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No Displaced Fractures Or Aggressive Lesions Are Identified
Question: went to ER with fast tachyardia that lasted for a while, then after I heard and felt my heart skipping. these are the results:
ED: Sinus tachycardia, rate 106, multiple PVCs, right atrial elargement, nonspecific repolarization abnormality, QTC 425
Single AP radiograph of the chest shows a normal cardiac silhouette. The lungs are clear. No pneumothorax or pleural effusion. No displaced fractures or aggressive osseous lesions are identified. The upper abdomen is unremarkable.
ED: Sinus tachycardia, rate 106, multiple PVCs, right atrial elargement, nonspecific repolarization abnormality, QTC 425
Single AP radiograph of the chest shows a normal cardiac silhouette. The lungs are clear. No pneumothorax or pleural effusion. No displaced fractures or aggressive osseous lesions are identified. The upper abdomen is unremarkable.
Brief Answer:
Kindly upload the ecg image
Detailed Answer:
Hello
After going through the medical query I can understand your concern and before proceeding ahead I would like to have a look at the ecg tracing myself.
Also I would like to know the following
1. Any previous medical history
2. Any medications which you are taking presently
3. Any such episodes in past
4. Any blood work which you have underwent
Regards
Kindly upload the ecg image
Detailed Answer:
Hello
After going through the medical query I can understand your concern and before proceeding ahead I would like to have a look at the ecg tracing myself.
Also I would like to know the following
1. Any previous medical history
2. Any medications which you are taking presently
3. Any such episodes in past
4. Any blood work which you have underwent
Regards
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
Apparently I cannot get the ECK imaging online. I will have to see if I can get it directly after the weekend. I have uploaded the rest of the results.
No previous medical history.
Previously I was taking hydrocodone for tooth and I got several fast tachycardias over a few days. Stopping medication I thought stopped the tachs.
Then 5 weeks later I got another tachycardia, and then I noticed the heart "skipping" every 5 - 10 beats and went to the ER.
The skips are still happening.
The ER gave me metoprolol and just today (the day after) I felt my heart stop for a second or two and then another fast tachycardia.
Previously I was taking hydrocodone for tooth and I got several fast tachycardias over a few days. Stopping medication I thought stopped the tachs.
Then 5 weeks later I got another tachycardia, and then I noticed the heart "skipping" every 5 - 10 beats and went to the ER.
The skips are still happening.
The ER gave me metoprolol and just today (the day after) I felt my heart stop for a second or two and then another fast tachycardia.
Brief Answer:
Hello again
Detailed Answer:
Sir, from the medical summary report attached by you it’s certain that you are having premature beats which in majority of the cases are harmful (although can hamper quality of life by bothering).
It’s advisable to get the following tests done to understand the situation better
1. Thyroid profile
2. Holter monitoring
Kind Regards
Hello again
Detailed Answer:
Sir, from the medical summary report attached by you it’s certain that you are having premature beats which in majority of the cases are harmful (although can hamper quality of life by bothering).
It’s advisable to get the following tests done to understand the situation better
1. Thyroid profile
2. Holter monitoring
Kind Regards
Above answer was peer-reviewed by :
Dr. Saisudha Kotla
So you said the majority of the cases these are harmful. My question is, when the tachycardia happens, because these are PVCS, the tachycardia is almost certainly a VT. Would you agree with that?
Brief Answer:
My apologies that’s a typo
Detailed Answer:
I am extremely sorry for the typo (typing error). I wanted to say “these are HARMLESS in majority of the cases.
Kindly get the above mentioned tests done and revert back with reports.
By the mean time you should continue with the prescribed medication, as that will help keep the vpcs in check. No these are not VT.
Regards
My apologies that’s a typo
Detailed Answer:
I am extremely sorry for the typo (typing error). I wanted to say “these are HARMLESS in majority of the cases.
Kindly get the above mentioned tests done and revert back with reports.
By the mean time you should continue with the prescribed medication, as that will help keep the vpcs in check. No these are not VT.
Regards
Above answer was peer-reviewed by :
Dr. Nagamani Ng
One more follow up, if you please. I know the PVCS are not VT, but when I get the fast tachycardia at 140bps, I am assuming that THIS is the VT since it is related directly to the PVCS?
Brief Answer:
Hello again
Detailed Answer:
See there are specific and stringent criteria’s for diagnosis of VT (as it is a medical emergency). All tachycardia’s are not VT.
Your ECG finding which you mentioned earlier DO NOT suggest any such arrhythmia like VT.
I hope this clarifies your doubts. Still I urge if you can arrange your ecg tracing please do share.
Regards
Hello again
Detailed Answer:
See there are specific and stringent criteria’s for diagnosis of VT (as it is a medical emergency). All tachycardia’s are not VT.
Your ECG finding which you mentioned earlier DO NOT suggest any such arrhythmia like VT.
I hope this clarifies your doubts. Still I urge if you can arrange your ecg tracing please do share.
Regards
Above answer was peer-reviewed by :
Dr. Saisudha Kotla
Finally got My EKG report and attached it.
Thank you!
Thank you!
Brief Answer:
ECG attachment not found
Detailed Answer:
Hello, except your previously attached pdf summary I’m not able to see any other attachments. May be due to some technical issues it didn’t got uploaded.
Kindly retry or mail it to support team at YYYY@YYYY and address it to my name: Dr Bhanu Partap.
Regards
ECG attachment not found
Detailed Answer:
Hello, except your previously attached pdf summary I’m not able to see any other attachments. May be due to some technical issues it didn’t got uploaded.
Kindly retry or mail it to support team at YYYY@YYYY and address it to my name: Dr Bhanu Partap.
Regards
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
Attached again.
Brief Answer:
Thanks
Detailed Answer:
Hello, these are just premature ventricular beats. However as these are bothering you so it’s advisable to follow up in out patient department as some work up will be needed.
1. Echocardiogram
2. Thyroid profile
3. Holter monitoring
Regards
Thanks
Detailed Answer:
Hello, these are just premature ventricular beats. However as these are bothering you so it’s advisable to follow up in out patient department as some work up will be needed.
1. Echocardiogram
2. Thyroid profile
3. Holter monitoring
Regards
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
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