Patient's question:
Hello Doctor: My daughter is 18 years old, and I accidentally discovered frequent premature ventricular contractions (PVCs) and fever. She had 8,000 premature beats in 24 hours. During her hospital stay, her pulse was relatively regular with treatment, but after discharge, her pulse became irregular occasionally with treatments. On physical examination, her pulse was sometimes regular with PVCs audible, and sometimes irregular. She is awaiting a 2-day Holter monitoring for reevaluation. Could you tell me what are the common causes of this? Previous doctors suggested myocarditis as the most likely cause. Our ECG showed abnormalities, while other tests were normal, and ECT was also normal. I understand this condition is difficult to treat.Doctor's answer:
Still considering myocarditis. Post-viral or bacterial infection can lead to myocarditis, and symptoms such as fever and arrhythmia may reappear. You can check the dynamic changes of myocardial enzymes, blood routine, and ECG. Treatment focuses on anti-infection, controlling arrhythmia, etc. Also, rest and maintain nutrition. There are many methods for treating the disease, but since the patient's condition varies, the treatment approach differs accordingly. Therefore, patients need to seek professional medical evaluation as soon as possible for detailed testing to provide targeted treatment.