bigeminy trigeminy PVC

[drsure]

Hi,

My son who is 8 years old was diagnosed during normal physical check up that he is having irregular heart rhythm and subsequently by a cardiologist that he has bigeminy, trigeminy and PVC. Right now he is alright. What precautions should I take for him and doctor sheduled treadmill next week. I am much upset. Can any one suggest me what will happen to him in the future and how to keep his health safe

[drsure]

Thanks for your comment. I will update his results. I found his pressure were high (130 -sys) on that day of testing. But doctor did not comment on that.

[Mom2four85]

Sorry to hear your son is going through this, has he been having any other symptoms or complaints?

I think you will find alot of us pvc sufferers have had bouts of them since childhood, and adult stressors only make them worse.

If you haven't, get his records from the doctors and check them out for yourself.  Sometimes just reading the results are confusing, but may help to alleviate some of the anxiety over what's going on with him.

Stress test, ekg's, echo, 24 hr Holter Monitor or a 30 day monitor would be very helpful in determining exactly what's going on.

Some say their pvc's get better with exercise or activity, while others like myself only aggravates them.  I think the one dr's article said when we are at rest pvc's are more likely.  I would ask his cardiologist about activities & exercise after all the results are back.

Good luck.

[drsure]

Thanks a lot. God Bless You

[itdood]

I copied this from a good article on medscape that covers PVCs.  Hope this helps

Children

PVCs are less common in children than in adults, but PVCs do occur in healthy children.

About 20% of healthy boys aged 10-13 years have PVCs on routine Holter monitoring.

PVCs in healthy newborns generally resolve by the 12th week and usually require no treatment once the presence of a healthy heart is confirmed. This finding probably is related to developmental factors associated with the autonomic nervous system.

In older children, PVCs often are related to transient or exogenous factors, including mild viral myocarditis, excessive caffeine, or sympathomimetic drugs (cold or asthma medications). They usually resolve without treatment.

[drsure]

Thanks for your comment. Doctor took ECHO and he told it is normal and he is having 24 hour holder (to record for 24 hrs) now. I am just confused. He is in tennis, basket ball and swim lessons. Shoudl I continue all these things. If he continue play; will they be stressful to his heart?. He is my only one ward. So.....................too much ..worried..

[itdood]

Hi drsure, the bigeminy and trigeminy describe how often the PVCs happen.  Bigeminy is every other beat, tri is every 3rd beat.  They aren't separate arrhythmias.  Your Son just has PVCs that happen in bigeminy and trigeminy patterns.  

I don't know much about this in children, though in adults for the most part it's not restrictive.  I'm a long time PVC-er and it's not held me back from anything at all, no restrictions.     I can remember getting the PVC sensation I have as far back as 7 or 8.  They've been episodic for me.  Though in my youth they were very rare and very isolated.

I think the stress test is your next step to see what's up.    If it were me, even with a good stress test, I'd also ask for an echo and an MRI.

Then go from there.

Big hugs to you and your Son, hang in there.