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Avatar universal

Arm pains and ablation

I've been having these shooting arm pains and aches for the past month and my PVC's have been getting worse the past 2 days, and a couple nights ago my PVC's started up and after they were done I got this pulsating pain in my right armpit, i've had a stress echo and everything was normal except my high heart rate.
I'm getting worried now about the arm pain, especially since it has happend twice after my PVC's got real bad.

1. Do you think there is something seriously wrong that could have been missed with a treadmill/echo test, and from what i've read treadmill tests arent very reliable?

2. Since that armpit pain i've been getting this deep upper thigh ache that is the exact same pain and it is just pulsating could this be connected and have something to do with the heart, could this be PAD?

3. During my treadmill test I had a PVC and that made me have a anxiety attack, my doctor said that I have SVT because my heartrate went to 217 during the treadmill test and he wants me to go for an ablation. could he have mistaken SVT for a anxiety attack, and should I tell him I had one during the test?

4. Also I have a IRBBB, and i'm scared that during the ablation they could knock out the left bundle branch, is this possible? I was reading someone elses post about their ablation and they said the doctor "knocked out a branch for a few seconds".

5. I don't really know too much about a IRBBB but I know they could mean there is some kind of underlying disease. My cardiologist said they are common in young people. How common are they in young people? I'm 17 yrs old.

I know I sound like a very high anxiety person with all of these questions, but I just find it odd that all of this just happend right when I started getting pvc's. Also is a ablation dangerous for someone with heart disease? I'm just scared that something was missed with my stress echo because of these arm pains i'm getting.

Thanks for your time DR.
2 Responses
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242509 tn?1196922598
MEDICAL PROFESSIONAL
1.  If your echo shows a normal EF then you should know that your PVCs are most likely benign and not correlated with an increased risk of cardiac death.
2. Unlikely to be PAD, but it could be an aneurysm or even vasculitis.
3. The SVT was most likely mis-interpreted by you as a panic attack. You are lucky as most people actually do not have an identifiable or treatable cause of their panic attacks.
4. It is [possible to cause heart block during an ablation which would mean that you would need to have a pacemaker implanted. Low risk but depends on where the SVT is originating from.
5. IRBBB and even RBBB are seen in normals and are not associated with an increased risk of cardiac events.
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Avatar universal
From what I know the treadmill test is not as reliable for blockages in arteries (which is why other tests are usually done when there aren't definitive results) , which rarely happens in younger people. The issue people our age have to worry about congenital defects which echos and ekgs are excellent at detecting.
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