Doctor insights on:
Ventricular Escape Rhythm Treatment
Dr. F. discussed: Acute care. At the time of discharge from the NICu, an MRI of the brain is most predictive of outcome. The NICU will give you contact info for your state's Early Intervention Program. Enroll your baby & start services right away, even though you probably won't see any signs of motor impairment, as Occupational & Physical Therapy can minimize development of abnormal motor patterns. ...Read more
Rhythm "any regular recurring motion, symmetry may be generally defined as a movement marked by the regulated succession of strong and weak elements, or of opposite or different conditions, this general meaning of regular recurrence or pattern in time may be applied to a wide variety of cyclical natural phenomena having a periodicity or frequency of anything microseconds ...Read more
What is hyper densities in periventricular white matter ischemia? Is it a serious problem. What is the treatment?
Please tell the treatment of " chronic infarct in left periventricular white matter in frontal region with age related gross diffuse cerebral atrophy"?
Typically, if your child requires closure of his/her vsd, the proper therapy is open heart surgery. However, the outcomes of surgery are better than in the past, with safer anesthesia, improved cardiopulmonary bypass, better critical care, and less morbidity.
It is not typical for catheter-based closure to be appropriate for vsds in children. ...Read more
Right ventricle: R vent conduction delay, or right bundle branch block, can be a incidental finding without any effects, but also can be seen in some structural heart problems, like atrial septal defect (hole in atrium septum). A cardiologist can help, perhaps with an echocardiogram of the heart to rule out structural problems. ...Read more
Peds cardiologist: Treatment will depend on the underlying reason for right ventricular conduction delay in a 6 year old. See a pediatric cardiologist for discussion on treatment options. Miami, FL came up as your location, if so, ask your pediatrician for a referral to the Miami Children's Hospital Pediatric Cardiology Department or another cardiology group. ...Read more
LVAD: LVAD can be bridge and in some patients can be destination therapy and used as a long term therapy. I would call any of the close major medical center who have a LVAD program and seek their input. ...Read more
Hard to answer: There are hundreds if not thousands of abnormal heart rhythms. Rapid heart types are usually called tachycardias and slow heart types are called bradycardias. There is a lot of variability in between. Your pcp is a great place to start and depending on what they say, may refer you to a cardiologist or other heart specialist. ...Read more
Does an implanted loop monitor send irregular heart rhythms to a monitor who would notify me if further treatment was needed?
Loop: The implanted recorder does what you ask. ...Read more
My gma was diagnosed with a-fib today. If she converts back to normal heart rhythm with treatment, how likely is it that the a-fib will come back?
My father is on rhythm control for Afib by betaloc 50 and cordarone (amiodarone) 200mg he also took aspirin&plavix is this treatment good his age is72 hypertensive?
A Fib Rx: The only one who can answer if this Rx is "good" for your father is his local team who knows him best. There are just too many issues related to his problem that we do not know. So go talk to them with him. ...Read more
After 16 w of HCV treatment, stopped due to huge constant pain in heart. I had EKG and it showed normal sinus rhythm, septal infarct age undetermined.?
Work up: I am assuming you were treated with PEG INF and ribavarin combo. At age 26 having a septal infacrt is very rare. Suspect the EKG needs to be repeated and if shows the same changes then seeing a heart doc would be an option. Heart disease in your age and gender is almost unheard of. Best of luck. ...Read more
My husband has angina he has recently been diagnosed as having sinus rhythm with some ventricular ectopics is?
Not sure of?: Not sure of question but beta blockers would be potential treatment for both. ...Read more
Final pathway: Ventricular fibrillation is the final step before a heart stops beating. Any heart that has not gotten enough blood flow or oxygen for a prolonged period of time will begin fibrillating followed shortly by asystole (no beating at all). In a sense, ventricular fibrillation is the final step every heart likely goes through before it stops beating. ...Read more
What does it means when ECG stated : atrial-ventricular dual-paced rhythm? Is it abnormal? I'm wearing dual chamber pacemaker.
Interpreting hard: It is hard to interpret an ECG once a pacemaker is implanted. Your electrophysiologist (EP - or cardiologist who implanted the device) wd b a better source of information. In general, A-V dual-paced rhythms on ECG mean that both wires on the pacemaker r working or firing. Thereafter, interpreting the pattern of 'squiggles' on the ECG requires knowledge of ur pre-implant ECG & ur specific condition ...Read more
I have a Holter test result: Normal sinus rhythm with occasional premature atrial complexes and rare premature ventricular complexes, please explain.
This is a very: Normal report. It means that your heart beat originates from the appropriate place most of the time but you have occasional extra heart beats that come from the top as well as rare ones that come from the bottom of your heart. We ALL do! No worries. ...Read more
If someone's heart stops from ventricular fibrillation, will a defibrillator restore heart rhythm or is it too late?
ICD: Icds are implanted to monitor the electrical activity of very abnormal hearts to see if a life threatening rhythm occurs. If it detects one of these rhythms, it will charge its capacitor and fire a shock to defibrillate the heart back to stable rhythm. In appropriate patients these devices save lives. ...Read more
What do you advise if I was diagnosed with premature ventricular contractions, meaning irregular heart rhythm.?
Speak to cardio: There are several forms of PVC if you are having several a minute spaced apart then there is little to worry about or do. If they are occurring two or three in a row then you should consider medication or a conduction study. Discuss this with a board certified cardiologist ...Read more
They did an ECG and on the report it says "left atrial abnormality", "Sinus Rhythm", "Probable right ventricular hypertrophy" Am I safe? Should I worr
This are changes observed in particular leads and not absolute but suggestive (depending on the criteria).
Left Atrial abnormality maybe is suggesting hypertension or another etiology that increased pressure. This could be backing up to the RV and cause hypertrophy.
If that is the case you would Short of breath or have some difficulty breathing. More info needed to answer properly ...Read more
Male 22 laid in bed heart rate 49, sinus rhythem. No symptoms. Average fitness. Any need for treatment? Also has postural orthostatic tachycardia synd
None.: There is nothing abnormal about a resting heart rate of 49/minute when one is lying supine. One with your history should exercise regularly, keep yourself well hydrated and treat only symptoms which might be related to your "pots". ...Read more
I just had a ecg today and it said on the sheet Sinus rhythm, left ventricular hypertrophy, ant/septal and lateral ST-T changes may be due to hypertrophy and/or ischemia, abnormal ecg. My doctor told me my heart was ok! I had a quad by pass 1 year ago als
ABN ECG after Bypass: Doctor prob means there's no ECG changes from a year ago. ECG was prob abn before Bypass, & worse after. Important questions are answered on Stress test & Echo, & not unreasonable to have a year after Bypass. Important questions are whether you experience unexplained breath shortness or chest/arm discomfort w exertion. Once an ECG is abnormal one can only compare with previous ones (weak test) ...Read more
I do not think so:
Absolutely not. This is the most dangerous arrhythmia one can have because it can quickly deteriorate to asystole.
V-fib is a shockable rhythm and a victim will most likely be pulseless. It must be treated with defibrillation, cpr, epinephrine/vasopressin, amiodarone, Lidocaine and/or magnesium. It's not something you can treat at home with a cup of herbal tea. And anyway, you'd be unconscious. ...Read more
Moms holter test shows ventricular ectopic beats. In 89307 beats total aw 133, isolated 112, pairs 4, abberant 0, runs 3&run beats 13.rhythym is sinus. Help?
Not enough info: What distinguishes the significance of a rhythm disturbance is what the condition of the heart is, not the rhythm per se. Your mother needs an evaluation which includes information about how strong her heart is and whether she has evidence of blocked arteries. Other considerations are what meds she takes, her use of nicotine, alcohol and caffeine, and what symptoms, if any, she has. Warm wishes. ...Read more
Mom Holter test. Ventricular ectopic beats. Supraventricular summary 89307 beats total133, isolated112, pairs4, abberant0, runs3 run beats13.rhythym sinus.
Holter results: Inspection of relevance ECG tracings is necessary for appropriate interpretive report. ...Read more
Some, plus drugs: Depending on the cause & severity of the arrhythmia, relaxation techniques (medication, yoga, tai-chi) may be useful. Some anti-anxiety medications can be helpful as well. Beta-blockers are often used. Serious anti-arrhythmic agents are available, but some rhythm problems, especially in younger patients, may be amenable to electrophysiologic rx, like ablation, rather than lifelong drug therapy. ...Read more
Too broad: Too broad of question. Please let us know what type of arrhythmia and the treatment recommended and perhaps we can answer you better. ...Read more
Salvage chemotherapy is aggressive chemotherapy that is used when other treatment methods have been tried and failed, This is rather radical treatment and has high side effects. It is an attempt to control the cancer when nothing else will. Low response rate.
Best wishes in this regard. ...Read more
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