vt

If I understand correctly I am allowed this last question for 6 months. I have had ekgs, 30 day event, 24 hour holter, echo all within this past year. Three years ago a stress test. I was told I have mild mvp with mild regurgitation, tricuspid mild regurgitation, mild leaflett thickening, first degree heart block, thousands of pvcs-mostly unifocal some multifocal. I was told my heart is fine. I am female age 41. last night I was leaning my head/neck on my hand and not looking for it, but fel 3-4 very quck beats followed by regular beats. The beats were fast, lsting under a second. I am not on any meds and I prefer no meds and non invasive. So, if you were me, what would you do next in light of the 3-4 beat run? Also, I was told I had 2 episodes of Supra Ventricular tachy--but it was never proven. Could it possibly have been that? I felt no flutter or pause after. Will you please tell me what you would reccomend?

[bbxx]

ps, am I correct on the asking 2x in six months or is that only for the doctor forum?

[erijon]

That's only on the expert forum, you can ask all you want here!

I'm not too up on rhythm issues, I'm sure others will answer. The fact that it went back into a normal rate on it's own most likely means it's nothing. I have experienced these and asked about them one, cardiologist said no big deal.

Like I said, I'm sure others will post better answers.

Good luck,

Jon

[bbxx]

Thank you--I get confused with all the rules, and also- yes, I know that its a rythm issues, but I didnt know if anyone over here had any ideas either. lol

[erijon]

There's some great people on the Rhythm forum, I read their threads and they seem very knowledgeable. They also jump in here often so I'm sure some one smarter than me will respond.

Good luck!

Jon

[kenkeith]

Welcome and thanks for chosing the heart diesease forum for your question. You may start with a simple blood test to rule out any electrolytic imbalance.  Also, there could be a thyroid disorder, and a blood test can rule that out as well.

However, a  first-degree heart block can be the underlying cause and more specifically an AV nodal disease (AV node times the electrical impulse to the ventricles so the lower ventricals contrat at the same time. If you are on any medciation, that can effect the refractory time of the AV node. Drugs include: "calcium channel blockers, beta-blockers, cardiac glycosides, and anything that increases cholinergic activity such as cholinesterase inhibitors. Drugs that increase calcium concentration, such as Digitalis decrease AVN conduction time". You don't take any medication so that can be ruled out!

Did you have an event during your various tests?  Your heart valves (mild) can be ruled out. What does your doctor say about the heart block?  It seems that would be the logical underpinning of the arrhythmia.  

Thanks for you question and if you have any follow up questions or comments you are welcome to respond. Take care

Ken  



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[bbxx]

Doctors say it has nothing to do with anything. They said first degree is harmless and causes no problems.

[kenkeith]

I don't know all the clinical manifestation for you.  Your doctor has other tests, health history, medication prescribed, etc. Isolated first-degree heart block has no direct clinical consequences.

However, source AMA: "There are no symptoms or signs associated with it. It was originally thought of as having a benign prognosis. In the Framingham Heart Study, however, the presence of a prolonged PR interval or first degree AV block doubled the risk of developing atrial fibrillation (irregular heart beat), tripled the risk of requiring an artificial pacemaker, and was associated with a small increase in mortality. This risk was proportional to the degree of PR prolongation."  

You have an irregular heartbeat!  Your doctor may have ruled a heart block out...but the risk is there!  Your EKG may have shown a PR interval prolongation, but an EKG is not a definitive test by no means.  There could be other causes for a PR wave interval seen on an EKG output..  

[bbxx]

Intersting. I will have to research this. Thank you