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Heart Disease  (Expert Forum)
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Are my arrhythmias dangerous?
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Are my arrhythmias dangerous?

by LaurieD, Apr 24, 2001 12:00AM
I was diagnosed with mitral valve prolapse and paroxymal hypertension in my twenties. I've always felt skipped beats to some degree. About three years ago I had onset of paroxymal atrial fibrillation, this was diagnosed in the emergency room. My heart rate was 153 bpm and irregular. I've had about twelve bouts of this atrial fibrillation since this time. It does seem to be triggered by stress, but no one can figure out the cause. Echos show a mild mitral valve prolapse, that's all. I started having many skipped beats around October last year. I went to the doctor, who put a holter monitor on. It showed approximately 680 skipped beats in the 24 hour period. She diagnosed this as PSVT. I then followed up with my cardiologist who did a thallium stress test, which revealed all was normal. He then put a holter monitor on last week. The computer print out said I had 1,127 narrow beats within the 24 hour period. I believe that, as my diary showed almost constant skipped beats. My cardiologist told me I was imagining them, that I had only truly had 14 skipped beats, and that the computer errored.He feels it's my esophagus causing this. If it was my esophagus, why would I feel skips in my pulse? Does any of this sound dangerous to you? I am currently on tenormin 25mg t.i.d. It doesn't seem to help this PSVT from occuring. The only two things I know is they are worse at period time, and they are worse depending on how I move (bending over can cause them to start) and once they start sometimes they just won't quit for awhile. Is there a cure for all of this? I am also wondering if these "narrow beats" which he also referred to as PAC's are to do with the atrium and maybe my heart is trying to convert into a-fib full time rather than paroxymal? Any info you can give me is much appreciated. Thanks.

by CCF-M.D.-CRC, Apr 24, 2001 12:00AM
Dear Laurie,

It sounds like you are describing PACs and PVCs.  In general these type of arrhythmias are not dangerous.  There does seem to be an association with the menstral cycle as many posts here will attest.  I can't really comment on whether these are due to esophageal spasm or due to the heart without seeing the data.  Tenormin is a beta-blocker and is a good medication for these beats if needed. If you start having more atrial fibrillation a stronger medication may be needed.
Member Comments (49)

by jan, Apr 25, 2001 12:00AM
I am wearing an event monitor to see if I have any arrhythmia other than tachycardia. I was wondering if anybody knows what, if anything, the tone means. Sometimes it is loud and shrill, other times it sounds like the battery is dying, and then at others it is neither.  Any clues?

by heartfull, Apr 25, 2001 12:00AM
I am also wearing a monitor to catch v-tach. The tones are the movement, i believe. Try this out. Sit completely still and do a recording. Play it back and see if the tone is about the same level. You probably already know this but you dont have to call it in, just plug it back up and no one knows you plyed with it. You should hear the beats regaurdless of the tones, this is what shows up on the tape. Good luck.

by jan, Apr 25, 2001 12:00AM
To: heartfull
Hi Heartfull, thanks for the response. I had to chuckle when you said about nobody knowing we played with it.   :)  Anyway, I tried like you said and it remained the same, but then I danced with it recording (LOL) and it was still the same. I am wondering if it has anything to do with rhythm because when the beats are irregular the tone, sometimes, goes really sour. Also, it seems with the tachy it is shrill. What do you think?

by Victoria, Apr 25, 2001 12:00AM
To: Heartfull
I have been keeping an eye on your postings as well Heartfull and visit here each and every day...Blessings

by ikm, Apr 26, 2001 12:00AM
My symptoms and diagnosis are very similar to Laurie's.  I've been diagnosed with mild MVP and experience very frequent PVC's which intensify around the week of my period.  My cardiologist has tested my glucose levels to see if that may be the cause, but after suffering from this for two years now, I am almost completely convinced that mine must be hormone related.  The first time I experienced very frequent PVC's was when I became pregnant with my first child and the doctor immediately dismissed them as hormone related.  They disappeared for years and now have returned (and I am definitely not pregnant!)  I am 37 years old and wonder if I am experiencing hormonal changes due to the onset of perimenopause which is causing the PVC's.  I am seriously considering trying birth control pills to see if they will regulate my hormone levels and hopefully reduce my PVC's.  I wonder if anyone else out there has tried this.

by shoesgalore, Apr 26, 2001 12:00AM
To: ikm and laurie d.
My pvc's and pac's are definetly related to hormones although the doctors say no.  I get them when I am ovulating and then really bad the 36 hours before i get my period.  I am on digoxin now and that has helped quiet them some.  Not as strong so not as annoying.

by LaurieD, Apr 27, 2001 12:00AM
To: ikm
I noticed your comment which prompted me to ask you a few questions. Do you also suffer from atrial fibrillation? Do you have low blood sugar? I was diagnosed with hypoglycemia when I was pregnant with my first child, and I do notice the pvc's pac's can be worse when I haven't eaten. Sugar will also aggravate them. There seems to be many similarities with people and these symptoms on this bb. I wonder if we all have some syndrome they haven't yet formally diagnosed. Just wondering, the good news is we are all still alive to post about them still :) Any input would be appreciated!

by ZEET, Apr 28, 2001 12:00AM
To: Anyone know what these might be?
The arrythmias I been having started in 1993. In first in 1993, I started getting a racing heart one day. It started racing one day and slowed down after a couple of hours, but did the same thing everyday after. The second came in 1997, I felt like a weird beating or flutter in my chest, then it is either beating slow, or fast but not regular, like all the beats are fast and in a row, but not a normal rythm, then I cough or do something with a quick motion to correct the beat, ( but mostly out of panic) ( sometimes at this point I feel woozy)

It goes from the weird beating, to a normal but fast beating, then back down to the normal rate, then this event is over. Sometimes when it kicks in to the normal but fast beating, I get a hot flushed feeling. That event scares me more than I can say. In 1997 when I first started getting this, it would happen once every couple of months, but now a couple times a month. I just had this,30 minutes ago and when this event happens it leaves my hands legs shaking from fright. The third in 1998, one day my heart would not stop racing, and I was feeling all these flutters and extra or strong beats. This started in the morning, and I couldnt go from the couch to the chair, with out my heart taking off. That night I finally saw a doctor in the er and then a cardiologist, and had all the tests, and now been taking toprol since 1999. But still have all these arrythmias. The doctor has never told me what it could be, because we never been able to catch it on the monitors. But even though I never know when it might happen, I notice a kind of pattern. About a week to two weeks after my last period, and two weeks later when the next one is due. I dont want to play doctor with myself, and I dont know what a fib or the symptons are, but I think maybe it might be that or something ventricular? I think if it was ventricular after all this time and being so far I correct it by coughing I dont and hope it is not that. If anyone can give me any info, or has any ideas about any of these seperate arrythmias, or has them also, PLEASE write your comments here. Thanks.

by LaurieD, Apr 28, 2001 12:00AM
I just read another response on these arrhythmias, there seems to be an awful lot of common symptoms with them. I am still maintaining this is some disorder that doctor's have not yet put together. How many of you suffer mvp, psvt, atrial fib along with these arrhythmias? How many of you have low blood sugar? How many are worse at period time ? How many of you have anxiety disorder/panic attacks, etc? How many have any type of blood pressure probs? Whether paroxymal or just elevated hypertension? After eating a large meal you feel them, diet high in sugar, these also point to a blood sugar problem. I do know...with my first attack of atrial fibrillation they did bloodwork, my glucose came up at 180 which is way high. Alcohol IS a trigger for this problem and the pac,pvc's, BUT NOT THE CAUSE. Stress is a trigger BUT NOT THE CAUSE. There are several "triggers" as we all know but in my opinion, they can't find the cause because they haven't yet diagnosed the disorder. There are just WAY too many of us out there with the same symptoms and it's too coincidental I think. Give me your opinions, I welcome the input.

Laurie

by ZEET, Apr 28, 2001 12:00AM
I posted a comment last night about 12:30a.m.  About a half hour before that I had the arrythmia that scares the hek out of me. I described it above. At 12:00p.m. today I had it again. Weird twelve hours later. Being it is saturday, and even though I have had this thing alot in the pass, it seems to be more frequent now, I tried to call my cardio, but the office was closed. The cardio taking calls, called me back about 3:00p.m. and he really doesn't know my problems. I have never been to him. But from what I describe about this thing, he said it sounds like maybe supra ventricular tachcardia. But this is only over the phone. He asked if I have had an echo, I have, also if I have mvp. I was told by my doctor, that by the echo , I dont. My sister has, she also has wpw. From 1985 her problems really began, she was on a ton of med. Shes a rn in the recovery room, and all the meds. she was on would knock down an elephant. In 1996 one night she passed out, ended up in the er and then at the hospital. They did an ablation a couple days later. I cant believe all the problems she had, for that amount of time, and it totally cured her. My nephew one day heart rate just flew. He had a monitor and was recorded one day at 245 while on a med. He had an ablation (he''s 15) an had an accesory pathway in the same place as my sister. They are aunt and nephew, he's cured also. My mothers heart rate the same thing. She is 73 now and has been on inderal since she was about 43. But me and my sisters problems are worse than my mothers. She seems to be fine on the inderal all this time. These things are so complex to diagnosed and treat, it seems that way to me.