If a RVOT PVC occurs, can you always feel a skipped beat in your pulse?

[skippy25]

Two weeks ago I was diagnosed with a significantly high burden of RVOT PVCs (10% of time).  None of the other tests indicated any other heart disease (stress test, heart mri, echo). Since I was already on a beta blocker for high blood pressure, my electrophysiologist scheduled a cardiac ablation.  However, In am suddenly feeling better and can no longer feel my pulse skip beats like it did before.  Can the PVCs just suddenly stop?  Could they still be occurring even though I can't tell in the pulse?? I don't want to take the risk of this procedure if the problem has disappeared.

[Cmashburn]

Hi I am a 33 year old mother of two boys, and have had pvcs for almost 12 years all started after my first child, I had a very hard labor.  since then I have had almost every test I can think of to figure out what is going on with my heart, and still to this day no real answers other than a irregular heartbeat with pvcs... So frustrating.. I am always scared that it is getting worse.  But everyone just looks and you like you are imagining things.. I am on atenolol and paxil for anxiety attacks.. Wondering if anyone else has had weight gain with there meds they are taking.. I cannot seem to lose weight and I think I am getting even heavier.  Please help... So tired of feeling crappy..

[kenkeith]

As with almost all therapy RVOT-TC it is patient, treatment and test selective,  You mention electrophysiology, so I assume an EKG was the test.

For insight, "Triggers for RVOT-VT initiation are sex specific. Women have RVOT-VT initiation with recognized states of hormonal flux. Men more commonly have RVOT-VT initiated by exercise or stress. These data have important implications related to patient education and counseling in the setting of RVOT-VT and may influence the timing of ************** and electrophysiologic evaluation in selected patients. (Am Heart J 2006;139:1009-13.)"

Treatment with verapamil or diltiazem can control RVOT VT with about 25% to 50% efficacy.  Radiofrequency catheter ablation has cure rates of 90% and is the preferable option, given the young age of patients with RVOT VT common arrhythmia in young patients without heart disease. Other causes such as electrolyte problems (sodium, calcium and potassium) and ischemia need to be evaluated and corrected, if they are primary in origin then ablation or medical therapy are options.

Whether the symptoms are periodic would depend on what type: It occurs in third to fifth decade and consitutes about 90% of outflow VTs. There are two types... ***Nonsustained, repetitive variety and Paroxysmal (sudden reoccurance or iintensification of symptoms)****, exercise-induced, sustained variety. .