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PVCs with cardiomyopathy
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PVCs with cardiomyopathy

I have cardiomyopathy with EF now 40-45% up from 35-40%.  On carvedilol.
Had a holter in December for palpitations showing only 17 isolated APDs.
Started feeling what I thought were pauses again so dr ordered another holter this week-saw NP this week and results of recent holter are very different-562 VPDs; 6 APDs with one couplet. 5 trigeminy events with 16 trigeminy beats. No pauses. IVCD seen with increased rate but I do have history of LBBB.
NP says nothing to be concerned about but these changes seem excessive in just 5 or 6 weeks. Echo ordered to be done in 3 months but nothing else.  Should I pursue it further with my dr - I am reluctant to call him because he gets upset when I continue to call - I'm thinking electrolytes, potassium, magnesium, thyroid should be checked at the least. Or am I just overthinking, over analyzing and just go with what NP said?  I feel if it's something as simple as a supplement needing to be added or a tweak to my Synthroid to relieve these episodes, it's worth exploring.
Opinions??
212161_tn?1418434895
i think if your concerned the dr should understand and help you out, sounds like normal pvcs and they are no worry but he needs to reassure you that your heart is good.
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