What would cause bigeminy of PVC's in a young adolescent?
Only hx is hemophilia.
Recently recieved clotting factor.
No cardiac history.
Recent trauma - fell from standing height
Previous complaint of shoulder pain, no pain right now.
12 lead - negative.
Currently on O2 @2 LPM
Asymptomatic, no chest pain or SOB.
PVC's are non perfusing.
Pt's HR is about 40, if you don't count the non-perfusing beats.
I'm at a loss for what might have caused the PVC's.
Thanks!
2006-07-31 17:46:13 · 5 answers · asked by rita_alabama 6 in Health ➔ General Health Care ➔ First Aid
I'm a paramedic, and this was one of my patients...at least as much as I can mention without revealing too much information. I consider myself a good, but inexperiened medic, and I just could not think of what was causing the PVC's. Any suggestions are appreciated, esp. from physicians, nurses, medics, other medical professionals. I would love to understand the physiology behind what went on with my patient. Could it have anything to do with the hemophilia, does it signify new onset cardiac issues, or is it just idiopathic?
Thanks!
2006-07-31 18:15:38 · update #1
The EKG rate was about 80 bpm on the monitor, including the PVCs. Therefore, it's not a bradycardic rhythm, technically. It was made bradycardic by the fact that the PVCs were nonperfusing. Thanks, though!
2006-08-01 08:11:10 · update #2
PVCs in a young patient can be caused by many things: excitement/anxiety, drugs/meds and especially hemodynamic compromise. It might have been an easily corrected electrolyte imbalance (specifically Mg++, K+ and Ca++). They are often asymptomatic at such a young age because they are capable of tolerating much more (like a HR of 40)... I cared for a 21 year old male last night suffering from new onset depression and anxiety without any prior medical history. His HR was 40-50 with asymptomatic PVCs... ECG=NSR, labs WNL
2006-08-01 03:29:19 · answer #1 · answered by caRiNda 2 · 0⤊ 0⤋
Pvcs In Bigeminy
2016-12-18 15:44:34 · answer #2 · answered by ? 4 · 0⤊ 0⤋
Is there any narcotic use? That could be a cause in an adolescent patient.
Also if the rate is 40-50 w/ PVCs it is an underlying rhythm of Sinus Bradycardia with ectopic PVCs, not a Normal Sinus Rhythm.
2006-08-01 07:49:27 · answer #3 · answered by Anonymous · 0⤊ 0⤋
My baby had PVC's shortly after he was born...everything was normal and there was no apprent cause and they have not happened again.
2006-07-31 18:10:43 · answer #4 · answered by Anonymous · 0⤊ 0⤋
Does he use caffeine? can cause them especially if he is dehydrated
2006-08-01 12:23:38 · answer #5 · answered by Randy T 1 · 0⤊ 0⤋