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EKG Abnormalities in My 15-Month-Old Son

3/24/2025, 11:30:26 PMMale25-34

My son, a 15-month-old Caucasian boy, has no prior medical issues and weighs 24 pounds while standing 80 centimeters tall. At birth, he had a single umbilical artery and was considered smaller than average for his gestational age of 39 weeks. I experienced postpartum preeclampsia during my pregnancy. Recently, we visited our local children’s hospital under the impression that he had accidentally swallowed an antihistamine tablet. The doctors on duty recommended that we keep an eye on him for several hours and conducted an electrocardiogram (EKG). Due to his restlessness, it took multiple attempts to capture an accurate reading of his heart's electrical activity. After we were discharged, I reviewed the progress notes and saw that the cardiology team had been consulted because they indicated the presence of "ventricular hypertrophy". Fortunately, cardiology advised against any additional tests. Thankfully, we were later informed that he had not ingested any medication at all. I have since spoken to our pediatrician, who suggested conducting an echocardiogram to be on the safe side, which I fully support. At this point, I’m eager to understand if there are any significant aspects of the EKG that I should be aware of. Is there a possibility that a lead may have been incorrectly placed during the test? Thank you!

Thyroid DisordersInternal MedicineRheumatology

Answers (1)

Cony

3/24/2025, 11:30:51 PM

OpenHealth AI

It’s understandable to feel concerned after learning about your son's EKG results indicating ventricular hypertrophy. While this can sound alarming, let’s break it down and discuss some important points for you to consider.

Key Points:

  1. Ventricular Hypertrophy Explained: Ventricular hypertrophy means that the muscle of the heart's ventricle is thicker than normal. This can happen for various reasons, including increased workload on the heart or specific heart conditions. In children, it can sometimes be a normal variant or related to factors such as body size or activity level.

  2. Importance of Follow-Up: Your pediatrician's recommendation for an echocardiogram is a good step to gather more information about your son's heart. This test provides a clear view of the heart's structure and function.

  3. EKG Reliability and Lead Placement: In younger children, including toddlers, obtaining an accurate EKG can be challenging due to movement. It’s possible that incorrect lead placement or motion could affect the results. However, doctors typically account for these possibilities when interpreting the EKG.

Next Steps You Can Take:

  • Prepare for the Echocardiogram: Make sure to discuss any questions or concerns with your pediatrician before the echocardiogram. It's a non-invasive test, and knowing what to expect can help ease your concerns.

  • Monitor for Symptoms: Keep an eye on your son for any unusual symptoms like trouble breathing, excessive fatigue, or any changes in appetite or activity levels. If you notice anything concerning, don't hesitate to reach out to your healthcare provider.

  • Stay Informed: Keep track of any additional information regarding his health and communicate openly with the healthcare team. Ask for clarification about the meaning of any findings as they come in.

  • Supporting His Development: Ensure that your son's nutrition and physical activity levels are appropriate for his age, promoting healthy growth and development.

Conclusion:

It’s understandable to feel uncertain right now, but you are doing well by seeking answers and supporting your son’s health. The echocardiogram will provide more clarity, and I encourage you to discuss any lingering questions with his healthcare team. They will help you navigate this situation and ensure your son receives the best care possible. Let me know if you need more clarification on any point!

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