follow up on pvc question from 3/22

[Gaspipe]

hi some other factors on my sitution total chol 210, 143 tri,HDL 52,LDL 129,c reative protein,.2{2tenths] family hx on maternal side mother aortic tear age 60 still surviving 10 years, uncle aortic tear age53 did not survive paternal side no heart disease.questions1] would these parameters make my frequent PVCs more problematic?2] should lipid control given my numbers be considered via statins{diet low fat now}?As stated all cardiac tests to date "normal" is a more invasive test{angiogram}a consideration to look for partial blockage as PVC cause? Given my history and genetics is antiarythmic theraphy more risky than usual?Thank you in advance for time and your input in this forum is a great thing.

[CCF-M.D.-RCJ]

gaspipe,

Thanks for the post.

Q1:"would these parameters make my frequent PVCs more problematic?"

Only in that these other factors increase the possibility that you have structural heart disease.

Q2:"should lipid control given my numbers be considered via statins"

I don't know enough about you from this post to answer the question.

Q3:"is a more invasive test{angiogram}a consideration to look for partial blockage as PVC cause?"

Ischemia (caused by blockages) is an infequent cause of new onset PVCs.  For the majority of the patients that we see, we do not pursue angiography if a nuclear scan is normal.

Q4:"Given my history and genetics is antiarythmic theraphy more risky than usual?"

Only in that these other factors increase the possibility that you have structural heart disease.  If you don't have structural heart disease by echo and noninvasive assessment of the coronary arteries, then antiarrhythmic drugs would carry the same risk benefit ratio as in others with a similar non-invasive profile.

Hope that helps.

[Gaspipe]

Sorry this followup to my question on 3/21/04 not 3/22