aivr and v-tach

[wmac]

Hello, I am a 39yr old female, with pacs, pvcs, nonsustained v-tach(three pvcs in a row with no normal beats in between heart rate of 140) and now I have aivr. Accelerated idio-ventricular rhythm. I cannot find info on this.MY understanding is that I had four pvcs in a row with no normal beats in between with heart rate of 80.
Aivr is pvcs in a row with lower heart rate than the v-tach. Is this correct and also can a persons heart get stuck with this rhythm? This really scares me so does the v-tach. My cardiologist who is also a ep doctor says i have a normal healthy heart with the exception of mvp and a little leakage. I asked about an ablation she said no and asked about medications she said no that, that would be worse than the problem itself. Last Dec. she wanted to put me on metropopal and i said no she said that was okay and understood, now she says no period. Does this aivr make me more of a canidate for more v-tach episodes?
My cardiologist says to just ignore this when it happens. I have alot of concern over all of this I dont understand how one person can have so many differant arrythimias, is this in its self bad and dangerous? I just dont think ill get past this fear i have, ive been going through this for over a year now, except just found out last week about the aivr. Do most people with pvcs have nonsustained v-tach? I have read about people with thousands of pvcs a day i only have a few now and then and have v-tach. Does that make them a canidate for nsvt too? I thank you so much for time, I will be waiting for your reply soon. Thanks Wmac

[CCF-M.D.-RCJ]

Wmac,

Thanks for the post.

I fully empathize with your concern.  However, if your heart is as you described:"normal healthy heart with the exception of mvp and a little leakage", then statistically speaking, you have no increased risk of death over that of someone without 4 PVCs in a row.  Period.

So what you need to work on is your fear.  I think that many people like yourself have a form of OCD (obsessive-Compulsive Disorder), and thus need treatment for this to help overcome the feelings of fear and anxiety that plague you.  From what I read, it sounds as if this fear is adversely affecting your quality of life, and needs attention.

Now, if you really are bothered by the sensation of the PVCs, some medicines may or may not help.  Sometimes beta-blockers work for relieving symptoms, sometimes they don't.  It is a trial for every new person, and needs to be discussed with the treating physician.

I think that you are a long way from an ablation procedure.  It is a very rare individual who derives benefit from PVC avblation.

Hope that helps.

[wmac]

I thank you for your input, but I don't feel as though you answered any of my questions.Wmac

[CareBear59]

Hello!
Yes, I agree, I would like to hear the more definate answer on the non-sustained v-tach as I have had that myself once.  I too have a normal healthy heart but get frequent PVC's sometimes for hours on end.

[wmac]

Tell me about your v-tach. How many pvcs did you have in a row and what heart rate? Thanks for sharing with me
Wmac

[myteamy]

I don't know how fast my heart was going when it takes a run, but I have no pulse when it does.  I have gone under cathater ablasion twice and both times my heart wouldn't run under the meds they gave me.  Finally the doctor told me he couldn't fix me.  I lost my business and almost lost my loved ones over this.  My runs would go for 17 tach then 3 to 5 normal then another 17 and this sometimes lasted all day, they have a book of the V-tachs I've had.  They finally put me on 2 different meds, mexiletine and toprol, which for awhile didn't stop them, just eased the pain so I could coup.  They said that I was fine then sent me home sheesh.  My husband told the dr and I told the dr that I wasn't but he just treats me like I don't know what I am talking about.  So I fired him after 4 yrs of torture.  I took myself off of the mexiletine and am just taking the toprol for now. so far so good just tightening in the chest no attacks yet.  I also started a therapy with horses ( an exercizing program that I came up with) and seem to be improving.  I will have to see the heart dr soon and he will want me to see the one I fired (electocardiologist) and I think I have a fight on my hands.  I have found noone that could tell me what my problem was except nonsustained V-Tach with a healthy heart, no blockage.  I am so tired of being an experiament, if any one can give me some info on this matter so I can figure out how to treat myself ( since the doctors here don't know how) it will be appreciated.

[myteamy]

can anyone give me some info about nonsustained V-Tachs I am one