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Questions regarding pac's and cardiology consults

Posted by Brandi on April 20, 1999 at 14:03:15
Hi,I have written here before. I am a 25 year old female with pac's. I never notice them until about 4 months ago, they came on suddenly,and have continued to pester me since. I dont know what caused them,I'm not under any additional stress or medications. I wore a holter monitor which showed 5 pac's. I didn't feel any of them that day.I had a echo a year ago which showed minor mvp. Okay,here goes the questions. 1.In a year,could the mitral valve have gotten worse? 2. Even though I had pac's that day,could these other ones bothering me be pvcs?3. Why is it that some days I feel several and others hardly any? 4.My doctor mentioned having a once over by a cardiologist, what kind of tests would be done on someone my age? (otherwise in good health)5. Is it possible that the pac's on the monitor were benign but the but the ones I'm having now are not benign? I have no pain,dizziness,or unusual sob follwing them. I do notice them more when I have a bowel movement. Is that normal? Thanks so much,Brandi

Posted by CCF CARDIO MD-APS on April 22, 1999 at 22:43:21
Dear Brandi,
1)If you truly have MVP, some 15% of patients have a worsening of the valve over time and this is why you should have regular check ups that include a history and physical and if so indicated a follow-up echo.
2)A cardiologist's once over is a good idea in that you may have this diagnosis of MVP (many persons are diagnosed as such and really they do not have a prolapsing mitral valve.) As for the tests a cardiologist might order, that depends entirely on the history and physical exam.
3)EVERYONE has PVCs and PACs, THEY ARE ALWAYS BENIGN IN SOMEONE SUCH AS YOURSELF, i.e. WITH NORMAL LV FUNCTION.  You very well could be feeling only the PVCs; they do tend to pester patients, especially those under some sort of stress.
4)Often patients will relate their palpitations to some GI activity like swallowing or a BM, however others will relate to stress, caffeine intake, and PMS.
I hope this information is useful. Information provided in the heart forum is for
general purposes only.  Only your physician can provided specific diagnoses and therapies.
Feel free to write back with further questions. Good luck!
If you would like to make an appointment at the Cleveland Clinic Heart Center, please
call 1-800-CCF-CARE or inquire online by using the Heart Center website at
www.ccf.org/heartcenter. The Heart Center website contains a directory of the
cardiology staff that can be used to select the physician best suited to address your
cardiac problem.

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