Benign verse NOT PVCS

So I was do a bit of stationery bike...when I had a pvc. Of course....my reaction was to continue exercising...NOT.
Anyway..I googled....and I came across this.....from another site..
"There are formulated criteria to define which PVCs are 'physiological' and which are abnormal, or dangerous. PVCs less than 6 a minute are considered benign and not requiring treatment. PVCs occuring single as against in pairs of twos or threes [salvos] are benign. Salvos are always dangerous and to be treated immediately. PVCs occurring very close to the preceding T wave of the cardiac cycle are dangerous. PVCs, though single but of different morphology, [multifocal] are not benign. PVCs in the setting of a 'Heart Attack' or a Cogestive (congestive) Cardiac failure are NEVER benign."  
If this is true, then my pvcs are not benign. I have more than 6 a minute often, and I have pairs, and I have multifocal. Sooooo according to this, I have tree reasons mine are not benign.
Anyone have any info on this?

[Mom2four85]

I haven't read salvos are always dangerous; PVC's on T wave I've read are dangerous as well as some multifocal pvc's; I know there are some different doctors in the heart disease forum here who say yes and no, you may want to ask there or search back to last year I think was when the dr that starts with a J answered because I asked about mine.

I saw 3 EP's and 1 EP in the ER before my ablation back in July 2009; even with my very frequent multifocal pvc's; no one thought mine were dangerous or coming from a difficult spot in the RV Apex; they didn't find that out until I had my EP Study in August 2009.

I'm still stumped after 2 years what makes dangerous pvc's because Im told I still have no structural heart damage and my EF per my cardiac cath was probably not right [sigh] sorry I can't help - I know all we do hear is if your heart is "structurally" normal then you're probably fine; which I still question .

[beema36]

Ok I am confused. I have been reading posts that say people on here have 10:000 pvcs per day and its no big deal. Now you say 6 per min is dangerous?
Which is it??

[bbxx]

Wait...I am not saying 6 a minute are dangerous. (by the way, I am having about 10-15  minute--for days now).
So I am trying to find out about this.

[beema36]

Maybe I read it wrong. I like you try to figure out what's what. Drs are just so complacent about these things. I don't know why I can't just ignore them but guess I am so afraid of fainting again plus when I was in ER 2 years ago ER Dr made the remark "Sure hope you don't get a fatal arrythmia." That just sticks in my mind.
Hope you find some answers and the pvcs slow down for you.
Beema

[bbxx]

I know. Its frustrating beyond frustrating. How many pvcs are you dealing with? Do you have pairs? You fainted also? I have had a couple faints. ITs annoying because the rythm I felt prior to fainting was over once the ambulance arrived. AAAAAAAH!

[beema36]

I have pvcs every day. The amount depends on the day. For some reason they are always worse in the morning and definitely worse with stress. I was diagnosed with autonomic dysfunction and put on a betablocker which has helped the tachycardia. Now my heartrate runs in the 40s and 60s. I think that makes the thumps and bumps even more noticeable to me. I just wish I was like my dh who doesn't feel his skips,etc.
When the,ambulance came last time I fainted they couldn't get a bp on me it was so low but like you didn't catch the arrythmia. It's just all crazy.
Beema

[bbxx]

My bp was too low one time after a faint.
40s is low for heart rate! Maybe you fainted from that?

[beema36]

No at that time my heart rate was running around 120 or more resting. I had had tachycardia for a long time and had been on cardizem for years but guess it finally couldn't keep it down so Dr added betablocker which has it very slow. I felt that its,too slow but my electrophysilogist says he wants it between 40-70 bpm. I am not sure why.

[bbxx]

Wow. 40 is bradycardia... hmmm maybe thats how low it has to be in order to keep the tachy away.

[beema36]

I don't understand his reasoning at all. I have decided at my next visit to be more assertive and get a more thorough explanation than to be told that's what he feels is best. It certainly does keep the tachy away.lol I have been on betablocker 2 years now and have gotten to the point if my heart gets into the upper 70s it feels terrible. A couple weeks ago I was upset and stressed and it actually got to 80 bpm and it felt like it was beating out of my chest. I don't understand why I have that reaction other than the fact since being on betablocker I notice my beats are more forceful so they are more noticeable.
It's scary isn't it to be in the hands of drs especially when it concerns the heart? I second guess them too much maybe. All I know is it controls my life and I hate it and as I said if it has to be this way would be nice to be one of those people who don't feel every little beat and blip of the heart. Dr says ignore it. Right! Kind of hard when it takes your breath away and feels like a frogs took up residence in your chest.:-)

[bbxx]

Frogs....thats exactly what they feel like sometimes, and other times balls rolling around sucking the wind out of you.

[beema36]

Exactly!

[is_something_wrong]

I recognize this post from Doctorslounge.

I don't understand why the doctor wrote that. I would guess some doctors disagree with him :)

Based on the book "Noninvasive electrocardiology in clinical practice" the rules are as follows:

Healthy hearts:
PACs: No significance
Short atrial arrhythmia: No significance but check for underlying causes (in case of Afib/Aflu)
PVCs (singles, couplets, triplets, etc): No significance unless underlying heart disease.
Short NSVT: Probably little significance in healthy hearts but should be examined.

CAD:
PVCs: According to Lown's scale.
NSVT: Important finding

Heart failure / cardiomyopathy:
More than 10 PVCs/hour increase risk 2,5 times and more than (I don't remember the number:p) increase risk 4 times.

[bbxx]

more than 10 pvcs an HOUR? lol well....I surpass that by FAR.
thank you is....for the info

[is_something_wrong]

Well, do you have heart failure? I thought your heart was healthy.

[bbxx]

oooh, no. lol I missed that. lol