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What Does Premature Ventricular Contraction In ECG Report Indicate?

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Posted on Fri, 4 Jul 2014
Question: Yes I have had many ECG,s but they all were okay .. my last one stated that possible antieroseptal mi 1 markedly abnormal ECG The doctors never mentioned anything was wrong. But I compared mine with my other ones 6 months early and this one is different , .also said premature ventricular contraction. I do have a leaky left ventrical but dr. said it was okay for my age 66 What should I do in this matter. Also had a XXXXXXX gram on heart this month .. Everything was okay XXXXXXX
doctor
Answered by Dr. Anantharamakrishnan (3 hours later)
Brief Answer:
Need Follow up

Detailed Answer:
Dear friend,
Welcome to Health Care Magic

     ECG’ s machine interpretations are always reviewed by the physician. It is only an investigation and must be correlated with the total clinical picture – not read in isolation.
This type of picture is often seen when the chest leads are misplaced; also a few other conditions like myopathy may cause this.
Your physician appears to have concluded properly…
If he had any suspicion, he would have suggested TMT – Treadmill exercise ECG; may be with thallium isotope – to evaluate ischemia (reduced blood flow / Coronary Artery Disease)

     ECHOcardiogram shows the heart valves, muscle, function – Ejection fraction, wall motion abnormality, clots... If there was an MI, it should have shown wall motion anomalies…

     Many cases of ‘Premature Ventricular Contractions’ (PVC) are benign, especially when associated with normal ECHO and do not require treatment. Only if you also have symptoms like blurred vision, dizziness, loss of consciousness, shortness of breath, chest pain along with this, you need to work up further to evaluate. HOLTER (24 to 48 hour ambulatory monitoring) may have to be done to analyse and plan for further management...

You appear to be in good hands
Keep following up; that is all

Take care
Good luck
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Anantharamakrishnan (10 hours later)
Thank you so much for the information. I did feel a little dizzy yesterday but it subsided. maybe because if have low blood pressure . I also walked a long way for exercise. Heart problems are hereditary in my family XXXXXXX
doctor
Answered by Dr. Anantharamakrishnan (13 hours later)
Brief Answer:
Good luck / keep following

Detailed Answer:
Hi

If one could walk a long distance / climb 2 flights of stairs / exercise – without any complaints – possibility of significant heart problem is really remote

No active interference is needed as of now
Keep following up with your doctor….

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

Above answer was peer-reviewed by : Dr. Prasad
doctor
Answered by
Dr.
Dr. Anantharamakrishnan

Cardiologist

Practicing since :1966

Answered : 4505 Questions

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What Does Premature Ventricular Contraction In ECG Report Indicate?

Brief Answer: Need Follow up Detailed Answer: Dear friend, Welcome to Health Care Magic ECG’ s machine interpretations are always reviewed by the physician. It is only an investigation and must be correlated with the total clinical picture – not read in isolation. This type of picture is often seen when the chest leads are misplaced; also a few other conditions like myopathy may cause this. Your physician appears to have concluded properly… If he had any suspicion, he would have suggested TMT – Treadmill exercise ECG; may be with thallium isotope – to evaluate ischemia (reduced blood flow / Coronary Artery Disease) ECHOcardiogram shows the heart valves, muscle, function – Ejection fraction, wall motion abnormality, clots... If there was an MI, it should have shown wall motion anomalies… Many cases of ‘Premature Ventricular Contractions’ (PVC) are benign, especially when associated with normal ECHO and do not require treatment. Only if you also have symptoms like blurred vision, dizziness, loss of consciousness, shortness of breath, chest pain along with this, you need to work up further to evaluate. HOLTER (24 to 48 hour ambulatory monitoring) may have to be done to analyse and plan for further management... You appear to be in good hands Keep following up; that is all Take care Good luck