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Heart Disease (Expert Forum)
Echo Result and PVC
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Echo Result and PVC
by Sondra Elmore, May 24, 2003 12:00AM
Hello. For almost the last year I've been seeing my family physician and cardiologist because of some symptoms. All was eventually attributed to anxiety. I've had many EKG's, an echo, and a 48-hour holter; the holter showed 2 short runs of supraventricular beats; one for 3 beats, one for 9 beats where my heart rate went from the 70's to the 90's. All were said to be normal or within normal limits.
Recently I've begun to get an extra little heartbeat in my throat. It's started after a recent weight gain of about 20 pounds. My cardiologist recommended getting in better shape. A trip to the ER resulted in being told my diagnosed gastritis was causing this? I was put on an EKG for about 2 seconds, which was fine.
My main question would be; could I be having these premature beats with no other symptoms? I'm also asking for your opinion on my echo report which my doctor says is normal. It is as follows:
M MODE and 2-D Echo. ALLnormal, LV EF is 60%. Both ventricles contract well. No pericardial effusion. No MVP, normal excursion.
Intracardiac Doppler Study: All valves normal except for trace tricuspid regurgitation. Normal cardiac chambers in size.
Thank you for your time.
Recently I've begun to get an extra little heartbeat in my throat. It's started after a recent weight gain of about 20 pounds. My cardiologist recommended getting in better shape. A trip to the ER resulted in being told my diagnosed gastritis was causing this? I was put on an EKG for about 2 seconds, which was fine.
My main question would be; could I be having these premature beats with no other symptoms? I'm also asking for your opinion on my echo report which my doctor says is normal. It is as follows:
M MODE and 2-D Echo. ALLnormal, LV EF is 60%. Both ventricles contract well. No pericardial effusion. No MVP, normal excursion.
Intracardiac Doppler Study: All valves normal except for trace tricuspid regurgitation. Normal cardiac chambers in size.
Thank you for your time.
Doctor's Answer
by CCF-M.D.-KE, May 25, 2003 12:00AM
Dear Sondra Elmore,
The data you have provided from your echocardiogram suggests that you have a structurally normal heart. Therefore, PVCs and PACs are not suggestive of any long term risk in your case.
The symptoms you are describing may be PVCs, PACs or short runs of SVT, the only way to be certain is to correlate your symptoms with electrocardiographic monitoring. You are in low risk category and treating these rhythm disturbances would be only to improve symptoms and not to improve long term outcome. If they are limiting you to the point where you are considering medical therapy, then beta blockers would be an excellent first choice. I would recommend discussing your concerns with your cardiologist.
Thanks for your question,
CCF-MD-KE
The data you have provided from your echocardiogram suggests that you have a structurally normal heart. Therefore, PVCs and PACs are not suggestive of any long term risk in your case.
The symptoms you are describing may be PVCs, PACs or short runs of SVT, the only way to be certain is to correlate your symptoms with electrocardiographic monitoring. You are in low risk category and treating these rhythm disturbances would be only to improve symptoms and not to improve long term outcome. If they are limiting you to the point where you are considering medical therapy, then beta blockers would be an excellent first choice. I would recommend discussing your concerns with your cardiologist.
Thanks for your question,
CCF-MD-KE
