Heart Disease Expert Forum
Test Interpreations - PVC/PAC sufferer
About This Forum:

This forum is for questions and support regarding heart issues such as: Angina, Angioplasty, Arrhythmia, Bypass Surgery, Cardiomyopathy, Coronary Artery Disease, Defibrillator, Heart Attack, Heart Disease, High Blood Pressure, Mitral Valve Prolapse, Pacemaker, PAD, Stenosis, Stress Tests.

Font Size:
A
A
A
Background:
Blank
Blank
Blank
This expert forum is not accepting new questions. Please post your question in one of our medical support communities.
Blank Blank

Test Interpreations - PVC/PAC sufferer

I have been suffering painful pvc/pac since 5/01. Taking toprol xl 25mg a/day to alliviate PVC/PAC. I have app. w/Dr. Wilkoff @ Clev. for  opinion. I'm 37-f/145 pounds-no smoke-no drink-no caffeine. Used run 6 miles a day, stopped cause afraid of pvcs. Here studies done- your opinion very appreciated.

6/01 Bruce protocol:  achieved 10 mets, 95% age predicted heart rate-27,700 double product-no dyspnea-no chest pain. Occasional pvc seen. 1/2 - 1mm upsloping st depression was noted in the inferolateral lead at peak exercise w/resolution w/in 1 minute of recovery.

Echo 9/01 - The doppler study shows a trace of mitral, pulmonic and tricuspid insufficiency (regurgitation) - w/ normal velocity - all other values w/in normal ranges.  

Holter Monitor 12/01  
103395 tot beats noted: 12% were ventricular ectopic beats.
St activity: Max st depression of 2.4 mm in Channel A - no significant St changes in Channel B - Superventricular activity: 15 psv noted - no episode of irregular sv > 80 were noted. No sv tach > 150 noted - Bradycardic activity: 2 episode of sudden rate decrease from 96 bpm to 64 - no pause > 2.5 seconds noted - no episode of marked sinus bradycardia < 40 bpm noted - Ventricular Activity: 117 pvc noted at max rate of 9 measured over 10 minutes interval - 8 different ventricular ectopic forms were noted, mostly occuring form accounted for 68.21% of ventricular ectopic beasts noted.  2 ventricular couplets were noted.

01/15/02 Stress Echo Test - result not obtained yet.  
02/14/02 Scheduled for Cardiolite stress test.

PVC/Pac have changed my life
Related Discussions
Avatar_n_tn
Dear paola,
Dr. Wilkoff will be able to give you a much better overall opinion once all the test results are in and when he can see the actual tests but here is a brief overview.  Both the stress test and echo are essentially normal.  They noted some ST changes during the stress test and this is probably the reason for the additional testing.  I suspect these will also be normal.  

The Holter test reveals a large number of PVCs.  The fact that there are 8 different morphologies decreases the chance of a completely successful ablation procedure.  However, ablation may significantly decrease the number of PVCs. The other alternative would be medications, either antiarrhythmics or beta-blockers.  Your discussion with Dr. Wilkoff should focus on the benefits and risks of ablation vs. medication and if you decide on medication which medicine would be best for you.
3 Comments
Blank
Avatar_n_tn
was able to post right at 8:16 a.m. thanks for the info. paola
Blank
Avatar_n_tn
HI Hank, where in tests that I have done you see multifocal?  Can't see that word spelled out in any of the report? what does multifocal means? is the interpretation of something else? curious about it. thanks, paola
Blank
Continue discussion Blank
Blank
Request an Appointment
MedHelp Health Answers
Blank
Weight Tracker
Weight Tracker
Start Tracking Now
RSS Expert Activity
469720_tn?1388149949
Blank
Abdominal Aortic Aneurysm-treatable... Blank
Oct 04 by Lee Kirksey, MDBlank
242532_tn?1269553979
Blank
The 3 Essentials to Ending Emotiona...
Sep 18 by Roger Gould, M.D.Blank
242532_tn?1269553979
Blank
Control Emotional Eating with this ...
Sep 04 by Roger Gould, M.D.Blank