Vtach and Sudden Cardiac Death (SCD)

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Vtach and Sudden Cardiac Death (SCD)

Submitted by Dr T on September 4, 2011 – 10:47am

Question: 
im a 26 year old male. i have normal cardiac mri, echo, stress test, stress echo, blood work but on a holter monitior i had a 26beat run of ventricular tachycardia at 126bpm, i had 2 of these runs along with PVC’s. EP i saw yesterday said he thought it to be benign but if i wanted i could do the EP study and he would know more about it and maybe fix it by ablation. ive been experiencing alot more symptoms and get a rapid pounding heart beat, feeling weak and faint, sweating and just feel like im about to fall out. had an ekg done when i was feeling kinda like that yesterday and the EP dr said he seen some early repolarization on that particular EKG. and said we could do nothing, medicine to control symptoms, or EP study ablation.  does this sound like it could be benign or turn into VF? im so paranoid of sudden cardiac arrest. im really concerned about the early repolarization, he said its probably benign and normal variant but look what i found out.  Early Repolarization: Not as Innocent as Once Thought! 

An EP study is appropriate in your case if your symptoms are associated with your arrhythmia and not by anxiety! This is sometimes difficult to differentiate, and it is really up to you and your cardiologist to decide which is which! I’d probably recommend you ask for the EP study eventually. Ablation is dependent on the findings at the time.
You can read more here:
https://www.cardiachealth.org/ca-blog/risk-sudden-cardiac-death-scd-pvcapc-patients-without-any-history-cardiac-disease
Since at your age CAD is unlikely, the analysis should include looking for other abnormalities:
https://www.cardiachealth.org/heart-information/heart-arrhythmia/sudden-cardiac-death/sudden-death-in-athletes
Hope this helps,
Dr T
https://www.cardiachealth.org

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