Palpitations, Chest Pain, Done Tilt Table Test, Mitral Valve Regurgitation, PVCs, Tachycardia. VTACH?
palpitations
chest pain
lightheadeness
weak muscles
weak arms
fatigue
exercise intolerence
stress intolerence
anxiety
short runs of tachycardia
headaches
heat intolerence
hot shower intolerence
exercise and stress make it so much worse.
So what could this be? is my doctor right that it is not life threatening? Is this VTACH?
Thank you for your query.
You have provided with very good information, but I would like to know some more things to suggest you better.
1. I would like to see the ECG and if possible the graphs of the 30 days monitor which shows the Arrhythmia. You have a feature to upload the reports / image by yourself at the right side of the query page, please utilize that.
2. I would also like to know the full report of the echocardiogram that was done.
3. May I know your age and current medications you are on?
Ventricular tachycardia is of many types. Though many types are life-threatening, there are forms of VT which are relatively benign. It may even be possible to do curative Radio-Frequency Ablation for certain types of VT.
You could also modify your lifestyle, avoid excessive stress, avoid caffeine, avoid late nights, get a good night's restful sleep and do slow breathing exercises, which might help to reduce the frequency of the palpitations.
Drugs like Beta Blockers, Amiodarone, etc can also help, if indicated. A complete cardiac electro-physiological study with VT induction and mapping in the EP (Electrophysiology) lab can be done, if the results of other non-invasive tests indicate it. This would give a complete diagnosis of the Arrhythmia, and in many cases, ad-hoc RFA (Radio Frequency Ablation) can be done.
Kindly get back to me with the reports that I have asked for, so that I can give you a more specific answer on what kind of arrhythmia it is.
Regards,
I was attempting to get an ECG from my doctors office but was unsuccessful in obtaining this information, I am sorry I did try very hard as I trust your opinion and would love for you to review my ECG, the information they did give me was that I have PVCS somewhat frequently usually only isolated, and that once or twice a week it seems like I have very short runs of Wide-Complex Tachycardia that has not been more then 10 beats at a rate of 150 beats per minute. I want to give you more info so that you can better help me but I couldn't seem to get much more from my doctor, he assures me that it is not life-threatening and that medication is only to relieve my symptoms that it is not required really. What do you think I should do, should I see a different Cardiologist here in town? Would you recommend treatment?(ablation)
It appears that you have a benign arrhythmia only - the rate is not fast (150bpm) and it is not sustained (not >10beats, probably lasting <30 seconds). That is probably the reason for a reluctance to do invasive testing and ablation, since the intervention would entail some amount of risk.
All types of ventricular tachycardia (VT) are not necessarily malignant. Especially since you are only 17years old and with a structurally normal heart without the scarring associated with ischemic heart disease, relatively harmless arrhythmias are more common.
Therefore, it is a good idea to consider conservative management with attention to the preventive steps that I had mentioned earlier and if required, some drugs to control the symptoms. You could always go in for a more invasive form of treatment if you remain symptomatic or develop further arrhythmias, especially if you develop giddiness and sustained palpitations. If you are extremely worried (you needn't be), you can take a decision after taking into account the results ofa detailed Electrophysiological study.
I hope this helps.
Regards,
Dr RS Varma