Dr. Vivek S Narayan Pillai
Cardiology
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
Answered by
Medically reviewed by
Patient's Query
Hi doctor,
Post MI (after one year) ventricular bigeminy is diagnosed. I am describing my cardiac problem. Please give your valuable suggestion. My problem is exactly one year back which was MI. Treatment started after 20 minutes with Reteplase and other drugs. Next day at 9 AM, I underwent angiogram and noticed RCA 99 % block, kept stent. After six months, I developed ectopics around 20 per minute. The drugs were changed to Bisoprolol, Metoprolol, Sotalol but there was no use. The cardiologist advised for EP study. What next? Do I need a device? I am sending briefly about my cardiac MR study and Holter report.
Hello,
Welcome to icliniq.com.
I have gone through your reports (attachment removed to protect patient identity). Most probably, these VPC (ventricular premature contraction) are due to the scar in the RV (right ventricle). As advised by the cardiologists, I would also advise an EP study (electrophysiology studies), which, if positive, that, induces a VT (ventricular tachycardia) which needs an ICD (implantable cardioverter-defibrillator) implantation. The second option is ablation of these VPC's. It works better if you have a structurally normal heart, but you have LV (left ventricle) dysfunction. Also, ablation is fine if you have recurrent ICD shocks. So summing up, I would advocate an ICD if VT is induced.
Was this conversation helpful?
Same symptoms don't mean you have the same problem. Consult a doctor now!
Cardiology
Related Questions
Heart Healthy Foods
I sometimes have a weird heartbeat that feels like a big thump. Should I worry?
Is the heart muscle becoming too weak?
I have a family history of HOCM. Is this something to worry?
I experience premature ventricular contractions. Will it ever go away?
Is it safe to exercise if I do not have structural heart problems?
Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.
This website uses cookies to ensure you get the best experience on our website. iCliniq privacy policy
