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.
Similar Q&A
Seeking a Second Opinion on Atrial Fibrillation Treatment Options
Hello Dr. He, thank you very much for your response to question #149594. I appreciate your willingness to clarify things despite your busy schedule. I would like to ask you again: my father has been receiving treatment and medication in Kaohsiung. Previously, he mentioned to the ...
Dr. He Dongjin reply Cardiology
Hello, yes, it is advisable to bring this image and seek a second opinion at another hospital. You can consult Dr. Mian-Cheng Chen at Chang Gung Memorial Hospital in Kaohsiung or visit Ping An Changhua Hospital for further care.[Read More] Seeking a Second Opinion on Atrial Fibrillation Treatment Options
Understanding Second-Degree AV Block: Symptoms, Risks, and Management
In 2004, during my military service medical examination, I was diagnosed with second-degree atrioventricular (AV) block, Mobitz type II, intermittently. At the end of 2005, I underwent a cardiac catheterization, and the doctor stated that my heart was very healthy with no issues,...
Dr. Lin Yongguo reply Cardiology
To KEN / 25 / 0:1. Second-degree atrioventricular block, Mobitz type II, intermittent. A cardiac catheterization was performed at the end of 1994, and the doctor stated that the heart is healthy with no issues, indicating a conduction disturbance. Generally speaking, Mobitz type ...[Read More] Understanding Second-Degree AV Block: Symptoms, Risks, and Management
Can Medication Cure My Arrhythmia After Ablation? Expert Insights
I have arrhythmia, and during my first examination last year, my heart rate was 60,000 beats per day (without medication). After starting medication, it decreased to 10,000 beats (with medications including Dronedarone 150 mg, Sotalol 0.25 mg, and Amiodarone 1.25 mg). In the seco...
Dr. Chen Jili reply Cardiology
It is recommended that you discuss the above issues with your attending physician, as they can provide appropriate treatment based on your specific condition. Wishing you good health.[Read More] Can Medication Cure My Arrhythmia After Ablation? Expert Insights
Managing Arrhythmia: Can It Improve Over Time?
Hello Doctor, I have been undergoing treatment for arrhythmia for two years and also have thalassemia. I often experience chest tightness, palpitations, shortness of breath, and sharp, burning pain in my heart that can be unbearable. I wake up at night feeling startled, and when ...
Dr. He Dongjin reply Cardiology
Hello, based on your description, it seems that the symptoms of arrhythmia may be caused by mitral valve prolapse combined with autonomic nervous system dysregulation. Will the arrhythmia improve? It depends on the type, but there is a possibility of improvement. Patients with mi...[Read More] Managing Arrhythmia: Can It Improve Over Time?
Related FAQ
(Cardiology)
Ablation(Cardiology)
Afib(Cardiology)
Palpitations(Cardiology)
Chf(Cardiology)
Tachycardia(Internal Medicine)
Myocardial Infarction(Cardiology)
Pacemaker(Cardiology)
Ectopic Beats(Cardiology)
Endocarditis(Cardiology)