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.
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