Asked for Male | 10 Years
Is my 10-year-old son's heart health normal?
Patient's Query
My Son is 10 year old and after doing Holter and Cardia MRI i got this result. Left ventricle: Normal indexed LVEDV and LVESV with LVEF of 71%. No LV hypertrophy is seen. No regional wall motion abnormality is seen. There is increased trabeculations in the LV apex with non-compact to compact myocardial ratio of 2.8. Remainder of the myocardium is normal in appearance.Right ventricle: Normal indexed RVEDV and RVESV with RVEF of 56%. No RV hypertrophy. No evidence of hypokinesis/dyskinesis/aneurysmal outpouching.Atria and Valves: Normal bi atrial dimensions.Myocardial characteristics: On delayed enhancement imaging, no myocardial inflammation, infiltration orinfarction is seen. No myocardial edema on STIR images. No LV thrombus. Normal native T1 of 970 ms.Extra-cardiac structures: Lungs and mediastinum are normal. Bovine arch is seen.Holter Monitor:Sinus Arrhythmia noted during baseline start of recording.No symptoms logged in diary.Episodes of Junctional Beats noted.Isolated supraventricular ectopics noted in form of singlets.Sinus Bradycardia, Sinus Arrhythmia, Sinus Tachycardia noted.No VT/SVT/AF/AV Blocks/Pause noted.
Answered by Dr. Bhaskar Semitha
It seems like your son's heart is actually in pretty good shape overall. The findings indicate that the left ventricle, right ventricle, atria, and valves all appear normal. The increased trabeculations in the left ventricle apex could be due to a condition called non-compaction cardiomyopathy, but further evaluation is needed to confirm this. The Holter monitor results showing sinus arrhythmia, junctional beats, and supraventricular ectopics are relatively common in children and may not necessarily indicate a serious issue. It's important to follow up with your pediatric cardiologist for a more detailed discussion and possible further testing, just to be on the safe side.

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