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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Atrial And Ventricular Ectopics On Holter Test?

My husband is 54 yrs of age, weighs abt 72kg & height is 1.75m. He is on maintenance dose of thyrozol for hyperthyroidism & has unsustained atrial & ventricular ectopics. His Holter report shows ventricular salvos (2 couplets & one occasion of 3 hits) at 2 periods of the day when his stress level was somewhat higher than normal. He is on 1/2 tablet of Concor & 1/2 tablet of Crestor (I can't remember exact dosage but is not a high dosage). His BP is not high, systolic is around 115-125, diastolic is around 70-80. Occasionally, his BP can b slightly higher or even lower. His doctor doesn't think it's necessary to increase his Concor as his BP is alrdy quite low at times.

His echogram shows no abnormality & his CT scan done in 2007 shows a calcium score of "0" though there is some uncalcified plague. His cholesterol is 148 mg/dL, HDL 47.48mg/dL & LDL 81.06 mg/dL. Is there any reason for us to worry abt my husband's heart condition for the time being? Should i worry abt a potential heart? He feels no symptom at all during the times the salvos were recorded by the Holter. His doctor thinks the salvos are not frequent, so will see my husband only in 6 months' time.
Mon, 18 Feb 2019
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General & Family Physician 's  Response
Hello,

I do not think is a serious problem since the patient has no symptoms at all. I recommend your husband to do a thyroid gland control (TSH, FT4) to see if there is a need for dosage change in thyroid medications, since thyroid may cause ectopic beats. Meanwhile seeing a cardiologist in 6 months is enough.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Anila Skenderi, General & Family Physician
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What Causes Atrial And Ventricular Ectopics On Holter Test?

Hello, I do not think is a serious problem since the patient has no symptoms at all. I recommend your husband to do a thyroid gland control (TSH, FT4) to see if there is a need for dosage change in thyroid medications, since thyroid may cause ectopic beats. Meanwhile seeing a cardiologist in 6 months is enough. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Anila Skenderi, General & Family Physician