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Forum Name: Valvular Heart Diseases

Question: Frequent Ectopic beats, ST abnormality, etc


 vir - Fri Sep 11, 2009 1:01 pm

Hello,
My mother went in for a regular health check up. There are these following findings about which i am concerned about.
1) Frequent Ectopic beats.
2) PWD left ventricular inflow shows E>A.
3) Colour flow across cardiac valves reveal mild TR.
4) ST abnormality, possible digitalis effect.
There is normal sinus rythm.
She has ectopic right kidney which is small in size with reduced almost only 15% functioning( as per renal scan). But it is not giving any problems & will not require any medical or surgical intervention unless there is some severe infection. She does not have any other problems.
Her age is 53 years and she has cholesterol since 4 years but is under control or sometimes present in blood tests with proper diet even without medications for the same. Kindly help me out with these queries, as in wether we are supposed to go for any tests or any thing in particular or any precautions.
Thanking you,
Vir
 John Kenyon, CNA - Sun Oct 25, 2009 9:43 pm

User avatar Hello -- Your mother's echocardiogram report and EKG findings, while quite sparse, are also very non-specific. Most of the things listed could be found on resting EKG and are unremarkable, such as "frequent ectopic beats" which means very little in general, and even less out of context. The "ST abnormality" also sounds like it came from the preprogrammed findings built into an EKG machine, but without specifics probably are meaningless. Without context they are definitely meaningless. The comment "possible digitalis effect" is also common computerspeak from an EKG machine, and is only accurate if in fact the patient takes the drug digitalis (digoxyn, lanoxyn) for atrial fibrillation or flutter. If not, this also means nothing whatsoever.

The other findings listed, referring to "PWD" and "color flow" are findings noted by an echocardiographer during an echo study of the interior structures of the heart, and again, are mild and out of context mean little of nothing. Generally speaking there is very little here that would, out of context at least, raise an eyebrow. If your mother was having chest pain, shortness of breath of other possible heart-related symptoms, then a lot more needed to be looked at besides just these items. "Normal sinus rhythm" means there were no dysrhythmias present, which is as it ought to be. I'm wondering why these exams were performed, and why so little of the findings were passed along to you. What you've provided here tells us nothing of your mother's cardiac health except that it would seem to be normal, with frequent premature heartbeats which may be perfectly normal for her.

The matter of the ectopic kidney has nothing at all to do with ectopic heartbeats and merely means there is a kidney in an unexpected location, sometimes in addition to the regular pair that come standard.

I hope this helps clarify things for you. If you have any further information available from the exam that might help make things more clear as to why they were performed. Otherwise, it would appear everything is fine.

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