A member asked:

What testing is required to determine if a teen has structural heart disease? 2 runs of non-sustained v-tach on 24 hr. holter monitor & 50 ectopics.

2 doctors weighed in across 2 answers
Dr. Volkan Tuzcu answered

Specializes in Pediatric Cardiology

Vt PVC : Echo and sometimes MRI , are these monomorphic VT, how is the Ecg during vt or pvcs , these are important to see whether MR is necessary or not, how is exercise test response ?

Answered 7/23/2015

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Dr. Ira Friedlander answered

Specializes in Cardiac Electrophysiology

EKG and ECHO: Start with an EKG and an Echocardiogram. This will exclude structural heart disease and worrisome potential arrhythmia substrates. If there is any evidence for abnormality on these then a cardiac MRI would be indicated. In a structurally normal heart the frequency of your ectopics and 2 (assuming short) runs of NSVT are not worrisome or predictive of bad outcomes.

Answered 2/9/2021

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