Ectopics Heart beats

[Rakeshmalhotra]

My son who is 11 year old , while watching TV , suddenly felt weakness, we immediately gave him sugar within 1 minute , he was normal.
Nest day we took him to Hostpital ,where his ecg was done and ectopics were found in ech resulting his echo as well Holter was done , where doctor said that ectopics have come in report and rest is normal.

he advised us that he should not take coffee, choclates, tea, cola and rest is ok. But I am still consfused, can you please help me by advising what to do.  

[Rakeshmalhotra]

Thanks

[Marie M Gleason, M.D.]

The holter says that the extra beats are from the upper heart chambers, called premature atrial contractions (PACs).  These are benign and are not dangerous. The echocardiogram was basically normal but the elevated RV pressure estimate of 39 mmHg (Mild PAH) is not normal.  You should follow up with a cardiologist to see if that measurement is real or not.

[Rakeshmalhotra]

Thanks for helping me at this stage , i am reproducing the reports of echo as well of Holter which is as ,

Echo Report : Normal sized LA/LV/RA/RV with no chmaber hypertrophy.
No LV regional wall motion abnormaility with LVEF of 60%,
Mild TR with Mild PAH ( estimated RVSP =39 mmHg)
No Valvular stenosis or intracardiac shunt,
No vegetation, thrombus or inracardiac mass,
No pericardial pathology.

Comments of Holter Report :

The average HR was 89, with a minimum of 63 and maximum of 187. Ventricular ectopic beats totalled 0, with 0 VE pairs. SuperVentricular ectopics totalled 9698 and total SVE pairs were 0. Bigeminy count totalled 46 and trigeminy Count totalled 12. Pauses longer than 2.5 sec totalled as 0. The number of minutes analyzed ECG data was 1440.

ST Depression minutes totalled 0 for analyzed channel Ch2. The maximum Delta ST of -29.10 mm occured at 2.10hrs in channel Ch2.


Kindly help me on the basis of aforesaid information. My Cardiologist hasadvised that nothing to worry , in children they are common. I would like to add that this boy is very reserved and senstative / emotional.



Regards,

[Marie M Gleason, M.D.]

I am not sure of the content of your posting.  It sounds like the ECG done at the hospital showed some extra (ectopic) beats, but you do not say whether they were from the upper chambers (PACs) or from the lower chambers (PVCs).  It sounds like they ordered an echocardiogram to check heart structure and function, and a holter monitor to document how much irregularity occurs in a day.  However, I am not sure if you have the result of those tests and whether or not they are normal.  Obviously, abnormal testing merits evaluation by a pediatric cardiologist.  If the echocardiogram is normal and the holter monitor shows no complex groupings of beats, and the baseline ECG is normal (no evidence of WPW syndrome or Prolonged QT syndrome) then the single beats are likely benign. It is important for your child to keep well hydrated and avoid stimulants as your doctor suggested.  But I cannot counsel you further since I do not have enough information.