythmia. In the reports you provided, I noted several types of ventricular extra systoles: single, double , triple, etc. I have also noted 6 episodes of idioventricular rhythms which all together explain your actual symptoms.

Although all these findings, I still think you do not have to worry as your case is not an emergency. This is why I'm of opinion is that you can travel and don't need an immediate medical attention. The only impact on your life is on what you are already feeling ( general discomfort and palpitation etc.).

If I was your caring doctor would go deeper and find out the cause :
- thyroid (thyroid function test is advise )
- run ECG, cardiac evho, stress test to rule out other cardiac issues
- if they are ok, then GERD to be excluded

Hope it was of help!
Dr.Benard
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Benard Shehu (1 hour later)
Thank you for your response. When you say if those are ok than GERD to be excluded, what do you mean?

I have gerd although haven't had syptoms in the weeks I've been off the ppi's.

Thanks you I look forward to your response.
doctor
Answered by Dr. Benard Shehu (11 minutes later)
Brief Answer:
Your symptoms may be related to GERD or other gastrointestinal problems...

Detailed Answer:
Hi back,

If thyroid function is normal and all cardiac test are normal than your symptoms and arrhythmia may be related to GERD or other gastrointestinal problems.

This is why is important to do all the mentioned test (especially ECHO and stress test) and to treat properly GERD. This will help to find the exact cause and to ease your symptoms.

Wish you health!
Dr. Benard
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Benard Shehu (17 minutes later)
Thank you that makes sense. Another quick question, I've heard ventricular arrhythmia can be fatal and is one of the more serious arithmias can you confirm?
doctor
Answered by Dr. Benard Shehu (22 minutes later)
Brief Answer:
Ventricular tachycardia and ventricular fibrillation can be fatal.

Detailed Answer:
Hi XXXX!

Yes some sort of ventricular arrhythmia (Ventricular tachycardia, ventricular fibrillation) can be fatal, but not in your case. You have only ventricular extra systoles and idioventricular rhythms that in very rare cases (especially in the presence of other cardiac disease) may lead to ventricular tachycardia and cardiac arrest.

This is why it's important to do all the mentioned cardiac exams, because if they are normal there's no chance of fatal arrhythmia.

Wish you health!
Dr. Benard
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Benard Shehu (3 hours later)
Thank you for all the help. Is the brachacardia when sleeping an issue (41bpm)? Also is the tachycardia an issue after I went up one flight of stairs (145bpm)?

Also, I understand the idioventrical rhythm is your hearts backup system. Does this mean my main system failed?

Again, really appreciate all your help
doctor
Answered by Dr. Benard Shehu (7 hours later)
Brief Answer:
Following answers to your queries....

Detailed Answer:
Hi back XXXXXXX

- It is normal to have bradicardia when sleeping. So, it is not a worrisome issue.

- In people who do not have daily physical activity, it is normal to get tachycardia when going up a flight of stairs.

- Idio-ventricular rhythm is a sign of possible heart problems. That's why I have asked to run further cardiac tests.

It does not mean than you have heart failure.

Hope it was of help!
Dr.Benard
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Benard Shehu (23 minutes later)
Ok, thanks, so in your assessment, this is the key serious issue highlighted in the report? Are there any good causes of Idio-ventricular rhythm, and in your experience how long until I should meet with a specialist.

Due to the holidays, they're busy for several weeks. Additionally I had a trip planned to another country in 1 month. Do you believe it's safe to travel and should I be concerned? Should I be concerned about stressing my heart, etc?

Are there any good causes or benign causes of Idio-ventricular rhythm?
doctor
Answered by Dr. Benard Shehu (4 hours later)
Brief Answer:
The principal cause of Idio-ventricular rhythm is sinus bradycardia...

Detailed Answer:
Hi back,

In a few cases idio-ventricular rhythm may be a sign of ischemic heart disease and this is why you have to do the exams.

The principal cause of Idio-ventricular rhythm is sinus bradycardia. This is why in most of the cases idio-ventricular rhythm is benign. You shouldn't be concerned to much about stressing your heart during your trip.

You can travel and postpone cardiac examinations after the holidays.

Wish you health!
Dr. Benard


Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Benard Shehu (19 hours later)
Thanks for all your help thus far, only a few more little questions.

I was on a protein pump inhibitor for Gerd. I've heard those could cause low magnesium in people. As a result, i stopped the PPI use, even though my serum magnesium fell in the normal range. I heard that the serum doesn't always tell the accurate story and you need an intercellular magnesium test (Red Blood Cell Magnesium Count).

When taking magnesium i don't seem to get the flutter in my chest. A few quick questions:

-could low magnesium cause these issues, including the idioventrical rythym?
-is it safe for me to take magnesium?
-If i had low magnesium and was taking a suppliment, how long should it take to return to normal.

Thank you again, appreciate all your help!
doctor
Answered by Dr. Benard Shehu (14 hours later)
Brief Answer:
Following answers to your queries...

Detailed Answer:
Hi back XXXXXXX

Thank you for following up:

- it is true that deficiencies in blood electrolytes (including magnesium) might trigger arrhythmia such as idioventricular rhythm.

- Magnesium intake is a good alternative to stabilize membrane cell and arrhythmia.
You can safely take magnesium on daily basis but should get your electrolytes level checked every month

- Usually, I suggest to continue Magnesium even if magnesium levels are normal.

All the best!
Dr.Benard
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Benard Shehu (44 hours later)
Thank you for all the help. Another wuestion if that's ok. I read that ventrical tachycardia is a run of more than 3 pvcs. I believe I had 22 in a row while sleeping. Does this mean I have ventricular tachycardia per my report, and how didn't this kill me? A little confused based on what I read, appreciate your help on the diagnosis of this one.

Thank you again

XXXX
doctor
Answered by Dr. Benard Shehu (8 hours later)
Brief Answer:
It's not ventricular tachycardia but idioventricular rhythm.

Detailed Answer:
Hi back XXXXXXX

If up to 21 complexes with a Heart rate above 120 per minute are confirmed, they are called unsustained ventricular tachycardia. These are not considered as cause for concern.

What makes us concerned is when these complexes are turned into sustained ventricular tachycardia (last longer than 21 complexes), which should be persisted for long periods, bp should be reduced and ventricular fibrillation should be precipitated.

From the reports you have provided, it is idioventricular rhythm and not ventricular tachycardia, because of heart rate lower than 60 (the difference between idioventricular rhythm and ventricular tachycardia is the HR).

And this isn't to worry about.
Wish you health!

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

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Benard Shehu

Cardiologist

Practicing since :2004

Answered : 2257 Questions

premium_optimized

The User accepted the expert's answer

Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
Suggest Treatment For Ventrixular Arrhythmia

Brief Answer: Ventrixular arrhythmia, not an emergency... Detailed Answer: Hi, I am sorry for the situation you are in. From what you are reporting, you are suffering of ventricular arrhythmia. In the reports you provided, I noted several types of ventricular extra systoles: single, double , triple, etc. I have also noted 6 episodes of idioventricular rhythms which all together explain your actual symptoms. Although all these findings, I still think you do not have to worry as your case is not an emergency. This is why I'm of opinion is that you can travel and don't need an immediate medical attention. The only impact on your life is on what you are already feeling ( general discomfort and palpitation etc.). If I was your caring doctor would go deeper and find out the cause : - thyroid (thyroid function test is advise ) - run ECG, cardiac evho, stress test to rule out other cardiac issues - if they are ok, then GERD to be excluded Hope it was of help! Dr.Benard