atrial run

Hello, my doctor did not clearly define exactly what normal sinus rhythm with atrial run is and could you please clarify this for me. My heart rate during the atrial run was 180.  I was wearing a heart monitor.
I am 30, physically active, have a history of asthma, anticardiolipin antibodies (IgM and IgG).  I have had a normal echo with a finding of a Chiari Network. I have had documented PSVT along with about 500 PVCs in a day.
What exactly is normal sinus rhythm with atrial run?
Should I be concerned since I have anticardiolipin antibodies and having such a fast heart rate?
Thank you!

[Lee Kirksey, MD]

Hello
Im not sure if "atrial run" is a medical term but from what your saying, I suspect that what he was referring to is multiple PACs. As you no doubt know, PACs can be be a normal variant in most people. Mnay PVCs can be normal as well when they are single. Complexes of PVCs can be more concerning. Given your combination of these pathologies, I would make an appointment with your cardiologist to review your rhythm and explain the particular causes in your case.

Anticardiolipin antby predisposes people to develop arterial and venous blood clots. I suspect that you are at some statistically elevated risk of a blood count compared to someone who does not have anticardiolipin however, I do not think that your described PACs should be problematic

Good Luck