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Heart Disease (Expert Forum)
PSVT with no abnormal pathway / "pectus excavatum" / pains and MVP
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PSVT with no abnormal pathway / "pectus excavatum" / pains and MVP
by frs87, Jun 18, 2007 12:00AM
Hello,
1 - I would like to know if PACs, in a normal structured heart, can cause PSVT without an abnormal pathway on your heart. We know PACs can trigger arrhythmias if there is an abnormality in the electrical system. But even if it doesn’t, is it possible to have, for example, five beats (PACs) in a row configuring a PSVT?
2 - You know anything about the relationship between “pectus excavatum” (congenital deformity of the sternum, which is pressed into the chest, resulting in a "caved-in" or sunken appearance) and the presence of arrhythmias?
3 – A subtle MVP can cause any pain?
I know these are totally unrelated questions to each one but I would appreciate any help. Thanks for your attention and congratulations for the website.
1 - I would like to know if PACs, in a normal structured heart, can cause PSVT without an abnormal pathway on your heart. We know PACs can trigger arrhythmias if there is an abnormality in the electrical system. But even if it doesn’t, is it possible to have, for example, five beats (PACs) in a row configuring a PSVT?
2 - You know anything about the relationship between “pectus excavatum” (congenital deformity of the sternum, which is pressed into the chest, resulting in a "caved-in" or sunken appearance) and the presence of arrhythmias?
3 – A subtle MVP can cause any pain?
I know these are totally unrelated questions to each one but I would appreciate any help. Thanks for your attention and congratulations for the website.
Doctor's Answer
by Forum-M.D.-bkj, Jun 18, 2007 12:00AM
frs87,
thanks for the post.
1 - I would like to know if PACs, in a normal structured heart, can cause PSVT without an abnormal pathway on your heart. We know PACs can trigger arrhythmias if there is an abnormality in the electrical system. But even if it doesn’t, is it possible to have, for example, five beats (PACs) in a row configuring a PSVT?
PACs can certainly trigger PSVT. However, the definition of PSVT involves having an abnormal electrical circuit in the heart. If you had 5 or more PACs in a row without a pathway continuing the rhythm, it would be classified more as an ectopic atrial tachycardia or rhythm.
2 - You know anything about the relationship between “pectus excavatum” (congenital deformity of the sternum, which is pressed into the chest, resulting in a 'caved-in' or sunken appearance) and the presence of arrhythmias?
There are loose asscoiations with prolapse and some arrythmias. Most of the issues with pectus relate more to the altered breathing mechanics from the thoarcic wall.
3 – A subtle MVP can cause any pain?
No. There are no nerves in the mitral valve itself.
good luck
thanks for the post.
1 - I would like to know if PACs, in a normal structured heart, can cause PSVT without an abnormal pathway on your heart. We know PACs can trigger arrhythmias if there is an abnormality in the electrical system. But even if it doesn’t, is it possible to have, for example, five beats (PACs) in a row configuring a PSVT?
PACs can certainly trigger PSVT. However, the definition of PSVT involves having an abnormal electrical circuit in the heart. If you had 5 or more PACs in a row without a pathway continuing the rhythm, it would be classified more as an ectopic atrial tachycardia or rhythm.
2 - You know anything about the relationship between “pectus excavatum” (congenital deformity of the sternum, which is pressed into the chest, resulting in a 'caved-in' or sunken appearance) and the presence of arrhythmias?
There are loose asscoiations with prolapse and some arrythmias. Most of the issues with pectus relate more to the altered breathing mechanics from the thoarcic wall.
3 – A subtle MVP can cause any pain?
No. There are no nerves in the mitral valve itself.
good luck
Member Comments (2)
by frs87, Jun 19, 2007 12:00AM
Well, then I probably have an ectopic atrial tachycardia or something. Haven't got it on the electrocardiogram yet, because the episodes are very rare. But I am very familiar with the symptoms since I have already had PSVT (which later showed up as Atrial Flutter) theoretically cured in the ablation. That is very frustrating because I find very hard to deal with it. That idea of a new focus of arrhythmia gives me the impression that the only explanation is that there is something very wrong with my hear. But echo came just fine, except a little MVP. So doctors just say I'm fine and etc. At the moment there is nothing I can do but wait for the day I'll get an apisode long enough to be captured in a monitor. And I'm just 20 years old, no smoke, no drink, exercise regularly. I'm sorry to give vent to this feeling, it's just it's very frustrating.
