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PVC's
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PVC's

I am a 39 yo healthy female. 5'4, 110 lbs. BP 100/60. History of palpations over last 5 years. Lately I have noticed increased palpatations and some occasional right-sided chest pain. I have been recently diagnosed with a small hiatal hernia/mild reflux which I understand can give the right sided chest pain. I have been on prevacid for 5 weeks.
Echo(2002)-Normal except for mild triscupid regurgitation. Stress Test(2003) negative. Holter monitor(2002) showed occasional APC's. An EKG in 2002 was normal with occasional premature supraventricular complexes.  All others EKG's( and there has been several completed since) were all normal.
I daily feel the palpations and have increased anxiety from this.  My latest ER visit a few weeks back showed another negative EKG, Negative Chest xray and cardiac blood work negative. The physician felt I may have had a panic attack. I do agree that feeling the palpations, I do get worried that something "cardiac" may be going on.
(1) Should I insists on any repeat diagnostic tests at this time? If so, which test.
(2) Please comment if APC's and mild triscupic regurgitation are concerning.

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230125_tn?1193369457
Hi Kim,
(1) Should I insists on any repeat diagnostic tests at this time? If so, which test.

I don't think you will need to insist.  It is reasonable to check an echo, holter, EKG, and thyroid tests.  There is a 99.9% chance things will check out ok, but it is always worth checking if there is a change in symptoms.


(2) Please comment if APC's and mild triscupic regurgitation are concerning.

PACs and mild TR are not concerning.   PACs are almost always benign and trispid regurg is very common.  The echocardiograms are so sensitive that I almost always have to comment on a slightly leaky valve when I read echos.

I think things will check out fine from what you describe, but is worth looking.

I hope this helps.  Good luck.
6 Comments
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Avatar_n_tn
Kim,
I have exactly the same symptoms. Heres the deal. This will change your life. Do this. Stay away from caffine,alcohol and tobacco. Drink a tall glass of water when you wake up. The next glass have one teaspoon of honey and apple cider vinegar. Then do NOT eat any later than 7 at night. In the day eat itleast one red delicious apple. No other apples will work. Give this a one week trial and I will bet that your palps will be almost gone and you will feel tons better. TRY IT and STAY on IT !!!!!!!
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Avatar_n_tn
Hi Kim,

I really feel for you.  I have also been recently diagnosed with PVCs with no other "typical" cardiovascular disease, but with a history of tachycardia, cardiac spasm, atypical chest pain, so-called "panic attacks" etc.  Although my doctor refers to the PVCs as "benign", they are very distressing and just the anxiety of the PVCs makes them self-perpetuating.  (I'll spare you the details of my medical history).

If the other diagnostic test come back "normal" you might also want to get an intracellular mineral test from Intracelluar Diagnostics (http://www.exatest.com/ 1-800-874-4804).  There are other tests for intracellular minerals, but they are not readily accessible to most people as they are usually used in research settings.  According to the authors of Magnesium Factor (Seelig, Rosanoff) magnesium deficiencies can also contribute to certain cardiac arrythmias as well as a host of other problems.  A regular blood test may not detect this deficiency because less that 1% of "active" magnesium is in the blood!  This test is more likely to identify a deficiency than a blood test.   Be careful about supplementing with extra magnesium until you know your TRUE magnesium status.  

In the meantime if you haven't done so already, you can try eating foods higher in magnesium (anything green--esp dark green, brown rice, black beans and other legumes etc.)  My experience has been that many general practitioners are unaware of symptoms of chronic magnesium deficiency.   There are many things that further deplete magnesium such as excess or prolonged stress, caffeine, excess sugar consumption, and many medications especially diuretics.  Even just drinking too much water in a short period of time can upset the body's mineral balance which is important to normal cardiac function.  I believe this (along with prolonged stress) is what triggered my recent onset of PVCs.  (I had been in "remission" for the past 3 years by supplementing with magnesium oxide).  I am now waiting for my test results of the Exatest from Intracellular Diagnostics.  

Additionally, you may want to get your adrenal function tested, as well as a test that measures renal wasting of magnesium and other minerals.  Hope this helps.

Jan

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Avatar_n_tn
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Avatar_n_tn
WOW! I love reading about possible solutions to pvc then hearing and reading the ones that just make me sad knowing myself how miserable they are. I had a full day break yesterday and then bam! Today again every other beat all day long so far. At times tiredness is an issue. Im going to try the apple cider thing and the apple thing to. Im also going to  investigate more on foods and health along with pvc. Someone has to take the bull by the horns! LOL I do admit that it feels better knowing that others suffer like i do. It is a problem where the quality of life is concerned. Now i will say that taking care of our selves including treatment for panic attacks and anxiety. Im going to post results on my search daily if possible. What is an adrenal function test? What is this? How does it interfere with pvc or connect with it? I know that stress does alot of negative to the body, thats not rocket science. lol Im off now to ride my bull. Talk soon!!
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Avatar_n_tn
Hi - thanks for the tip, I will definitely be having a go at the water honey and vinegar thing. Will let you know how I get on.
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