daughter almost passing out

[momma2abcd]

my 14 daughter has had 3 bouts of almost passing out, weak, recently since august 09 and a couple of others over the past two years. she would do this during  or just after running in PE. her EKG was abnormal, the EKG Interpretation was

Rate 80......sinus rythym rate 80
pr 152 .......ventricular premature complex.........RR =100
QRSD 96....... RVH voltage criteria.......
QT 346..........Probable right ventricular hypertrophy........RVH voltage criteria only
QTc 459........consider left atrial enlargement..................P=44mS IN v1

This was done about 4 hours her spell at school She also had complete blood work (her white cells count were up) sugar levels were fine. She had an EEG that was normal. All done the same day.

she went to the cardiologists and he said he hears a swoosh sound and said she has a hole in the heart and needs to do an echocardigram to see the hole and if it needs repair or just watch it every year to make sure it stays small.

well the echo came back normal and said she has no hole and no need to follow up.

well  today she had the same problem while running. Once she stopped and relaxed she was fine. she is healthy, no colds or anything else going on.

Should I get a second opinion? or what is your opinion.

Thank you,
Crystal

[Lisa33167]

Crystal, did the cardiologist suggest for her a tilt table test? this is usually done to rule out certain things for syncope or pre-syncope (fainting/pre-fainting)

It may lend some answers as to why this is happening. I remember fainting & dizzy spells as young as 9 and passing out in middle school in PE.

[momma2abcd]

No they didnt, they told her to eat more salt.

But I called her peds Dr and she called back yesterday evening and said that the cardiologist shouldnt of had said it was normal cause it stated that the findings were incluclusive basically cause the tech had such a hard time that day getting good angles of her heart. so the peds dr is referring her to a different dr. the report said it seen something but couldnt get a good visual. her peds dr was pretty upset that they said it was normal. Only because they didnt have good pictures.

Thanks for reading

[Lisa33167]

Just my experience, but with contradicting drs I would get another opinion away from an affiliation or suggestion of either dr.  That's just my opinion and what I would do, that way a dr isn't influenced by the other - sometimes the followup dr just looks at what the referring dr says without full workup.

Depending on how your insurance is and if you need a referral from her gp, you could make an appt for a 2nd opinion with a cardiologist outside of either office.  I would tell the new one what's going on with fainting/dizzy etc and take the previous results to them.

I've fainted since I was 9 and just now at 42 told fainting/dizzy spells are never "ok" as I've been told they were by many other drs.

Now they just need to find out why for your daughter, a TTT will most likely tell that - or it could be something else totally causing the problem.  Either way, she needs to be dx and safe from fainting and maybe hurting herself; I tend to take some really inopportune "naps".

The problem with increasing salt is you have to get high in numbers to see the effect most time AND it can deplete the body of alot of valuable nutrients and cause heart problems or high blood pressure.  

I don't know the recommendation for teens but for me my dr said 6,000mg sodium or more a day; which is crazy but sometimes even I get dizzy - there are some that say up to 10,000 mg a day (it's in my cardiomyopathy post) is ok before you affect the heart, but I'm leery to believe that.

To counteract salt, did they also tell you that she needs to drink ALOT of fluids? - I was told 2 liters of water a day min and also the recommendation is for protein (also in my CM post)  
You may want to see if anyone else has any answers or recommendtions, but those are some things I would ask.

[momma2abcd]

well  this cardiologist was outside of the GP. Her GP dr was even upset by it.

I make sure my kids get certain nutrition and drink lots of fluids daily as much as I can. No soda in the house.

I agree, I dont think fainting spells is reallly okay. Unless she has vertigo or something like it.

The Cardio Dr. seems to think she is dehydrated but I dont think so. Even her GP dr doesnt think so. The cardio Dr opinion never sat right with me and I cant wait to get a second opinion.

I know I was diagnosed with MS 2 ye ars ago and the nuero dr said there is no  way I could have two major desieases and when I got diagnosed with MS he said "well things like this can happen" then he gave meds that could cause seizures to worsen so I got a second opinion and like the MS specialist and he even said that he would not even think of me being on rebif. Some Drs, you just never know what they think what they do.

Thank you for your help!

[momma2abcd]

Well my daughter went to a different peds cardiologist today. well everything was fine, her ekg was not accurate I guess according to the findings listed above. BUT the Dr wanted to check her aeorta valve root and it messures 2.4 so it is abnormally on the larger side. So she needs to go evry year to have it checked. This had nothing to do with her almost passing out though cause passing out is normal for teenagers.

So we will see what happens in a year.