Cardiology Questions? Ask a Cardiologist for Answers ASAP.
Hello, Thank you for your question. I will try my best to help you with your questions.
The history you have mentioned fits into possible congenital atherosclerosis process, other possible cause is arrythmias which can be tachy arrythmias or brady arrythmias causing sudden death in a young person.
I would recommend Holter or event monitor as the next best test to see if we are missing possible arrythmias which are causing sudden death, these can occur due to congenital defects and can be secondary to the narrowed arteries which can be secondary to congenital atherosclerosis.
So holter or event monitor if not done are the best option to diagnose the possible cause of death...
I hope this answers your questions.
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I have had a monitor for 24 hours fitted also debutamine injection with monitoring at the time. Since the debutamine injection which raced the heart and during the test was short of breath,I am aware of an ache sensation in left side chest area and the fluttering as I had stated in chest also. All these tests to date have revealed nothing that would alert a doctor. Is this the case that may have some other issue which as you have said a slight blocked artery and yet one that has gone undetected to date.
If holter was normal then longer duration of holter for 4-7 days or an event monitor is needed. We cannot let this go because the history is very strong.
We need to do all the possible tests to make sure we do not miss anything like in other cases in your family.
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In your case congenital anomalies like heart conduction defects causing arrythmias leading to young death and congenital atherosclerotic disease are two main possibilities.