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Skipped beats on EKG

I have no symptoms- never felt them, but Dr during a physical said he was hearing a skipped beat.  He did a EKG and said he confirmed it, but was  probably nothing to worry about, He is sending me to see a cardiolgist to make sure.(2nd opinion) -Not urgent the appt is in  one month.  What could be causing these skipped beats? Do they usually mean a serious underlying problem?  I do not drink coffee.
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287037 tn?1232923202
I don't have the actual printout...all I have is the report that says how many PVC's, PAC's, pauses, etc etc etc.  So I don't know what it looks like.  I saw your picture, but it's so small I can't make it out really.  
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88793 tn?1290227177
My pause is like this....  See my photo.  I posted part of the holter report on my photo file.  Can you post your Pauses on your photo profile as well like mine?  Thanks.
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88793 tn?1290227177
Were your pauses printed 3 straight lines with a little bit of sawtooth type?  I hope this forum can make us some rooms for posting the ECG print out here.  It could be having so much funs and discussions then.
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287037 tn?1232923202
My holter said I had TWO pauses...one for 5.8 seconds and the other 4.7 seconds!!!  My cardio never mentioned them....I found out later, when I asked to have a copy of the report.  I didn't experience any symptoms when I wore the monitor either?  At this point, I have to just assume it was artifact or I'll worry myself like crazy!
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Avatar universal
Pika, pauses and skipped beats are the same I think.  I also think that the 3.2 seconds is a long pause but it might have something to do with your normal rate.  My average rate is 110 so pausing for 1 second aftter every 4th beat is not a pleasant feeling.  Maybe if your rate is normal at about 65 it doesn't feel so bad to pause for such a long time.  I'm not really sure about any of this though.
Helpful - 0
88793 tn?1290227177
My holter said is a 3.2 seconds pause.  My cardio review the history of my pacemaker recording.  He said couple of skip beats have been recorded.  That's all.  What is the difference between pause and skip beat?

I like your words "Welcome to the world of PVCs".  I haven't grant a Visa for that yet!

Helpful - 0
257552 tn?1404602554
Hi,

Welcome to the world of PVCs. Many people, such as yourself, have been blessed with the ability to not feel them. Others, such as many of us on this forum, feel every single one.

Feeling them or not, they are a very common aspect of the rhythm of many peoples hearts. For some of us, many trips to our Family Doctors and Cardiologists often are not quite enough for us to believe that they are benign (after we have been seen and told that they are benign) . People with PVCs and other benign arrhythmias are frequent visitors to their Doctor's Office.

An important point is that anyone first experiencing them, or anyone that has had them all of their lives and suddenly experience a big increase in the number of them, or if their symptoms otherwise change, should be examined by a Doctor to rule out any of the more serious causes of PVCs.

I would say that your Doctor is not too concerned, as he did the EKG and you apparently have no symptoms, in fact you were unaware of them before you went to his/her office.

My wife works for my Cardiologist, and she says that they often see patients that had no awareness of their arrhythmia. Sometimes, as with you, they are discovered by the patient's Family Doctor. Some of the patients have so many PVCs that she is unable to take their pulse. They'll do an EKG, listen to the heart and patient's symptoms and complaints, and order additional testing if the Cardiologist believes that it is warranted. If the patient has no structural problems with their hearts, the rhythm is stable, and if the patient is not fainting or short of breath, they will often let the patient go without telling him/her about the arrhythmia (for fear of the patient obsessing about them). My wife said that for some of the patients with PVCs so bad that she can't take their pulse, the Doctor will often feel their pulse at their wrist, feeling the PVCs. He'll ask the patient if they ever gets any palpitations, and my wife says that the often say no. (even though the Doctor is feeling them occurring at the time).

Please don't worry, they are common. You Doctor is doing the right thing following up with a Cardiologist, it's better to be safe than sorry. But, in terms of numbers of PVCs that people may get and still not be considered as serious, in patients who have had complete exams, 10,000 per day or somewhat more is sill not considered to be a significant problem. (It is for any of us that feel everyone though, it's emotionally draining and very distracting.)

Please don't worry, but follow up with your Cardiologist.

Best of health to you.
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