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Heart Disease (Expert Forum)
new onset bigeminy
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new onset bigeminy
by Bakers5, Feb 10, 2007 12:00AM
I have minor congenital heart defects (small VSD, small PDA, mild MVP). At 47 years old I am mainly fine. Recently developed Bigeminy (with low BP and pulse, sometimes feeling the palpitations)and seemed to be staying in the rhythm for more than 2 months now. I understand that PVCs are generally benign, however, with the minor structural defects do I need to be concerned?
Doctor's Answer
by Forum-M.D.-MM, Feb 11, 2007 12:00AM
Hello,
It is worth having your rhythm evaluated with a holter monitor. That should help determine how frequent it is. If it is frequent enough to capture on a 12 lead EKG, that is usually enough information to localize it in your heart within a few centimeters. This can be helpful if:
1. your PVCs are very symptomatic
2. They cannot be suppressed with medications
3. The decision is made to try an ablation
It is also important to make sure your heart function is stable. Hopefully you have a good adult congenital heart disease specialist. It may be worth seeing an electrophysiologist as well, especially if the bigeminy is constant.
Thanks for posting.
It is worth having your rhythm evaluated with a holter monitor. That should help determine how frequent it is. If it is frequent enough to capture on a 12 lead EKG, that is usually enough information to localize it in your heart within a few centimeters. This can be helpful if:
1. your PVCs are very symptomatic
2. They cannot be suppressed with medications
3. The decision is made to try an ablation
It is also important to make sure your heart function is stable. Hopefully you have a good adult congenital heart disease specialist. It may be worth seeing an electrophysiologist as well, especially if the bigeminy is constant.
Thanks for posting.
