Intraventricular Conduction Abnormalities in an Infant
A 12-month-old girl exhibited episodes of unresponsiveness along with atypical movements that raised concerns about possible seizures. Notably, her mother suffers from atrial tachycardia, which has been managed through an ablation procedure. One evening, while observing my daughter in her crib, we noticed she was behaving unusually. Upon closer inspection, we found her shaking and appearing dazed, a state that lasted approximately thirty minutes while we held her (she had shown similar signs for about half an hour prior in her crib). At the time, she didn't display any fever, but by the time we reached urgent care, a fever had developed. An ECG performed in the emergency room was reported as normal by the attending physician. However, six days later, we received a call advising us to come in for a follow-up ECG due to some concerning elements noted in her previous test; this indicated signs of sinus tachycardia accompanied by a shortened PR interval and nonspecific intraventricular conduction block. Upon undergoing a repeat ECG, the results appeared normal again, leaving the doctor uncertain about the necessity of the follow-up visit. Is it standard procedure for repeat ECGs to be conducted under these circumstances?
Answers (1)
7/29/2025, 10:50:57 PM
OpenHealth AI
It's understandable to feel concerned about your daughter's episodes and the varying ECG results. Intraventricular conduction abnormalities can sometimes indicate underlying heart issues, so here's a structured overview of what you should know and do next.
Main Points:
- Intraventricular conduction abnormalities can be concerning, but they may not always indicate serious issues, especially if follow-up ECGs return to normal.
- Monitoring your child's symptoms and heart patterns is essential for further clarity.
Explanation:
Your daughter's behavior—episodes of unresponsiveness and atypical shaking—raises valid concerns, especially in light of her family history with cardiac issues. Initially, the ECG showed signs that prompted the doctor to recommend a follow-up due to potential intraventricular conduction issues. Sinus tachycardia and a shortened PR interval can be benign in some cases, particularly in infants, where their heart rhythms and conduction patterns can vary as they grow.
Next Steps:
-
Monitor Symptoms: Keep a diary of your daughter's episodes. Note the duration, frequency, any preceding factors (like fever or fatigue), and how she feels afterwards. This will help you and her healthcare providers assess her condition.
-
Follow-Up Visits: Schedule the follow-up visits your healthcare provider suggests. They may recommend further testing or monitoring based on her ongoing symptoms and heart function.
-
Stay Informed: Educate yourself about signs to watch for, like sudden changes in consciousness, prolonged episodes, or any other concerning symptoms. This knowledge will help you feel more empowered.
-
Seek Clarification: If there’s uncertainty regarding the need for repeat ECGs, consider discussing this with your child’s doctor. Understanding the rationale can provide peace of mind and reassure you about her care plan.
Feeling uncertain about your child's health is completely natural, and you're taking the right steps by seeking information and monitoring her closely. If any new symptoms arise or if you have ongoing concerns, don’t hesitate to reach out to your healthcare provider promptly.
Related Questions
Concerns About a Liver Lesion
Hello everyone, I’m reaching out for some reassurance as I await my MRI scheduled for this Friday. Currently, I’m dealing with a 6mm kidney stone that has proven difficult to pass, prompting a series of scans. My initial scan on July 5th, which was conducted without contrast, did not indicate any issues with my liver. However, during a follow-up CT on July 28th for the kidney stones, a finding was reported: a 1.9 cm hyperdense lesion located in hepatic segment 4. Given my age, the possible diagnoses discussed include focal nodular hyperplasia (FNH), hemangioma, or adenoma. It's also worth mentioning that metastasis cannot be ruled out. Therefore, the recommendations suggest a dedicated MRI of the abdomen focusing on the liver for a more thorough assessment. On the same day as the first scan, my bloodwork returned within normal ranges according to the results: albumin at 4.8, total bilirubin at 1.3, ALT at 68, AST at 44, and alkaline phosphatase at 85. Additionally, there was a note of mild hepatic steatosis in my results. At 27 years old, I have no other significant health issues aside from this. I would appreciate any insights, particularly concerning the potential for liver cancer. Thank you for any advice you can offer!
Understanding Selective IgA Deficiency: What’s Next?
Hello everyone! I recently underwent several blood tests, and I was surprised to receive the following information in the results: "Coded entry - Immunoglobulin A level (XE25B) < 0.1 g/L [0.7 - 4] - Below low reference limit. Test result - TTG ABS (IGG) Report, Normal, No Further Action Required." While I have had numerous blood tests in the past, I don’t recall experiencing a test for this specific marker before. To give you a bit of context, I have hypothyroidism, a history of recurring ear infections, and I tend to catch colds frequently (though that has improved since I began working from home a few years ago). Additionally, there have been times in the past where I've received 'false positive' results suggesting chronic infections, but follow-up tests have always reassured me that there were no underlying issues. I’m not seeking an online diagnosis, but I am genuinely intrigued about what steps might be necessary moving forward. Should I expect my doctor to contact me regarding this finding? I’ve come across information indicating that individuals with this condition may need to keep a card on hand for potential blood transfusions. I reside in the UK, which may influence how this is handled. Typically, we don’t engage directly with immunologists unless there is a serious and ongoing problem; all assessments are conducted through a general practitioner. For instance, it wasn't until I was tested for another issue that I discovered my hypothyroidism was a result of thyroiditis after several years of being unaware. Any insights or guidance would be appreciated!
Understanding Post-Sexual Bleeding
Hello everyone! Using a throwaway account for privacy reasons. At 29 years old, I received an endometriosis diagnosis six years back and have undergone three laparoscopic surgeries since, with the latest one occurring this past April. During that operation, the surgeon focused primarily on my left ovary, which had become attached to my colon due to scar tissue and was encountering blood flow problems. Additionally, they removed a section of my left fallopian tube due to necrotic tissue. Since my diagnosis, I have been using Qlaira, which has generally been effective for me. Historically, after my laparoscopies, I often experienced a cessation of periods for about 12 to 18 months. However, following my most recent procedure, I encountered a mild period the month after, no period the following month, and then a relatively heavy period two weeks ago, lasting only three days with mild cramping but no severe pain. Fast forward to this week—after having sex, not for the first time since my surgery, I have noticed symptoms resembling a menstrual flow, complete with typical blood characteristics and cramping occurring over the last three days. Before my surgery, I experienced some post-coital cramping and had a similar bleeding episode right before my operation. I would deeply appreciate any understanding or insights regarding this situation. I’m feeling quite discouraged since I just had a laparoscopic procedure, which I have previously found to provide substantial relief. Is this bleeding connected to my endometriosis or could it point to something different altogether? Was there possibly an oversight during my surgery, or could the issue have been resolved but then quickly returned? I plan to return to my gynecologist, but I need to wait another month for my insurance benefits to renew. Any advice or thoughts would be greatly appreciated in the meantime. Thanks in advance!
Concerns Regarding My Spleen Ultrasound Results
I underwent a spleen ultrasound some time ago, and during that examination, measurements were taken for the length, thickness, and width. Recently, I was asked to have another ultrasound done, but this time the measurements included height along with length and width. I noticed a major discrepancy in the height and thickness between the two sets of results, which has made me quite anxious. I'm unsure whether these terms are used interchangeably or if they represent distinct measurements. On my initial ultrasound, the thickness was recorded at 3.6, while the height from the latest scan was noted as 9.17.
Seeking Guidance
Subject F21: I'm currently on a regimen that includes Hergesta, a form of progesterone, alongside Mypicos to manage my PCOS. Recently, I experienced a fever that persisted for two days, after which a rash developed. Although the fever has subsided, the rash remains; however, it is not accompanied by any itching. Additionally, I've noticed that the lymph nodes located behind my ears have become swollen.