Heart Rhythm Community
Trigeminal and Bigeminal PVCs
About This Community:

This patient support community is for discussions relating to heart rhythm issues, arrhythmia, irregular heartbeat, implanted defibrillators, pacemakers, and tachycardia.

Font Size:
A
A
A
Background:
Blank
Blank
Blank
Blank Blank

Trigeminal and Bigeminal PVCs

Hi,
History:  MI late September right coronary (angioplasty) 90% blockage discovered in left coronary artery which was treated in late October by bare metal stent.  Meds followed were Plavix 75, Simvastatin, Aspirin 81mg, Metoprolol 100mg)  PVCs began late November with below symptoms that were mild at first and increasing over time.

I was just released from the hospital this past Saturday (Monday-Saturday).  I went to the ER on Monday with recurrent bigeminal and trigeminal PVCs and some PACs with symptoms including: (heart attack like) nausea, shortness of breath, chest pain, dizziness, headache, confusion, cold extremities, high and low BP, fatigue.  BP at time of admission to the hospital averaged 140/70, HR 60-70, ECG showed MI and an elevated ST.  

I had been complaining to my cardiologist about these symptoms since the end of November (One month following left artery stent placement).  Hospital ran lipid panel showing LDL 68, Triglycerides 400, HDL 28, nuclear treadmill stress test that achieved hr of 150, BP held at 140/75 and revealed an ejection fraction of 67, small thrombosis below right artery, bigeminal and trigeminal PVCs and occasional PACs during recovery phase - none occurred during the test itself.  Cardiac cath performed the next day revealed a re-narrowing of right artery.  Above the narrowed section, a tear was discovered (presumed site of plaque rupture).  The artery was stented.  The transient occlusion of the artery caused by the procedure resulted in cardiac arrest, and I was defibrillated.  Metoprolol was DCed, replaced by Sotalol 160mg.  Niaspan 500mg was added along with Tricor and fish oil.  Trigeminal PVCs dissipated to 5-10 per day now with only slight shortness of breath; an improvement felt immediately after the cath procedure.  BP average is now 105/60 HR 50-60.  ECG shows only brachycardia with normal sinus.  I am having some side effects from the Sotalol as well.

Question:  Could the right artery re-narrowing have caused the PVCs and/or worstened thrombosis inflicted by the MI in September?
Related Discussions
Post a Comment
To
MedHelp Health Answers
Recent Activity
8272050_tn?1397832020
Blank
sarveshyadav commented on  Things Killing Your ...
5 hrs ago
996946_tn?1385991151
Blank
LindaTX uploaded a new photo
Apr 20
1236893_tn?1394988190
Blank
gymdandee commented on  Things Killing Your ...
Apr 20
Heart Rhythm Community Resources
RSS Expert Activity
242532_tn?1269553979
Blank
How to Silence Your Inner Critic an...
Apr 16 by Roger Gould, M.D.Blank
242532_tn?1269553979
Blank
Emotional Eaters: How to Silence Yo...
Mar 26 by Roger Gould, M.D.Blank
1344197_tn?1392822771
Blank
Vaginal vs. Laparoscopic Hysterecto...
Feb 19 by J. Kyle Mathews, MD, DVMBlank
Top Arrhythmias Answerers
612551_tn?1247839157
Blank
Jerry_NJ
NJ
1807132_tn?1318747197
Blank
michellepetkus
Chicago, IL
1124887_tn?1313758491
Blank
is_something_wrong
Oslo, Norway
1423357_tn?1373023915
Blank
tom_h
Central, MA
86819_tn?1378951092
Blank
Bromley
1569985_tn?1328251082
Blank
DeltaDawn23
Ann Arbor, MI