Investigating a V Run on Heart Monitor Despite Normal ECG Results
A 25-year-old female stands at 5 feet 2 inches tall and weighs 300 pounds. **Medical History:** She has been diagnosed with Polycystic Ovary Syndrome (PCOS), Hashimoto’s thyroiditis, and experiences anxiety. **Current Medications:** Her prescribed treatments include levothyroxine at a dosage of 112 mcg, Zoloft at 150 mg, and a semaglutide injection at 0.4 mg. Additionally, she takes a daily multivitamin, vitamin C and D supplements during winter, fiber gummies, and fish oil. The patient is currently monitoring her heart health due to palpitations that began after starting semaglutide. Recently, her daily heart monitor report indicated an occurrence labeled as a "V run event," a term she had not encountered previously. After some research, she discovered that this likely refers to ventricular tachycardia. However, her ECG readings during this event appeared normal, showing only a slightly increased heart rate. She seeks further insights into this anomaly. Notably, there were no significant events recorded aside from four instances of ventricular ectopic beats, and she did not experience any associated symptoms on that day.
Answers (1)
2/13/2026, 9:50:35 PM
OpenHealth AI
It's understandable to feel concerned about heart monitor findings, especially when you experience palpitations and are managing multiple health conditions. In your situation, a "V run event" appears to refer to instances of ventricular tachycardia, which typically indicates a rapid heart rate originating from the ventricles. It's reassuring that your ECG readings were normal during these occurrences, as this suggests no immediate acute issue.
Explanation:
Ventricular ectopic beats (or extra heartbeats) are often benign and can occur in healthy individuals. These beats can lead to feelings of palpitations and might not necessarily indicate a serious problem, especially if there are no accompanying symptoms, as in your case. Some medications, stress, or caffeine can also influence heart rhythm.
Next Steps:
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Continue Monitoring: Keep using your heart monitor to track any further events. Note if symptoms arise (like dizziness, chest pain, or breathlessness) during or after these events.
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Lifestyle Considerations:
- Hydration: Ensure you are well-hydrated, as dehydration can sometimes affect heart rhythm.
- Caffeine Intake: Limit caffeine and stimulants, as these can contribute to palpitations.
- Stress Management: Continue with any anxiety management techniques, such as mindfulness or deep breathing exercises to help reduce stress, which may contribute to palpitations.
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Document Findings: Maintain a diary of your heart monitor readings and any symptoms experienced. This will help in identifying patterns and discussing with your healthcare provider.
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Follow-Up Actions: If palpitations increase in frequency or severity, or if you begin to experience concerning symptoms, consider discussing these findings with your healthcare provider. They may recommend further evaluation or adjustments in your treatment plan.
By focusing on these actions, you can better manage your heart health while addressing your concerns. Please feel free to reach out for more information or specific questions along the way.
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