Ventricular tachycardia (VT) is a heart rhythm problem or arrhythmia that results from abnormal electrical activity in the ventricles (lower chambers of the heart). It might result in shortness of breath, dizziness, chest pain, loss of consciousness, and heart attack in some.
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Kindly share your opinion about my ventricular ectopic beats and VT.
Query: Hi doctor, Recently, I had a Holter monitor, which showed 7000 ventricle ectopic beats and a few short runs of VT, only four beats or less than that. My doctor has referred me to a cardiologist. When I asked if it is dangerous, she said no and said that I could exercise. Is that true? I am extremely... Read Full »
Answer: Hi, Welcome to icliniq.com. Ventricular ectopics are abnormal beats, which have their origin in the ventricle chamber of the heart. A few ventricular ectopics are a common finding, but 7000 ventricular ectopics cannot be neglected. VT (ventricular tachycardia) of less than 30 seconds is called non-... Read Full »
Do my cardiac issues put me at risk for sudden cardiac death?
Query: Hello doctor, I have a long, complicated cardiac history and currently seeing a cardiologist. It started with chest pains, and I ended up having an episode of NSVT last year. I am now on Bisoprolol and Amlodipine. The cardiologist thinks my condition is coronary artery spasm and just an ectopic focu... Read Full »
Answer: Hi, Welcome to icliniq.com. An excellent narrative history. I think you had only one episode of tachycardia of ventricular origin, which was nonsustained. Other reports of few years are not justified with the ventricular tachycardia. You might be having an idiopathic origin of ventricular tachy... Read Full »
My heart monitor test showed that my lows are between 40 to 60, and my highs are above 120. Why?
Query: Hello doctor, I had VT in my sleep a few months back and was admitted to a hospital. I am consulting a cardiologist regularly. He said that I did not not have any problems with my valves. I have a cardiologist appointment this week to check the electrical currents in my heart for the second time. My... Read Full »
Answer: Hello, Welcome to icliniq.com. I understand your concern. Antipsychotics and antidepressants can cause electrical abnormalities in the heart and can lead to VT (ventricular tachycardia). Heart rate may drop to 40 and even 30 beats per minute during sleep, which is normal. During waking hours, hea... Read Full »
I get frequent palpitations. Is it serious?
Query: Hi doctor, I frequently get palpitations, usually a few times a day. I had a 24-hour ECG a couple of years ago. My general practitioner said it just showed some ectopics. However, I do get runs of palpitations lasting several seconds which make me feel light-headed. I can usually stop the run by co... Read Full »
Dr. Hafiz Muhammad Hassan Shoukat
Answer: Hi, Welcome to icliniq.com. Yes, I would say palpitations with light-headedness likely indicates some serious kind of arrhythmia. You are lucky that in 30 years, you did not pass out but there is a risk that this kind of arrhythmia can be fatal. I would suggest visiting cardiologist. Repeat EKG and ... Read Full »
What does nonsustained ventricular tachycardia with orthostatic hypotension mean?
Query: Hello doctor,I was recently diagnosed by my cardiologist with nonsustained ventricular tachycardia, unspecified syncope type, and orthostatic hypotension. Also, during an echocardiogram, it was reported. I was recently diagnosed by my cardiologist with nonsustained ventricular tachycardia, unspecifi... Read Full »
Answer: Hello, Welcome to icliniq.com. When was it diagnosed? Yes, during the episode of ventricular tachycardia you may feel syncope and palpitations due to reduced stroke volume. You may get the tilt table test done, 24-hour ambulatory blood pressure, ECG monitoring is useful. Do not worry, mild MR, TR ... Read Full »
What could be the cause of ventricular fibrillation?
Query: Hello doctor, My 29 year old brother had a pacemaker placed three years ago after survival from a sudden cardiac arrest. Doctors found the cause of the cardiac arrest to be a ventricular fibrillation. Last week was the first time he received a shock from his pacemaker, that is, exactly three years... Read Full »
Answer: Hello, Welcome to icliniq.com. Ventricular fibrillation, the commonest cause is coronary artery disease. The other causes are dilated cardiomyopathy or low heart function. What is his ejection fraction? Low ejection fraction due to any reason like coronary artery disease or others can lead to ven... Read Full »
How do I get my heart rhythm back to normal without cardioversion?
Query: Hello doctor, I have a history of SVT, which converted into Afib. I tried all at-home solutions to get my heart back into a sinus rhythm. I am trying to avoid cardioversion as I am traveling internationally right now. I took medication ten years ago, which helped me to get my heart rhythm back. I... Read Full »
Answer: Hi,Welcome to icliniq.com.I hope you are doing good.For your problem, the treatment of choice would be RF ablation (radio frequency) after an electrophysiological study (EP study). For paroxysmal AFib (atrial fibrillation), there are pills like Propafenone or Flecainide. Take a single dose at the ti... Read Full »
Is it dangerous to have ventricular ectopic beats at 28 years of age?
Query: Hi doctor, I am a 28 year old male. My ECG shows ventricular ectopic heartbeat of 56 beats per minute. What should I do? Is it dangerous? Read Full »
Answer: Hi, Welcome to icliniq.com. At the age of 28, ventricular ectopic beats are really dangerous. The most common cause of ventricular ectopic beats is myocardial ischemia. You have not mentioned your smoking history and your anxiety levels. High levels of anxiety can cause ectopic beats. A detailed hi... Read Full »
Do my symptoms point toward ARVC?
Query: Hi doctor,I am 25 years old,male,had PSVT and did an RFA surgery two months back,caught a VT during Holter recently,UCG clear,MRI says left ventricular septum thickening about 20 percent. The local doctor thinks it is a viral myocardity,another doctor that I know says he saw of QRS and h... Read Full »
Answer: Hello, Welcome to icliniq.com. Firstly, the possibility of ARVC (arrhythmogenic right ventricular cardiomyopathy) is less. MRI or echo would pick changes in the right ventricle. I guess right ventricle is normal on echo and MRI so unlikely to be ARVC. Next thing, you mentioned about thickening of... Read Full »