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Avatar universal

Let's try and keep PVC questions under 1 or 2 thread per day

Just a suggestion… But how about if we try and keep all questions under one thread per day.
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Avatar universal
I went ahead and did it.
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Avatar universal
Ireneo that does make sense.  Let's use the one I created as the thread for today and see how it goes.  We can use it til it gets too long and then feel free to start a new one.
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187666 tn?1331173345
I'm thinking a PVC thread a day would be easier to handle. If it carried on from day to day it wouldn't be as inviting to read. I mean, if I saw a thread that had 83 responses, I doubt I'd take the time to go through it all. But to check in with each other once a day, share how you're feeling - that's more friendly. Am I making any sense here?
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Avatar universal
Lanakaye do you want to go ahead and start an ongoing PVC/PAC support thread?
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Avatar universal
I agree.  Kind of makes us feel that we have lost this good resource before it begins.  Some people deal with things differently.  If you have a problem for years, so what?  It does not make one feel any better to have it recur, expecially if it feels somewhat or a lot less as it did before.  Have all of those folks ever heard of having something "wear you down?" Sometimes pacs and pvcs can really get on your nerves, ESPECIALLY if you know that THERE IS an UNDERLYING CONDITION.  Just agreeing with you , sillyheart that we need  a reassurance thread ongoing .  Of course those who don't have the problem want to get irritable about it.  Your idea is good.  Thanks



lanakaye
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Avatar universal
I think a PVC/PAC "megathread" would be better than multiple repeats of the same questions flooding the board every day.
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187666 tn?1331173345
I think the term "neurotic" will eventually go the way of other offensive terms like "crazy" or "cripple." During their day they were accepted but now we find them unacceptable. The mental and physical problems are still with us but we use words that don't sound so bad. In 50 years they'll probably change them again.

As for 1-2 PVC threads a day: I was at a different board where one person kept posting a new thread for every idea and thought he had. It would have been better for him to start a thread and keep adding to it as he thought of things. Perhaps we could add to an existing thread (if possible) each day instead of starting so many new ones and pushing msgs down the page so quickly. Obviously a new person has their own question but the rest of us could simply add our 2 cents worth.
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Avatar universal
Yes, I agree that this forum is to help people with their fears and anxieties about their heart problems. It was only a suggestion… feel free to post however you please. But I do think that people have been posting a bit more responsibly lately and that is good to see. It is also good to see the many different questions that people are posting too. I think that is what we all want here… people helping people.
Sorry if I offended anyone… that wasn't my intent.
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Avatar universal
I didnt read anything from the forum "keep it under one post per day"!  Well stevie you just wasted one thread for the day... This site is for any one any time however many times they want to post. I feel this is too help everyone with anxiety with there fears of there heart problems. I am one of those people. Just wanted  you to know bad idea. Also its not your place to keep order on this board.
wmac
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219704 tn?1338609105
You have never offended me, and quite frankly, I feel you are two of the most gracious and compassionate people I've seen posting on sites like these. I've always respected your opinion and input.

The reason I (and many others) get offended by the coined phrase "cardiac neurosis" is in the way it is often used as belittling or degrading, or to imply that one's symptoms and fears are nothing more then "neurotic".
My symptoms are at times debilitating. When all 3 foci's are firing and I'm having well over 10 thousand a day, I get shortness of breath, dizziness, fatigue, etc. The anxiety FOLLOWS the PVC's, not the other way around.  It gets old contending with PVC's, benign or not, the symptoms disrupt my life and as the EP here said, severly affect our quality of life.
At times I think I'd rather have someone kicking my shin over ten thousand times a day. Simply put, I hate how PVC's feel.
Of course, once the cycle ends, life goes on just as it has for 43 years, extreme anxiety or not, they are gone and life is grand....until the next cycle that is.

Hope your well.
Celeste

"Contemporary man is blind to the fact that, with all his rationality and efficiency, he is possessed by "powers" that are beyond his control. His gods and demons have not disappeared at all; they have merely got new names."
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84483 tn?1289937937
I would be the last one to be throwing the phrase cardiac neurosis to offend anyone, but it is an old term that has been replaced by other phrases like panic disorder or anxiety disorder, these old terms die hard for some us, like I said I'm a recovering "cardiac neurotic" myself and a rose by any other name is still a rose. Even some people with real significant heart disease can develop cardiac neurosis along with their real heart condition, at least looks like you can have a good laugh regardless.
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219704 tn?1338609105


Just for the record, the improper throwing around of the phrase "CARDIAC NEUROSIS", is very offensive.

According to my therapist that runs a Cardiac Rehabilitation Program, anxiety induced by any sudden or prolonged cardiac event, including PVC's, would NOT fall under the diagnostic criteria of 'cardiac neurosis aka, Da Costa's syndrome' :fatigue upon exertion, combined with shortness of breath, palpitations, sweating, chest pain, shaking, and, less commonly, fainting. Rather, the diagnosis of DSM-IV 309.81: PTSD, or 293.89: Anxiety Disorder Due to Medical Condition, would be appropriate.

On the lighter side:  I got a good laugh when my therapist stated that visiting health forums year after year, after being diagnosed with any illness, fit the diagnostic criteria for DSM-IV Code 309.9: Adjustment disorder.

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84483 tn?1289937937
I agree with you,But if you noticed I said the vast majority of arrhythmias are considered"benign", a-fib can certainly do all the things you said, yet by itself a-fib is mostly a "benign rhythm". PVCs and PACs are "benign" rhythms until you have them in 15,000 to 20,000 ranges daily for years then they can cardiomyopathy on rare occasions( I think its more common now than previously thought though), the danger with chronic a-fib is blood pooling in the atria and causing deadly clots, but you already know that, also a-fib can cause cardiomyopathy .

As a recovering "cardiac neurotic" I really can sympathize with all here that have the same questions and fears over and over, just alittle reassurance and BAM in 3 weeks all the reassurance is gone thats why Reassurance is often listed as first treatment for patient with bothersome ectopics.Sharing with each other often helps , even if just for alittle while.

By the way I always respect and view your comments and I must say I rarely disagree with any of them, probably just view them from a different angle.

Be well and keep in good health /Tickertock.
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66068 tn?1365193181
"The FACT remains that rhythms irregularity often cause anxiety and NOT vice versa as some would like most to think!"

I agree. Certainly, there are many people who post on these boards for the first time and are understandably axious concerning a sudden onset of PVC/PAC palps. This Forum is ideal for them to find others with the same symptoms who will reassure them that they are not in any danger. Generally, the majority of these, after a little support, feel relieved and quit posting after awhile.

However, there are some who ask the same questions over and over for YEARS and clearly have a mental disorder (cardiac neurosis). Most of the repeat questions are from these few. Here is an abstract of a cardiac neurosis study:

"Psychother Psychosom. 1989;52(1-3):88-91.  
Cardiac neurosis and psychopathology.
Conti S, Savron G, Bartolucci G, Grandi S, Magelli C, Semprini F, Saviotti FM, Trombini G, Fava GA, Magnani B.
Department of Psychology, University of Bologna, Italy.

Psychiatric illness according to DSM-III-R criteria was investigated in 54 consecutive patients suffering from cardiac neurosis (neurocirculatory asthenia or Da Costa's syndrome). Thirty-seven of the 54 patients (68.5%) were found to suffer from a psychiatric disorder. Generalized anxiety disorder, social phobia and panic disorder accounted for most of the diagnoses. Panic disorder was frequently preceded by (and associated with) generalized anxiety, phobic avoidance and hypochondriasis. The results should alert the physician to inquire for symptoms of an anxiety disorder when a patient presents with cardiac neurosis."

So 2/3 of cardiac neurotics have a treatable mental disorder that requires intervention by a psychiatrist and not an EP. Their fixation on PVCs often exacerbates their symptoms (anxiety begets PVCs just as a panic attack is known to cause tachycardia).

"FACT, the vast majority of rhythms disturbances are "benign and harmless" even though they cause a great deal of anxiety and discomfort to all or at least most concerned,"

Here, I respectfully disagree. Arrhythmias that cause syncope place the patient at severe risk (and death while driving an auto). SVT over an extended time will cause cardiomyopathy. Even afib, a relatively benign arrhythmia, if left untreated could lead to stroke. In discussing a rate control approach to my afib, an EP warned me that the long term consequences of being in afib will cause damage to the ventricles. My chronic afib has already caused my atria to baloon. PVCs/PACs, on the other hand, will cause no damage. JMHO.

Regards

Tony

PS Good to see you posting again.  While you and I disagree on some subjects, I have always respected your well thought out views.







Not for our long term worriers IMO.



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Avatar universal
Whoa.... slow down a minute. I only made a suggestion to keep PVC questions under one or two threads per day. If anyone has a legitimate different question to ask then for sure make another thread. PVCs are just as much a symptom of heart disease as it is heart rhythm disorders. I have Long QT Syndrome and PVCs are not related to this syndrome at all but for LQTS's who have them too much they can cause problems.So I am the last person who thinks that people who have PVCs are whiners.... I know first hand how annoying and scary they can be. Please... I didn't mean to offend ... I was only trying to keep the board in order.
Again, sorry
Stevie
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212161 tn?1599427282
wait now we are being told we can only have 2 questions of pvc/pac i dont think so first they dont want us on the other one now they telling us how many questions we can ask, get a life i will be on both asking questions about my pac if they are scareing me ive been here 6 years and i dont care who it up-sets never had this problem before why now, .
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84483 tn?1289937937
Now we get a heart rhythm discussion forum and then is told the same old same old about PVCs and PACs by some, FACT, the vast majority of rhythms disturbances are "benign and harmless" even though they cause a great deal of anxiety and discomfort to all or at least most concerned, YOU KNOW WHAT , if they didn't nobody would be commenting on these forums.The FACT remains that rhythms irregularity often cause anxiety and NOT vice versa as some would like most to think! Just my 2cents for the day from someone who has had PVCs that can finally ignore them most of the time, you know what helped more than anything, visiting this forum and chatting with others in a similar boat. GO figure.
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66068 tn?1365193181
"Aren't PVCs and PACs heart ryhthm problems?"

Yes, they are but many of those who post about them are really suffering from cardiac neurosis, asking the same questions again and again.  The PVCs/PACs themselves are basically harmless.  Many PVC posters are posting because they are anxious and fearful. Unfortunately, the EP answering the questions on the new Heart Ryhthm Ask a Doctor Board likely isn't qualifed to deal with the subject of anxiety/cardiac neurosis.  He is an expert on the treatment of EP based arrhythmias. On this patient-to-patient board, you'll just continue to have anxious (but basically heart healthy) patients talking to others with the same fears, reinforcing established patterns and neurosis. I've been posting on medhelp and related heart boards for 4-5 years and I see many of the same hard core neurotics whining year and year.  Regrettably, many have made little improvement in dealing with their fears. They really should be posting on an anxiety board having a trained psychiatrist to answer a couple of questions daily and to provide treatment gudance and an occasional realty check for them. JMHO
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Avatar universal
Yes, they are heart rhythm related but they are not a disease in itself, therefore keeping questions about them in one thread allows other to post about specific heart rhythm disorders. It was only a suggestion, you can post however you feel.
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Avatar universal
Why?  Aren't PVCs and PACs heart rhythym problems?  
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