Aa
Bigeminy and Ablation
I am a 33 year old female and have been experiencing episodes of PVC's for approx. 6 yrs. The frequency, intensity, and duration increased dramaticly 6 mos. postpartem. I often have episodes that wake me in the night with strong PVC's, hot and faint with diarrhea. The episodes used to last about a month at a time with 1000's of PVC's daily, then they would go away for months. In 11/03 I started synthroid and the instantly disappeared for over a year until 3/05. I am extremely chemically sensitive and I ran into a situation at work where I had a strong reaction after my my workplace was painted with oil based paint. Since that time I have 1000's of PVC's daily with bouts of bigeminy, trigeminy. I often get lightheaded, tightness in chest and upper back, I get these adrenaline type surges. I spent 4 days in the hospital last week after "greying out" several times in a day and feeling very weak. The doc's tried Toperal, sodilol (sp?)with no change, even seemed to exacerbate. Amiodarone helped initially then no success. An EP who said this sounds like Autonmic Dysautomnia. wants to do exploratory EP study.
Do ablations work for PVC's? Sometimes I get these rush feelings before the PVC's act up so I wonder if an ablation will even take care of the othe surge thing. can imbalanced hormones cause this? I have already seen the influence of thyroid and pregnancy. Can this just be years of stress catching up? Should I do exploratry mission or just learn to cope? Is this an issue of a hyper nervous sytem? Adrenal exhaustion? allergic reactions? Thank you!!!!
Great questions. Hope you get some relief soon, I can relate to your feelings completely.
MEDICAL PROFESSIONAL
che thanks for the post.
Some PVCs are amenable to ablation. We generally do not resort to PVC ablation initially and usually only in refractory cases where the symptoms can definitly be correlated with the PVCs and are associated with severe symptoms.
Hormone fluctuations have been associated with increases in palpitations.
I generally approach PVCs in a multi-prong approach to try to alleviate both the frequency with drugs like beta blockers and to focus especially on the mechanisms involved underlying the anxiety and fear asscoiated with PVCs. If this has not been addressed effectively with you I would go there first. The ablation procedure will always be there.
Also, it might help seeking a second opinion about all this. Sometimes a confirmatory opinion can be very reassuring.
good luck
Some PVCs are amenable to ablation. We generally do not resort to PVC ablation initially and usually only in refractory cases where the symptoms can definitly be correlated with the PVCs and are associated with severe symptoms.
Hormone fluctuations have been associated with increases in palpitations.
I generally approach PVCs in a multi-prong approach to try to alleviate both the frequency with drugs like beta blockers and to focus especially on the mechanisms involved underlying the anxiety and fear asscoiated with PVCs. If this has not been addressed effectively with you I would go there first. The ablation procedure will always be there.
Also, it might help seeking a second opinion about all this. Sometimes a confirmatory opinion can be very reassuring.
good luck
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