Aa
A
A
Close
177337 tn?1310063499
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
Cancel
2 Answers
2 Answers
Page 1 of 1
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!

Comment
Cancel
1124887 tn?1313758491
Comment
Comment
Submit Comment
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
Comment
Cancel
177337 tn?1310063499
Comment
Comment
Submit Comment
Your Answer
177337 tn?1310063499
Answer
Know how to answer? Tap here to leave your answer...
Answer
Submit Answer
A
A
Top Arrhythmias Answerers
612551 tn?1450025775
Blank
1807132 tn?1318747197
Blank
Chicago, IL
995271 tn?1408549100
Blank
PA
1423357 tn?1414258965
Blank
Central, MA
11548417 tn?1440481484
Blank
Netherlands
Avatar universal
Blank
Recent Activity
1415174 tn?1453246703
Blank
mkh9 commented on Londres70's status
20 hrs ago
Avatar f tn
Blank
DottiB63 Single Comment
Apr 28
17568 tn?1424977159
Blank
Cindy Is DISAPPOINTED!! Where a... Comment
Apr 28
Heart Rhythm Community Resources
RSS Expert Activity
233488 tn?1310696703
Blank
Marathon Running Done Over Many Yea...
May 21 by John C Hagan III, MD, FACS, FAAOBlank
233488 tn?1310696703
Blank
New Article on Multifocal IOL vs &q...
May 21 by John C Hagan III, MD, FACS, FAAOBlank
748543 tn?1443740527
Blank
TMJ/TMJ The Connection Between Teet...
01/15 by Hamidreza Nassery , DMD, FICOI, FAGD, FICCMOBlank
Top Arrhythmias Answerers
612551 tn?1450025775
Blank
1807132 tn?1318747197
Blank
Chicago, IL
995271 tn?1408549100
Blank
PA
1423357 tn?1414258965
Blank
Central, MA
11548417 tn?1440481484
Blank
Netherlands
Avatar universal
Blank