Is There a Chance for Treatment of Second-Degree Heart Arrhythmia? - Cardiology

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Is there a chance for treatment of second-degree arrhythmia?


Hello Dr.
He: My son was diagnosed with grade 2 arrhythmia at birth.
After a 24-hour ECG at six months, the pediatrician noted some slight irregularities during the nighttime, indicating an improvement in the arrhythmia, but the diagnosis remains grade 2 (he is currently 1 year and 2 months old).
I would like to ask: 1.
The pediatrician mentioned continuous observation, but are there other treatment options? Should we consult a cardiologist for further evaluation? 2.
He has experienced allergic reactions; could this be one of the causes of the arrhythmia? Would treatment in this direction potentially lead to improvement? Thank you for taking the time to respond.

Ya Shuai de Ba, 30~39 year old female. Ask Date: 2011/03/07

Dr. He Dongjin reply Cardiology


Hello, I understand your concerns, but I cannot comprehend what is meant by second-degree arrhythmia.
I recommend that you copy a series of electrocardiogram (ECG) reports and seek a second opinion from a cardiologist.
General internists or pediatricians may interpret ECGs differently than cardiologists, and it may not necessarily indicate a true abnormality.
There is no need to panic.
Changhua Hospital cares about you.

Reply Date: 2011/03/07

More Info


When it comes to second-degree heart arrhythmia, particularly in infants, it's essential to approach the situation with care and thorough understanding. Your child's condition, as described, indicates that there has been some improvement since the initial diagnosis, which is a positive sign. However, ongoing monitoring and evaluation are crucial.

1. Continuous Monitoring and Treatment Options: The recommendation from your pediatrician to continue observing the condition is standard practice in cases of mild arrhythmias, especially in infants. Many children with second-degree heart block may not require immediate intervention if they are asymptomatic and show signs of improvement. However, it is also wise to consult a pediatric cardiologist for a more specialized assessment. A pediatric cardiologist can perform a detailed evaluation, including echocardiograms and possibly more advanced monitoring techniques, to determine if the arrhythmia is likely to resolve on its own or if intervention is necessary. Treatment options can vary widely based on the severity of the arrhythmia and the presence of any symptoms. In some cases, if the arrhythmia is persistent and symptomatic, medications or even a pacemaker may be considered.

2. Allergies and Arrhythmia: Regarding your question about whether allergic reactions could contribute to heart arrhythmias, it is generally uncommon for allergies to directly cause arrhythmias. However, severe allergic reactions can lead to anaphylaxis, which may affect heart rhythm due to the body's response to stress and the release of various chemicals. If your child has a history of significant allergic reactions, it would be prudent to discuss this with your healthcare provider. They may recommend allergy testing or other interventions to manage the allergies, which could indirectly help in stabilizing your child's overall health and potentially reduce any stress on the heart.

In summary, while there is a chance for improvement in second-degree heart arrhythmia, especially with ongoing monitoring, it is crucial to have a pediatric cardiologist involved in your child's care. They can provide a comprehensive evaluation and determine if any treatment is necessary. Additionally, managing any allergic conditions your child may have could contribute positively to their overall health, although it is unlikely to be a direct cause of the arrhythmia. Regular follow-ups and a proactive approach to your child's health will be key in navigating this condition.

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