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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Chest Pain And Palpitations Be Managed While Suffering From Premature Ventricular Contraction?

Hello my 15 year old was Dx with atypical PVCs she wore a holter monitor for 30 days and I was told 1/3 of all her heartbeats are PVCs. She didn’t feel these until she was told she has them. She had a stress test her heart went back into normal rhythm. They did an MRI and found a possible enlarged left ventricle this may be artifact. She has told me she feels chest pain and her heart beat over her whole body and gets warm. I was told they are going to use medication. Lopressor didn’t work and made her have bradycardia and her hands and feet were freezing. She is not athletic I just really would like some thoughts.
Wed, 12 Sep 2018
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General & Family Physician 's  Response
Hi,

I think that she needs low dosage of beta-blocker as Metoprolol once a day. Also add anti-axiety drug as tablet Clonazepam as it is also needed. Ask her to avoid tea, coffee, energy, and soft drinks. She must try meditation.

Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. Varinder Joshi , General & Family Physician
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How Can Chest Pain And Palpitations Be Managed While Suffering From Premature Ventricular Contraction?

Hi, I think that she needs low dosage of beta-blocker as Metoprolol once a day. Also add anti-axiety drug as tablet Clonazepam as it is also needed. Ask her to avoid tea, coffee, energy, and soft drinks. She must try meditation. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Varinder Joshi , General & Family Physician