A member asked:

J point slurring lateral/inferior demonstrating erp.2 documented cases of monomorphic nsvt. structurally normal heart. ep is not worried. should i be?

2 doctors weighed in across 2 answers
Dr. Saptarshi Bandyopadhyay answered

Specializes in Hospital-based practice

Not at this point: While u have some minor EKG abnormalities (J-point ERP may b age-related & inconsequential), @this point, there's not much to be done about them. Monomorphic NSVT, especially since it's not sustained, cannot really be predicted & may b a response to exercise, illness, electrolyte imbalance, etc. U shd get periodic (every few yrs) checkups w/ a cardiologist 2 make sure; however, nothing 2 do now.

Answered 10/2/2015

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Vent tachycardia: Relatively uncommonly ventricular tachycardia may occur in individuals with structurally normal hearts. This is known as idiopathic ventricular tachycardia and in the monomorphic form coincides with little or no increased risk of sudden cardiac death. In general, idiopathic ventricular tachycardia occurs in younger individuals diagnosed with VT. While the causes of idiopathic VT are not known, in general it is presumed to be congenital, and can be brought on by any number of factors. You should confirm that this is the thinking of your cardiologist and electrophysiologist. In general, ventricular tachycardia can be a serious condition which bears careful watching and followup.

Answered 12/25/2018

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