ARVD?

[cookienkikin]

im a 24yr old male, and had echo's, stress test, stress echo, holter monitor and event monitor, and everything was PERFECT besides on the event monitor i had PVC's, and a 25 beat run at 127 bpm, of Ventricular Tachycardia. Dr said he thinks it is Idiopathic ventricular tachycardia, he wants to do an EP study to be safe and possibly a ablation. Does it mean since i had that run that my heart is more prone to ventricular fibrillation and SCD? Do you think it is possible to have this and it be benign?

could it be Arrhythmogenic Right Ventricular Dysplasia/Cardiomyopathy? how would that be diagnosed? would that fit my symptoms of chest pain and the PVC's and VT and other symptoms that I feel? im REALLY concerned about could it be Arrhythmogenic Right Ventricular Dysplasia/Cardiomyopathy!!

Just how benign is "Idiopathic Ventricular Tachycardia"? Can it develop into V-Fib? do you know if its possible for me to have right ventricular dysplasia that causes right outflow ventricular tachycardia? would the test that ive had, have caught any of these diseases? im just so scared of SCD and want to know whats going on. i have the palpitation feelings all the time and a funny feeling in my chest over my heart, and a funny feeling in my throat from these palpitations. I also been having angina like pain, chest, left arm for like 2 yrs but a normal work-up with the above test? does this mean anything since the V-tach was found? is that long of a v-tach run lethal or can become lethal?? me and my fiance are about to have a baby any day now and i want to be there for them. please help

It seems like since this all has started, the left side chest pain and the palpitations, PVC's etc., it has just been getting worse over time, I know that ARVD is a progressive disease and this is the only thing that I'm SUPER concerned about, is anything that could suggest ARVD, such at eplison waves, inverted waves in the wrong spot on an ekg or event monitor.  Please give me some info on this subject.

Does any of this sound like it could be ARVD? Would it be best to have a cardiac MRI or a EP study? Another EP I seen said on my v-tach run it was "Right Ventricular Ventricular Tachycardia", does that sound dangerous or like ARVD?

[ChatterAlly]

I find it hard that you are still obsessing with this!  Why anyone would WANT to have a life threatening condition is beyond comprehension to me!  I would love to be told that I am fine and in great shape!  Why won't you trust what you have been told over and over and over again?  You are tlaking a lot of your symptoms into existence by what you are reading.  Take care and enjoy life!!! Ally

[is_something_wrong]

I completely agree with Jon.

Why on earth did you talk yourself into having ARVD now?

I don't know why I'm doing this (it won't help anyway) but ARVD is clearly seen on echo, as a malfunctioning right ventricle, dilated, low RVEF, and with aneurysms. It's often seen on EKG as locally widened QRS complexes and inverted T waves (in V2-V3 showing RV) and sometimes the "epsilon waves" you mention.

It's possibly hard to differ ARVD from dilated cardiomyopathy and possibly myocarditis on echo (sorry if I gave you two other dx to worry about now), but there WILL be changes and with ARVD your echo is NOT perfect.

Anyway, do you REALLY believe your cardiologist wouldn't see this on EKG / echo?

Do the EP study and if everything is OK, I would recommend some therapy where you could talk to both cardiologists and psychologists, preferrably a consultation where they both are present. I think your anxiety about heart disease is too strong to be handled by a psychologist alone

[erijon]

I'm not going to try an answer your question again as you'll just go back on the Internet and find another life threatening condition that you'll talk yourself into having. This question has been asked multiple times to multiple doctors on multiple websites and all say you're fine, I can't top that.

I would like to say one thing, I noticed you posted this again on the expert forum. Please keep in mind that the forum rules limit an individual to 2 questions every six months. When you exceed that you are taking the opportunity for another individual to ask a question. Yours has been answered enough times, let others post.

I've told you before as have others, you need to focus on your anxiety, not your heart, it's fine.

Jon