Ventricular Fibrillation in Normal hearts

[cookienkikin]

I've posted this many times before, I'm just leaving the top part in for a refresher about my symptoms and everything, the new questions and concerns I have is the very bottom part of this post.  thanks

I'm a 24 yr old male. Echo, stress test, stress echo, holter, and event monitors have all been normal besides "PVC's and a 26 beat run of ventricular tachycardia at 127bpms that self terminated". I seen an EP today and he said that he thought it to be benign and called it Idiopathic Ventricular Tachycardia and I started asking questions and he said that just to be safe he wants to do an EP study next week. Can you explain an EP study? How safe are they to do? If he triggers a deadly arrythmia can they easily terminate it and keep me safe? What if he has to do an ablation, how safe is that? Just how benign is "Idiopathic Ventricular Tachycardia"? Can it develop into V-Fib? How bad is it to have a 26 beat run of v-tach?? Can you share your personal experiences and opinions? I also have been experiencing what feels like angina for about 2 yrs now and thats why I had the whole work up but all the test for that came back negative. ??

also found on my copy of the cardionet report it says sinus rhythm with IVCD (Intraventricular Conduction Delay) and on the Diagnosis part it says (ICD-9): 426.9 conduction disorder, unspecified. sinus rhythm with IVCD shows like 3 different times on the report. and 3 different times had ventricular tachycardia 25 beats, rate 124BPM, all the v-tach reports had 25 beat runs with the highest rate 125BPM. does any of this offer any additional info for this v-tach maybe not being benign? does the IVCD pose more risk to SCD or v-fib with since i had documented v-tach?"

does that long of a run (25beats) make it dangerous? will drinking alot of alcohol make my Idiopathic v-tach dangerous? i've been feeling ALOT of pvc's today, and alot of long runs of them that make me extremely scared, is this common?? what could that be?

thank you SOOO much and appreciate your help and opinions.

if they induce V-Fib during EP study can it easily be terminated and brought back to normal or is there a good chance that you could die from it?

could it be Arrhythmogenic Right Ventricular Dysplasia/Cardiomyopathy? how would that be diagnosed? would that fit my symptoms of left side chest pain, left arm pain, angina and the PVC's and VT and other symptoms that I feel? I have on one of my EKG's it says "T Wave Inversion now evident in Inferior Leads", what does that mean? ARVD?

I also have came across some information about "Idiopathic Ventricular Fibrillation", and "Primary Ventricular Fibrillation" where it has occured in people with normal hearts, structural and electrical, with normal echos, holters, stress test, ep studies, cardiac mri's, so my question is how can one say that PVC's, and NSVT are benign in NORMAL hearts but they still have these cases of sudden death "v-fib" in people with NORMAL hearts???

[cookienkikin]

i also have been having left side chest pain and what seems to be angina, but normal test so far for blockages, could they have missed the blockages bc i never had a angiogram, and this is what could be causing my chest pain, angina pain, and pvc's, and the V Tach episodes?

[is_something_wrong]

Hi,

Your story is a bit interesting, because it, to some degree, reminds me of the issues bothering me.

I had a severe amount of skipped beats one day exercising (adrenaline induced - I was really scared), and it transformed in to some tachycardia, my heart started beating unbelieveably fast. My doctor said it was SVT, told me not to worry and gave me a b-blocker that works fine, goodbye skipped beats during exercise and goodbye SVT.

Anyway, I kept worrying if this was VT (it's impossible to tell the difference without an EKG). My doctor said it wasn't. I didn't completely believe him, and kept asking a cardiologist on the internet, got the same answers, "most likely SVT but impossible to be sure". The last answer was: "You are virtually begging me to say it's VT!!!!" I started being afraid of all kinds of scary diseases, CPVT, ARVD, you name it.

I guess my point is: It's impossible to rule out ARVD and other "rare but scary diseases" on a forum, we're not even doctors.

And another point: Even if some symptoms match ARVD, you don't necessarily have ARVD if you have those symptoms. Your problems with PVCs are extremely common, and even if ARVD can manifest with PVCs, I'd say only 1 of 1000 with lots of PVCs have ARVD. Most PVCs origin from the right ventricle, so this is not a diagnostic criteria.

One example: Headache and light irritability is the first sign of rabies. Are you afraid of rabies when developing those symptoms?

T wave inversion happens from time to time in virtually everyone if monitored enough times on EKG. ARVD does not involve pain. ARVD is usually ruled out with echocardiography.

The doctor (and other people here) have told you, several times, IVCD has nothing to do with V-fib. We all have also told you: Idiopathic V-fib is almost never seen. There are no guarantees, though. You can be hit by lightning.

STOP spending your entire life being afraid to die from cardiac arrhythmias. You actually slightly increase your risk when producing all this adrenaline.