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What Causes Ventricular Bigeminy?

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Posted on Thu, 21 Jan 2016
Question: I have been diagnosed with bigeminy. Can you tell me something about it

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Answered by Dr. Dr. Meriton Siqeca (11 minutes later)
Brief Answer:
Medically treated

Detailed Answer:
Hello. Thank you for your question and welcome to HCM. I understand your concern.

Ventricular bigeminy is a phenomenon that is comprised by every normal sinusal electrical strike being followed by an ectopic ventricular beat. It may come as a result of some diagnoses by, most often, by enlarged heart (dilated cardiomyopathy). Why is this important? It is important because, although not often, it can exacerbate malignant, serious, life-threatening, ventricular arrhythmias. Therefore, they should be treated and surpressed. I recommend you to consult with your cardiologist. I would recommend you amiodarone (Cordarone) as treating and surpressing drug for this arrythmia, but it has a pattern of loading and maintaining dosage, for which I would recommend you to speak with your cardiologist. Depending on various doctors, personal experience should be respected.

I hope I was of help. I am happy to help, if you have further questions. Please rate the answer, if you do not.

Best regards,
Dr. Meriton
Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
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Follow up: Dr. Dr. Meriton Siqeca (14 minutes later)
I think the side effects of amiodarone are probably more dangerous than the bigeminy.
doctor
Answered by Dr. Dr. Meriton Siqeca (33 minutes later)
Brief Answer:
Propafenone

Detailed Answer:
Welcome back!

Everyday experience if a doctor is in a careful weighing of risks versus benefits of a certain drug. Amiodarone, indeed, has side effects, but in preventing sudden death from a potential life-threatening, my opinion is that Amiodarone is benificial. An alternative to amiodarone is propafenone, if the use of amiodarone is worrisome to you, regarding side effects.

I hope this helps.

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

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
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Answered by
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Dr. Dr. Meriton Siqeca

Cardiologist

Practicing since :2009

Answered : 775 Questions

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What Causes Ventricular Bigeminy?

Brief Answer: Medically treated Detailed Answer: Hello. Thank you for your question and welcome to HCM. I understand your concern. Ventricular bigeminy is a phenomenon that is comprised by every normal sinusal electrical strike being followed by an ectopic ventricular beat. It may come as a result of some diagnoses by, most often, by enlarged heart (dilated cardiomyopathy). Why is this important? It is important because, although not often, it can exacerbate malignant, serious, life-threatening, ventricular arrhythmias. Therefore, they should be treated and surpressed. I recommend you to consult with your cardiologist. I would recommend you amiodarone (Cordarone) as treating and surpressing drug for this arrythmia, but it has a pattern of loading and maintaining dosage, for which I would recommend you to speak with your cardiologist. Depending on various doctors, personal experience should be respected. I hope I was of help. I am happy to help, if you have further questions. Please rate the answer, if you do not. Best regards, Dr. Meriton