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Avatar universal

Are PVC's

I'm a 46 yr old fem. fit & in good health, B/P 110/70. In June '02, I got sick with an illness which had the major symptom of orthostatic hypotension & other organ symptoms. After 1 wk I could only crawl on my hands/knees due to fainting/weakness.I was sent to Stanford Med Ctr for 10 days.Had an echocardiogram, blood tests, tilt table testing, etc.I was on IV only for 10 days.Their diag: Orthostatic hypotension & gave proamitine. Proamitine made me sick & altered.They sent me home 2 days later & my GP took me off Proamitine as he thought I had a bad virus.After 9 wks I started to get better,no more cardiac symptoms,just getting my strength & life back.Then in March 03, I had tightness in my chest, squeezing in left arm.I went to the ER. B/P was 160/100 and pulse was 180.EKG showed no abnormalities.I was given an Ativan and refered to a cardiologist.I did a Holter monitor and a stress echo.Holter showed several instances of 148 BPM while showering, or just sitting and several PAC/PVC's some coming every other beat.Stress echo showed several PAC's & PVC's that lessened with exercise. After reviewing the Stress Echo/Holter,was told I have benign PVC's & PAC's and just deal with them or take beta blockers.I asked why all of a sudden I started having PAC's PVC's they said they didn't know.I asked if they would go away-they said no.Can someone tell me why these all of a sudden cropped up, and what can be done for them? I have multiple per minute and am uncomfortable. Are these as benign as they say? Organs just don't start acting up for no reason do they? What can I do? Thanks!
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Avatar universal
Debigriffs,

Thanks for the post.

From the information that you provided, the most likely explanation is that you have always had PACs or PVCs.  You have now become aware of them because you were told about them.  It certainly is understandable that you are now hyper-aware of abnormal sensations in your body after the extraordinary illnes you had in June 2002.

An alternative possibility is that you are now developing the precursor to atrial fibrillation from long-standing hypertension.  Some patients first develop an increased frequency of PACs prior to developing atrial fibrillation.  The most common cause for atrial fibrillation is hypertension, which you may have (based on the ER report you mentioned).

Monitoring and treatment of possible hypertension would certainly be a good start.  Beta-blockers may be a way to treat both the PACs and the hypertension, but talk to your doctor about this first.

Hope that helps.



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Avatar universal
Don't worry yourself. Yes, these damn PVC's and PAC's are scary and annoying, but in an otherwise normal heart they are not harmful or a predictor of bad things on the horizon. Me and hundred's of others on this forum suffer from them and they can start or stop at anytime for no apprent reason.I can have days where I get them every few seconds or not get one all day. If Beta Blockers (which are very safe and also extend your life) don't work and the PVC's are lowering your quality of life you can look into having a Cathater Ablation for these premature beats that may cure them. The question is do you want to undertake the small risk associated with the procedure just to cure something that won't hurt you anyway? Good luck.
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Avatar universal
Hi,
-
Are you pre-menopausal perhaps?
Then PVC's can come on very rapid, as many women can tell you on this site!
-
Bye - *Ianna* -
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Avatar universal
Are you SURE they ruled out myocarditis? That's my first guess from what you wrote. Myocarditis can develop during or after a viral infection and is often overlooked and one of the things that can happen to folks who have had it -- EVEN AFTER THE HEART HAS RECOVERED ON ECHO, it is my understanding ( and I recently discussed this with a well known cardiologist) that you are at increased risks for arrhythmias.

Obviously, the good doctors here know more about this that I do but I just couldn't NOT ask you about it because, due to my work, I'm studying this very subject.

Also, how could you have "long standing hypertension"? Did I miss something or did you say you had had pretty normal BP until this unexplained illness?

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Avatar universal
I have lots of pvcs, pacs, flutterings, etc and had every non-invasive test going which all showed my heart to be 'normal'.  Doctors dismissed me for 30 years as being over anxious, etc, indeed I started to wonder myself if I was insane. However in a period of absolute despair over my palpitations I decided that what was happening to me simply couldn't be 'normal' and I asked my cardiologist to do whatever it took to find out what was wrong with me.  An EP study revealed I have scar tissue in the upper chambers of the heart probably as a result of a virus, I did have a nasty Asian flu in my teenage years which took me quite some time to recover from.  I now plan to have an ablation shortly.
I cannot agree with the cardios comment to you that you have probably always had pvcs, pacs, and not known it, sorry.  Maybe like me, you have scar tissue somewhere in the heart as a result of the virus you had that made you so ill.
I hope I'm not out of line in saying that in my opinion and in light of my own experiences the only way to truly find out what's going on is to have an EP study.
Good luck.
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Avatar universal
Thanks to everyone for your responses. Will respond back to each...

Hi Lynn - No one mentioned myocarditis to me at all, and my cardio knows about the virus. She said because I was so ill with the virus, my  body was not in balance and that it would take time to get back the balance I once had and perhaps that is the reason for all the PAC's and PVC's. She said stress and hormones could cause it. I will ask her next trip back in Sept. Thanks!

CCF-M.D.-RJC - I have, about 3 times over the course of the last 5 years, noticed a flutter here or there - never anything that worried me. These PVC's & PAC's are intense and came on suddenly in March 03. Also, I have never had High B/P except for this one incident in March 03 - was feeling awful and when I went to the ER it was 160/100 and hasn't been up since, so hopefully atrial fibrillation is not in my near future. My doc says  my B/P is like a baby's. If it dies get too uncomfortable, I will talk to my doc about the beta blockers - just hate to take meds...that's all.

Ianna - I am having extensive hormone testing right now to determine if I have some imbalances given my age and stage of life.

Erik & Linda - thanks for the encouragement!

I must say though since I am an engineer (a real geek), I would like to get to the root cause of the PVC & PAC thing. It came out of nowhere and I'd like to do whatever I can to get 'em to go back there! I changed everything in my life...I now eat 99% organic, no alcohol, drugs - never smoked, get plenty of exercise water and rest. I did move 2 years ago from San Jose to a location in the Sierra's of California that is 7500ft above sea level from an area that was maybe 1600ft. I have tried to see if high altitude living could play a part in all of this, but not much out there.

Anyway, thanks all for responding...I don't feel so alone.
debi
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Avatar universal
Thanks to everyone for your responses. Will respond back to each...

Hi Lynn - No one mentioned myocarditis to me at all, and my cardio knows about the virus. She said because I was so ill with the virus, my  body was not in balance and that it would take time to get back the balance I once had and perhaps that is the reason for all the PAC's and PVC's. She said stress and hormones could cause it. I will ask her next trip back in Sept. Thanks!

CCF-M.D.-RJC - I have, about 3 times over the course of the last 5 years, noticed a flutter here or there - never anything that worried me. These PVC's & PAC's are intense and came on suddenly in March 03. Also, I have never had High B/P except for this one incident in March 03 - was feeling awful and when I went to the ER it was 160/100 and hasn't been up since, so hopefully atrial fibrillation is not in my near future. My doc says  my B/P is like a baby's. If it does get too uncomfortable, I will talk to my doc about the beta blockers - just hate to take meds...that's all.

Ianna - I am having extensive hormone testing right now to determine if I have some imbalances given my age and stage of life.

Erik & Linda - thanks for the encouragement!

I must say though since I am an engineer (a real geek), I would like to get to the root cause of the PVC & PAC thing. It came out of nowhere and I'd like to do whatever I can to get 'em to go back there! I changed everything in my life...I now eat 99% organic, no alcohol, drugs - never smoked, get plenty of exercise water and rest. I did move 2 years ago from San Jose to a location in the Sierra's of California that is 7500ft above sea level from an area that was maybe 1600ft. I have tried to see if high altitude living could play a part in all of this, but not much out there.

Anyway, thanks all for responding...I don't feel so alone.
debi
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Avatar universal
If you really feel bad, or are scared, my advice would be to insist on an appointment with a cardiologist sooner rather than later...

Here are some urls for info on myocarditis just in case any of this rings a bell.. note that it's not always easy to diagnose.

http://www.nlm.nih.gov/medlineplus/ency/article/000149.htm

http://www.mssm.edu/cvi/myocarditis.shtml

http://www.tmc.edu/thi/myocard.html
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Avatar universal
I suffer from pac's (well, "suffering" is relative...it causes me much anxiety).  After reading the comments here, I'm afraid I'll go into atril fibrillation!  I only get the pac's and pvc's when I bend over, but I do have high blood pressure (I'm on medication for it).  I guess I shouldn't read the stuff here...it only scares me and make me feel worse.  Are my pac's/pvc's going to lead to atrial fibrillation?  What are the symptoms of atrial fibrillation?  Help!  I'm scared!  Feel free to email me at ***@**** or answer me here; thanks.
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Avatar universal
Can catheter ablation get rid of PACs and PVCs?

My cardiologist said no - Expect to continue to have PACs etc. after an ablation.  He said the ablation would only cure the arrhythmia (usually an SVT).

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Avatar universal
I think the doctor is exactly right on the hypertensions theory.  And I think it doesn't have to be super high to bring on these PACs and PVCs.  I think everything feasible ought to be done to bring down those readings to around 110/70.  At least that is my goal.
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Avatar universal
lak
I would like to explain my situation and see if anyone can relate.  I have a left bundle branch block which was discovered in 1999.  At that time I was not diagnosed with the pvc's.  I do suffer from borderline high blood pressure and am on med for that.  I also, was recently put on a beta blocker lopressor for the pvcs.  Is there any significance to the fact that I have both.  I don't go any longer than 30 seconds without a pvc.  I am 45 and 168 llbs. Last night I could not go to sleep it felt like my heart was thumping the bed on my side.  I also, have undergone every test they could think of and found nothing even pulmonary and sleep study.  Please comment......I would love to hear what anyone else thinks.....
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Avatar universal
Has anyone ever had an ablation and found that it actually got rid of their PACs and PVCs?    (Pls. say yes!)  :)
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Avatar universal
YES. I have heard of people getting cured. It's not successful with everyone. It depends on how many areas of the heart they are coming from. You would need an EP study to find out"
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Avatar universal
I have heard of ablation procedures working on non-multi focal PVC's.  I have multi-focal(originate in multiple places) so they would have to buzz my whole heart.lol.  

I get more PVC's in the morning and right be for bed. Why?

Does anyone know if being grossly out of shape can result in PVC's? at 33 yrs?

I've gotten to the point were these damm things don't even bother me. That's a lie. Beat wierd I say!
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Avatar universal
Hi everyone, I just wanted to say that I've been suffering from these PVC's every day now, and are used to having them several times a minute.  Some days are definitely worse than others, but I have them each day.  Today is kind of a bad day in that I can't really seem to get any relief from them, even laying down.  I've been eating some chocolate, but I can't imagine that would make that much of a difference.  Anyway, I just wanted to mention the menopause connection, especially to debi, since you would be at the age to start getting symptoms.  I started getting these palpitations at about 31 years old, which was 10 good years before I even began having irregular periods.  So, here I am, at 43, and still going through this.  I know it has to be connected somewhat because I had them very bad a couple of summers ago, right before what I thought was my last cycle.  Then, they calmed way down for about a year, I had them, but few and far between.  Then, all of a sudden, about 2 months ago, they came on again, and gradually increased to having them all day long.  Sure enough, after a year, I did have a period, and so the connection is obvious.  I am still having the palpitations, and irregular periods again.  So, I know it must be hormonal, and also aggravated by stressful situations, which I am in a very stressful time in my life right now.  I also am overweight, and trying to loose that, and I do eat badly sometimes, like today I could kick myself for having McDonald's.  I always feel worse after having something like that.  I have taken numerous ekg's, a holter moniter, a thallium stress test, and blood tests.  The only thing that showed up was in the blood tests I had an elevated Sed Rate, at 38, and I've read that can possibly be due to menopause, and the higher altitude I live in now.  Debi, you mentioned this higher altitude, and I was wondering where you live, since you mentioned the sierras; I am living in Reno right now.  I didn't think of the connection there, but maybe it could be making it worse.  I think you do feel better living at sea level.  I came here from Texas, so there is quite a difference.  I don't think Reno is that high, though.  Anyway, just putting in my two cents here, thanks to everyone for the continued help and support!!  Thanks, Val
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Avatar universal
My story is similar to yours! My PVCs resurfaced (after years of being dormant) in my early 30's.  I assumed from a very stressful time in my life but now I am wondering if it wasn't somehow hormonal related. Then they disappeared again except for a flutter here and there.  At age 42 they reappeared once more, very strong, and have made their presence known always around ovulation and the onset of my cycle.

There's got to be a connection here for us pre-menopausal women!

Beth
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Avatar universal
CLM
I am positive that perimenopause shifts in hormones play a major role!  I am at my worst at ovulation and pms (I am 37).  My pvcs also flared up in early pregnancy with my second (I was 32) but settled down until about two years ago.

I am up to very high levels on my bad days -- 10,197pvcs were recorded on my holter this past week -- so it is going to be ablation all the way for me!  I am hoping this will head off major menopause crazy beats.  I don't think I could take it!  (I am unifocal so maybe there is hope for me... I will certainly post if/when this takes place)  Hang in there everyone!
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Avatar universal
Thanks Chris for posting.  I await any news you have/get regarding PVCs and us women-folk!  My cardio won't do any albation (says no need for me), but I sure don't look forward to these getting any worse as I get closer to the big M!

Thanks for sharing.........

Beth
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Avatar universal
Hello everyone. I am a 35-year-old white female, I'm new to this site and I am SO happy to be here!  All this time (13 years) I thought I was the only person in the world to have PVC's, even though the docs all say it is 'normal'.  I haven't found anything normal about it at all.

Anyway, in these posts I have read about people who have PVC's and PAC's in a variety of settings. People get them upon bending down, reaching up, lying down, sitting still, using their arms, (i.e., blow-drying their hair, etc.,) after exercise and some even related to hormone fluctuations.

I, too, have been diagnosed with benign PVC's through years of testing (EKG's, echocardiograms, holter monitors, right and left cardiac catheterization, CT scans, pulmonary function tests, exercise tests, blood tests, etc. You name it, I've had it. Except for EP testing. I was told I could see an EP specialist to find the origin of my PVC's but I have not done so, yet. I saw doctors at Duke University, supposedly some of the best, and they gave me a clean bill of heart health.  

As all of you probably agree, it is hard to believe anything the doctors say because they can't possibly know what we are going through. Well, believe me, I have been suffering for 13 years and I am still alive and non the worse for it. (Except a lot tired of having PVC's). I wish I could say they get better, but they don't. You really do have to learn to live with them.

I get them (PVC's) skipped beats, extra beats, flip-flopping, hard beats almost every day. There are exacerbators for me which include, reaching above my head, using my arms for almost anything (peeling potatoes, cutting meat, mowing the lawn, carrying groceries for more than a couple of seconds, etc), as well as (and this is the BIG one) a week before my menses starts, I get the worst PVC's. They happen all day long for a whole week. I have heard people say they feel like PVC's are hormone related and I have read where some doctors feel like there is no connection...... Well...... that may be so, however, it is awfully conincidental that almost all of us women who experience PVC's, get them worse with pms/menstruation/menopause/hormone fluctuations.  Does anybody out there hear me? Do you know what I am referring to?  I know you do.

I just had to put in my two cents and hope that someone out there reading this can generate some comfort from knowing that many others have the same problem as you. I have gained much comfort from just KNOWING there are others out there.  Again, I have lived with this for 13 years and I am STILL living. I hate it, but I haven't died. I, like many of you others, feel like this heart-beat irregularity surely will alter my heart in bad ways, but if it were going to do that, I think it would have started to show some sort of degenerative change by now..... My heart is healthy and looks good to the cardiologists. The tests have ALL come back normal. How can you argue with that?    

Take comfort all you PVC sufferers..... One day science will find an answer for us. At least we have been told these things are benign and won't kill us and this is not some life-threatening disease that will harm us or kill us before a cure can be found.    Towanda!
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21064 tn?1309308733
Count me in on the hormone hypothesis~~  I have had pvc's for 20+ years and for the most part I have accepted that my heart just beats to a different drummer.  

There are several of us "frequent fliers" (a term I coined for those of us who are reaching the high numbers) out here, and we're here to tell ya....hang in there!  I know...I know....easier said than done, but seriously anxiety is a precursor (at least for me).  Like some of the others, my numbers reach into the 20,000+ range (per day).  I was taking beta blockers for many years, but eventually decided to just deal with the buggers.....We need to remember to look on the bright side, "it's still ticking" : )
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Avatar universal
Wow- I never knew there were so many of us out there with
these annoying and scary PVCs.  Well, I started getting these about 3 years ago and was told by my doctor not to worry.
I did see a cardiologist but they never told me anything that made me feel better, or worse for that matter. I recently had a baby and during my pregnancy I did not experience many PVCs and even up until a year later I was almost PVC free!  I thought pregnancy cured me.  Well recently I started a weight loss regimen and started exercising and they came back.  
Now I am worried that they are here to stay again.  Its weird.
I have been exercising for a while now but they came back all of a sudden.  I noticed them particularly today AFTER my exercise session.  I heard this could be a bad thing.  Do any of you know what the risks are with increased PVCs after exercise?
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Avatar universal
I heard that there MAY be a risk when having PVCs during or after exercise. I don't remember exactly how the doctor worded it. In layman's terms the "may" referred to people who did not have structurally sound hearts and other issues going on -- some of which weren't even heart related.  Even when those conditions existed for this select group of people, it was still a "may."  

Keep on exercising.  Not exercising would be harmful to your body (and mind)!  I get them before, during and after -- sometimes a little, sometimes a lot! Remember: MAY be a risk -- not definitely a risk.  Try to put it in perspective.  :-)

Beth
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Avatar universal
Hi, wow, this board is so much help!  I can't believe the numbers on how many PVC's some people get each day.  I was adding it up, and I figure if I'm getting 5 or more per minute, then I'm in the thousands also.  So, this isn't really a bad thing?  I was thinking maybe I should go back in and have another holter moniter since they've increased so much since my last holter.  On my last holter, I was only having a few a day, and they've increased to a few a minute.  This seems to be totally going along with menopause, but that's a guess, the doctors sure don't know why I have them.  I have had the thallium stress test, and blood tests, and other things, but I was just thinking that the holter might be good again.  How do you guys deal with so many a day?  I was just out with my little daughter, and she was playing around, and I couldn't even sit there and relax since I was having so many, it just makes you kind of tense.  Especially if I'm out somewhere far from home with her.  Do most doctors say you should have an abablation if you are in the thousands per day?  I've tried medication before, but for me, it made it worse, and I hate being on any medication.  I also read a study where people on medication had  more of a risk of sudden death than those who weren't on anything.  I think I have anxiety about this cause my Dad, who was 69, had sudden death.  He had restrictive cardiomyopathy, but we still don't really know why.  He was very healthy all his life, and he was a runner, ate good, just very healthy.  I don't know if any of you have heard of this, but they think he might have had amyloidosis.  Kind of a rare disease in which plasma proteins stick to organs, and they can stick to your heart, and cause the cardiomyopathy.  Anyway, he just passed away sitting on the couch with my Mom.  So, I feel even worse having all these palpitations, thinking it must be something hereditary.  But, then, that's why this board makes me feel better, cause I realize there's other people out there with as many as I have.  Thanks for all of the help!!  Take care, Val
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