Re: One more question on arrhythmias

[Carole__0]

Posted By Carole on August 04, 1999 at 09:32:52
I apologize since you answer so many questions on this topic.  I have read many of them, but am still curious about one aspect of mine, so please put up with one more.  I've had PVC's and PAC's over the past 4 months for the first time in my life.  I'm kind of high-strung anyway and have had heart palpitations and rapid beat when I'm scared like most people do, but this was different.  
My husband and son were having some major conflicts and I felt that that coupled with my workload may have caused it.  However, a cardiologist ordered an EKG, Holtor monitor and stress test.  I had PVC's and PAC's but they were determined to be benign and the EKG and stress test were fine.  My family has since settled down and so have my palpitations.  However, what I now notice is a periodic "wham" of two or three real hard beats, out of nowhere and then calm.  
Last night, I was getting ready to go to bed but decided to surf the channels for the 11:00 news.  Suddenly, I had the sensation my heart had stopped.  Now, since I had not noticed it beating to begin with, I don't know how I knew it stopped, but I gasped for air, felt 3 or 4 heard beats then everything was fine.  I had no dizziness or pain, but was scared to death.  This happens just once in a while-maybe 3 or 4 times a week.  If it's nothing to worry about, fine, I can deal with it, or should I see the cardiologist again?  Thanks for all the help and support you give everybody.  Unfortunately, many of us don't get that from our own doctors.

[CCF CARDIO MD DLB]

Posted By CCF CARDIO MD - DLB on August 04, 1999 at 10:55:48
Dear Carole
Most people actually do not feel the PVC itself, but rather the pause and more vigorous normal beat afterwards. If you are having very long pauses, that could be a problem. The solution may be to wear a Holter monitor long enough to capture these episodes so that your cardiologist can determine if you are having dangerously long pauses or whether it is just PVCs.
I hope this has been useful. I wish you the best of luck. Feel free to write back.
Information provided here is for general purposes only. Specific questions should be addressed to your own doctor. 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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