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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is Coronary Angiogram Required For Chest Pain And Tachycardia?

my son has had in the past 2 months recorded PVC's detected on EKG. He was ending up at the ER because his heart felt weird. The cardiologist put him on a low dose betablocker as he is symptomatic. The cardiologist said the PVC's are more of a nuisance then a problem. Did do echo which was WNL's. Holter monitor only showed PVC's. He has been fine for approx 2 weeks now after being on the betablocker. But, yesterday was sent to the ER for chestpain and tachycardia. Cardiologist says needs to do a coronary angiogram. My son is only 20 years old with no prior problems. Is this really necessary?
Fri, 24 Jun 2016
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Pulmonologist,  's  Response
Thanks for your question on Healthcare Magic.
I can understand your concern.
Yes, coronary angiography is must in his case.
In fact, not only angiography, electrophysiological (EP) study of heart is needed for the diagnosis of his tachycardia and PVCs (premature ventricular contractions).
His symptoms are mostly due to accessory pathway in heart which is sending extra impulses and these extra impulses produce all the symptoms.
So get done angiography and EP study. He may need radio frequency ablation (RFA) of accessory pathway to cure the symptoms.
Don't worry, he will be alright.
Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
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Is Coronary Angiogram Required For Chest Pain And Tachycardia?

Thanks for your question on Healthcare Magic. I can understand your concern. Yes, coronary angiography is must in his case. In fact, not only angiography, electrophysiological (EP) study of heart is needed for the diagnosis of his tachycardia and PVCs (premature ventricular contractions). His symptoms are mostly due to accessory pathway in heart which is sending extra impulses and these extra impulses produce all the symptoms. So get done angiography and EP study. He may need radio frequency ablation (RFA) of accessory pathway to cure the symptoms. Don t worry, he will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.