Thank you doctor for your reply.
I am asymptomatic to the episodes, no fainting, shortness of breath or chest pain. I am very aware of my heart beat, I know when I feel a PVC and I know when my pacemaker is pacing.
In an 18 month period, there were 4 episodes with the longest of the 4 VT runs lasting 5 seconds. One of the 4 episodes was caused by being awakened during the night by a scary dream, I gave the nurse the exact day and time it happened.
So could the other 3 episodes in the last 18 months, have been caused by a sudden scare? Could that be my trigger? And is 4 episodes of 5 seconds or less VT in an 18 month period considered a lot?
If your device interrogations truly show that you have been having ventricular events, an EP study is not an unreasonable approach for further evaluation. Having a ventricular arrhythmia can put you at risk for sudden cardiac death which can be mitigated by implantation of a defibrillator. Treatment of such an arrhythmia depends on the cause (ischemia, scar, idiopathic). There are medications that can be used to suppress ventricular ectopy such as a beta blocker, but the decision to utilize this approach should really be in the hands of an electrophysiologist. However, an important factor is how often these arrhtymias are occurring, how long the episodes are, and if you are symptomatic from them.