- Male
- 14 Years
- 29/01/2025
Could a heart hole that my cousin had as a baby still be an issue now that he's 14 years old? Should we be worried about any lingering effects, or is it likely that it closed up on its own over time?
Answered by 1 Apollo Doctors
It is possible that your cousin still has a heart hole, also known as a congenital heart defect. To determine if the hole is still present, he would need to undergo medical evaluation, which may include imaging tests such as an echocardiogram. Treatment options for a heart hole may include medications such as aspirin or blood thinners, and in some cases, surgical intervention may be necessary. It is important for your cousin to follow up with a cardiologist for further assessment and management.
Dr. Ibrahim Suggests...
Consult a Cardiologist
Answered 04/07/2025
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Heart Hole Overview
A heart hole, such as an atrial septal defect (ASD) or ventricular septal defect (VSD), can sometimes close on its own during childhood. -
Potential Lingering Effects
- Some defects may persist.
- Symptoms like fatigue, shortness of breath, or frequent respiratory infections could indicate issues.
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Recommendation
- Follow-up with a cardiologist is crucial to assess current heart function.
- Many children with small defects do well without complications.
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Reassurance
- It's common for small defects to resolve naturally, but monitoring is important to ensure your cousin's health.
Recommended next steps
Consult a Paediatric Cardiologist
Answered 20/08/2025
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I'm really worried because a couple of months ago, I had some chest pain and when they did an ECG, it showed slight ST elevation in V3 and V4. The cardiologist I saw said it wasnt heart-related, but just to be sure, he had me do a TMT, and that turned out negative. Now, I had chest pain again and went to the hospital. They did another ECG that showed sinus rhythm with sinus arrhythmia and ST elevation, possibly early repolarization with normally inflected T wave, and called it a borderline ECG. Should I be concerned about something serious going on here?
"Based on your description, it seems like you are experiencing chest pain with some concerning ECG findings. The ST elevation in V3 and V4 from the previous ECG, along with the ST elevation and early repolarization in the recent ECG, can be worrisome. However, since your cardiologist has already ruled out any significant heart issues with a negative TMT, it is less likely to be related to your heart. The presence of sinus rhythm with sinus arrhythmia indicates normal heart rhythm variation, which is usually not concerning. Early repolarization with borderline ECG findings can sometimes be a normal variant in young, healthy individuals. To address your chest pain and ECG findings, your doctor may consider monitoring your symptoms, lifestyle modifications, and possibly medication. In case of persistent or worsening symptoms, further evaluation or consultation with a cardiologist may be necessary. For symptomatic relief of chest pain, you can consider taking over-the-counter pain relievers like acetaminophen. However, it is important to follow up with your healthcare provider for a proper evaluation and management plan."
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Disclaimer: Answers on Apollo 247 are not intended to replace your doctor advice. Always seek help of a professional doctor in case of an medical emergency or ailment.