pvc's and couplets

[lindalof]

can pvc's and couplets cause fatigue....??

[Momto3]

I'm glad to read that you had a good cardiac workup.  And, very glad to see that the BB's are helping to control the VT.  

I did not have any driving restrictions.

If the 24 hour holter monitor does not pick up the VT, you may want to ask your doctor for an "event" monitor or an implantable loop recorder.  That way, if you have an episode outside of the 24-hour window, you will be able to capture your cardiac activity.

[zleg]

I am also having a 24 hour tape fitted tomorrow so will see what these reults are... has anyone else been prevented from driving? if so for how long? driving is part of my job so a little concerned.

[zleg]

I was in hospital on Cardiac care for almost a week and saw my cardio there, The betta blockers seem to keep my runs of vt at an acceptable level since my bad episode and being rushed in.

I had an echocardiogram, MRI scan and an angiogram before RVOT was diagnosed. Im sure my hormones are a trigger so maybe thats something to look into further.

Thanks for replying nice to know im not the only one with this.

[Momto3]

Sorry to hear you're feeling tired and foggy.  That very well could be from adjusting to the beta blockers.  Lots of people complain of feeling soooo tired (me included) when they start on a BB.  Fortunatley, the tiredness usually fades as you adjust to the medication.  The amount of time it takes to adjust varies.  

Who diagnosed the RVOT?  Have you had a recent echocardiogram?  I don't think I'd rely on the A&E or on my GP to come up with a game plan for what seems to be fairly serious.  I think I'd try to get copies of my ER reports and have them sent to my cardio.  The "dangerously high" comment is concerning.  Was there something in the reports that warrants sooner follow up?

For me, hormonal fluctuations definitely play a role with triggering pvcs "storms."  My EP agrees that hormones can be triggers for females who are dealing with ectopic beats.

[Momto3]

Thank you so much for the very kind words.  I'm so happy when I can help someone else through the pvc maze.  It is a heck of a ride, for sure!

If you're first ablation didn't seem to resolve the problem, don't give up.  Had I given up after the first one, I'd be back on anti-arrythmics.  After the first procedure, I remember thinking how great it was when my holter showed about 6,000 pvcs (a far cry from where I had been).  My doctor did not share my enthusiasm and asked me how I would feel about a 2nd procedure.  WHAT??  I asked what she would do...and that's the rest of the story : )  You know what, she was right!  I was multifocal so she (and I) knew that it might take more than one ablation.  

Next month, I'll go for my semi-annual checkup and stress echo - Hopefully, everything remains stable : )

[101705]

Thanks for your posts.  You guys are inspirational to us PVCers who have had or are contemplating ablation.  Esp. you Momto3 as I have always (since Ive had this damn problem - 2 years now) read your posts with keen interest.  I think it is significant that even though you are in most respects cured via ablation you have not forgotten what it was like and you are still ready to provide advice and support to others who are still suffering with a problem you used to have.  So far I would say that my 1st shot at a RVOT PVC ablation (July 20/07) continues to have a poor review with me - I am still having very big PVC #s (15 to 20K a day is my estimate). I will (as Gabby did) I think wait about 9 mths to a year and if I still am having big #s go for a second burn.  Paul; I agree its hard to find objective data/studies on PVC ablation success.  It seems that there are only "feelgood" single case studies on the net.  They don't seem to publish the unsuccessful ones.  The only thing I can find that the reasearchers seem to agree on is that very big PVC #s if sustained long enough will cause a decreae in LV function (i.e. CM).  If I find anything I will let you know and you if you do can return the favor.  My own EP says that because most PVC's situations are not harmful the reseach money to fix the problem really isnt there as there is no real profit in it - in short its not much of a medical priority even if it does make alot of people miserable and negatively affect quality of life.   Anyway, we have to keep our chins up.  Best regards to all of you, and all on the forum.