Heart Rhythm Community
supraventricular couplets
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

supraventricular couplets

Are pacs in couplets more dangerous?  I don't know what I'm having.  I feel two quick beats but no pause.  Just beat- beat -beat -beatbeat- beat- beat-beat-beatbeat-beat.  I'm wondering if these are pacs or pac couplets.   I'm not feeling it all the time, but this last hour I have sure felt more than 5 if that is what they are.  Or, is that what a single pac feels like.  I know the pvc's.  Double beat-pause-beat, etc.

My last holter showed 39 pacs with 5 couplets.
(along with 282 pvcs) and no couplets, triplets or bigeminy runs.
It also stated this and I was wondering if someone could interpret it.
SVT Tach Runs - 2
Longest - 6 beats
Max Rage - 164
Max SVE/Min - 14
Max SVE/Hour - 28
Mean SVE/Hour - 1.7
SVE/1000 - 0.4
total % of beats 0.04

Ventricular Events
Total Beats - 282
% Beats - 0.27
AIVR/IVR RUns - 0
V Tach Runs - 0
Max FE/Minute - 8
Max VE/Hour - 76
Mean VE/Hour - 12.3
VE/1000  - 2.7

Thanks - Jodie
Related Discussions
2 Comments Post a Comment
Blank
1124887_tn?1313758491
With PACs, opposite to PVCs, you often feel the actual PAC, not just the next hard beat. The hallmark sign of a PAC is the "beatbeat-- beat"-sensation. Just like a double beat.

You can also feel three beats in a row without it necessarily being a couplet. PACs can squeeze between two normal beats without causing any pause or "bump" in the chest. The way to tell the difference is:

"Squeezed" PAC: beat--beat--beatbeatbeat--beat--beat
PAC couplet: beat--beat--beatbeatbeat----beat--beat
(with a pause afterwards)

That said, PAC couplets are common and benign. Even short SVT's are common and benign (I asked my doctor a week ago, by the way, because I have them too).

Your Holter result looks just fine!

Blank
177337_tn?1310063499
Thanks for your reply.  It helped.  I was just feeling a lot of double beats (very light beats) clustered together yesterday and of course it scared me.   Not the usual feeling I am used to with the pvc's.  (no longer pause)

I always think, if I'm getting an increase then it could be a bad thing.

Have a great day and I'm glad you are here to help!
Jodie
Blank
Post a Comment
To
Top Arrhythmias Answerers
1807132_tn?1318747197
Blank
michellepetkus
Chicago, IL
1423357_tn?1373023915
Blank
tom_h
Central, MA
612551_tn?1247839157
Blank
Jerry_NJ
NJ
86819_tn?1378951092
Blank
Bromley
1124887_tn?1313758491
Blank
is_something_wrong
Oslo, Norway
257552_tn?1404606154
Blank
Artaud
Pittsburgh, PA
MedHelp Health Answers
Recent Activity
1755089_tn?1376057155
Blank
drewlevas uploaded new photos
1 hr ago
1236893_tn?1408490528
Blank
Eating High-Fat Dairy Lowers Type 2...
Sep 29 by gymdandee
86819_tn?1378951092
Blank
Bromley is feeling serious Comment
Sep 28
Heart Rhythm Community Resources
RSS Expert Activity
242532_tn?1269553979
Blank
The 3 Essentials to Ending Emotiona...
Sep 18 by Roger Gould, M.D.Blank
242532_tn?1269553979
Blank
Control Emotional Eating with this ...
Sep 04 by Roger Gould, M.D.Blank
242532_tn?1269553979
Blank
Emotional Eating Control: How to St...
Aug 28 by Roger Gould, M.D.Blank
Top Arrhythmias Answerers
1807132_tn?1318747197
Blank
michellepetkus
Chicago, IL
1423357_tn?1373023915
Blank
tom_h
Central, MA
612551_tn?1247839157
Blank
Jerry_NJ
NJ
86819_tn?1378951092
Blank
Bromley
1124887_tn?1313758491
Blank
is_something_wrong
Oslo, Norway
257552_tn?1404606154
Blank
Artaud
Pittsburgh, PA