Just saw my cardio dr, because last 6 months my pacs have been much worse and lasting for 2-12 hours
Had echo and kegs all good, had stress test last sept was good
I ask her about the vagues nerve she said would not be causing this, strange how some believe it to be nerve some not
I had stress test, EKG's and 48 hour monitors. It was the VAGUS nerve irritated by an ulcer in my stomach. They gave me a strong anti-acid and told me I would be better within 48 hours.
I didn't believe them but I was wrong. I couldn't believe that was the case because I had dizziness, PVC's, and extreme exhaustion. It was the vagus nerve. I hope this helps some people out there. Be well
"How often do I get PVCs?"
I've had a Holter monitor pick up 4800 in a day, but that was a while back, and they have become more numerous with time.
Reading a lot of articles about PVCs will help you understand what's going on. It really isn't rocket science, but there are things to learn. One is that everyone--that's every single person--has them, but most people do not feel them. Those that do, like us, seem to have more sensitive nervous systems, and we feel them in spades.
This awareness can produce great, almost paralyzing anxiety, and if that happens, our best friend is a psychiatrist, though sometimes a family therapist can teach relaxation exercises that may be of help.
Thanks for the article. I read a little bit about it and will finish the rest of it a little later. I read something about the vagus nerve a few weeks ago, but the information I got didn't seem sufficient. This article seems like it relates to me more though.
How often do you get PVCs?
This is the best way I can describe the feeling..
You know when you're really tired but you're trying to keep yourself away and you start drifting off to sleep.. then you catch yourself and your back to being alert?
Well, the feeling I get when I'm getting a PVC is that feeling where you catch yourself.. along with the thud in my chest. It's extremely bothersome and I can't sleep cause of it.
Are you feeling dizzy as in vertigo?
Depending on the timing of the PVC (random), you could experience a slight increase in blood pressure just for that beat. The sensation of that might make you feel "dizzy"?
Since this is heart related, it would be classified as "presyncope" if you were getting enough of a pressure drop (and duration) from the PVC to cause a dizziness.
Actually, this is both normal and a really common complaint for people with healthy hearts who have PVCs (I am one of them, and I get this, too).
It is related to stimulation/lack of stimulation of a really strange nerve called the Vagus (not Las Vegas, but Vagus), which means 'wandering.' This baby is actually one of the ten cranial nerves, which generally handle movement and sensation above the neck, but old Number X wanders down into the body and controls a whole bunch of stuff below the neck. It has to do with what's going on in your gut, and in your heart, too. In fact, it's really important to heart function.
Here is a very nice and rather funny--if long--explanation of how the Vagus affects contractions of the heart, PVCs, as well as things like dizziness that so many of us experience with PVCs:
http://heart4pvc.webs.com/letterfrommd.htm
Part of this is spinal cord processing of information, not much higher brain activity involved, but in those who are sensitive to these sensations, a very quick higher processing of the sensations seems to cause instantaneous fright, something that feels like panic--and may in fact come to induce real panic, as well as anticipatory fear whenever we're in a phase when we have a lot of ectopic beats.
I think a cause can fall into one of the following buckets. Inner ear (vestibular), central nervous system, or hemodynamic (meaning the flow of blood or lack thereof).
For you it could be CNS or hemodynamic I think. You might have some signals on your CNS which are causing the PVCs. This is called "dysautonomia". From my own experience dysautonomia is a broad spectrum of symptoms, and dysautonomia can't be directly fixed (usually). You can only treat symptoms. Dysautonomia can be transient too, it comes and goes.
I've had these issues where I would get what I call a "startle". similar to what you describe, it was a split second feeling of dizzy, and I would get an adrenaline dump from it. They've come and gone over the years. I think nothing of it anymore. My heart muscle is in good shape, I moved on from focusing on it.
I truly doubt that the issue is hemodynamic with a root cause focused on your heart. You've had the echo, you're clean.
My other advice, since you've had a change in symptoms, is to get another event-style holter study to be sure.
so to summarize, we can speculate you're fine and make some assumptions but you should always get checked out when your symptoms change.