Revisited

[billy d]

Addendum to my previous question, still wearing svent monitor that has shown some of the " extra beats " occuring 4 or 5 in a row with normal sinus rhythm before and after. Doctor says maybe vt or pvts nothing to do about it. Am concerned as I live in rural area and there are limited cardiac facilities. Should this be pursued (2nd opinion) as I don't feel well with all this going on and doctor seems unconcerned.

[CCF CARDIO MD JMF]

Dear Bill,

There would not be any clinical significance to this "quivering" sensation.

[Bill Dotts]

To CCF Cardio MD JMF,
I am sorry to still be unclear so I will use the exact terminology as appearing on the event reports. For the most part the arrhythmias I experienced were uniform pvc's ( most days some amount) also some SV ectopy noted, a few extra beats described as "rare pvc" and two episodes of VT fusion beats each one 6 days apart and consisting of 5 extra beats with NSR on each side and felt as a thump with a long pause and a flush or slightly faint feeling afterward. (On the strip appearing like 5 wavy peaks in a row )So far that is what I have recorded in two weeks. The quivering spasms sensation I was having did not show up on the strips. Is anything significant about these findings ? I know you have already responded twice but if you could find you r way clear to answer this too I would be greatly appreciative.
Thanks for your time
Bill Dotts

[CCF CARDIO MD JMF]

Dear Bill,

You do not need to have this pursued any further.  I would recommend following your tricuspid regurgitation in the future but for now this can be put on the back burner.

Best of luck!

[Bill Dotts]

To CCF cardio MD
As posted in previous question the echo was normal except for mild tricuspid regurgitation and a stress test with normal results was also done.
Thanks BD

[CCF CARDIO MD JMF]

Dear Bill,

You should have a full cardiac evaluation to rule out significant cardiac disease that may predispose you to PVC's.  this would likely include and echo to rule out the presence of significant structural abnormalities of the heart and a stress test to evaluate for likliehood of significant coronary events.