32 y/o female, 5'3, 110. PVCs (LV), PACs, mild MVP, sinus arrhythmia, sinus brady & tachy, & asthma. Daily runs of trigeminy & bigeminy since July, lasting as long as 8 hours. Made an appt. with an EP in Oct. b/c the palpitations, lightheadedness, fatigue, & SOB became unmanageable. I do not smoke, take drugs, drink caffeine or alcohol, etc. After the results of a 30-day event monitor came back, EP ordered a stress test & a Holter. I had an unusually good day in terms of symptoms & it only showed 10,000 PVCs. EP reviewed the Holter & the stress test & I told him that my symptoms were worse. He said “I really need to get in there to see what’s going on.” Thought he could “find at least a few spots to ablate.” Thought they were coming from the LV.
I came to my next appointment with a list of questions. EP walked in & says “I will only do it if you can’t live with the PVCs.” No intervening tests that could account for his change in tone. After going back & forth, I had the EPS on Mon. For whatever reason, there were no PVCs at baseline, so he used Isuprel. He came out of the control center & told me that they were coming from the LV & that he wasn’t going to ablate them because it would pose “too much of a risk to inflate a balloon in someone with such a small frame.”
--Same size as I was in Dec. EP thought he could find at least a few spots & that they were in the LV. Monday, he would not do it because of the risks of LV ablations in smaller people. He is inconsistent about major things. Seems like my case is too complex for him, but he won’t admit it. Cleveland does pediatric ablations, so you have smaller balloons. My friends, many of who are in the medical field are telling me to switch. Would you recommend switching docs?
--Paradoxical reaction to Versed 11 years ago. Monday, they used 75mg of Demerol & that immediately stopped the PVCs. Possible for Versed reaction to be normal now?
--EP is now blaming symptoms on "mild" MVP??