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Avatar universal

Non sustained VT

Hi,
I wrote a while back before tests. PVCs started 11 days after gallbladder surgery.  Began during PMS, lasted 10 days thru my cycle and ended with it.  Went to ER they said they were benign, had couplets, sometimes 30-40 PVCS an hour for 5-7 hours straight and then none.  My GP sent me to have tests done. Echo normal (mild regurg); stress excellent; then holter.  I wore the holter during the start of my next cycle and had only one event of PVCs, this was the only event I have had since the run of 10 days.  I was at my computer and felt a big "thunk," scared me, I got dizzy for the first time.  My GP said the holter showed a run of 11 non sustained PVCs?  He told me it could have caused sudden death and scared me to death.  He has put me on 25 mg of Atenolol a day and I have a referral to a cardio.  I finally found a website that says women get frequent PVCs premenstrually and during early menopause.  There HAS to be a link, it's the ONLY time I get them.  My question is will the Atenolol keep the run from happening again, I am very scared, I have two kids and I don't know how I can get only one event out of the blue like that. I don't drink caffiene, good amount of stress, but I am scared to exercise now.  The stress test did not bring on PVCs.
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Avatar universal

I thought many would find it interesting, apparently the real success or trick is to get(ablate) the RVOT VT first.Then the SVT is apparently quite easy to get at, at least that is the way i understood it in this link.

I agree bigeminy is the worse feeling one can have, I too am on atenolol 100mg daily in divided doses 25mg 4 times daily , very effective that way in controlling the palps, no significant discomfort in nearly 3 years.

Good luck on your next(ablation) attempt, I hope it meets with success, but even if it doesn't despite the discomfort you can look forward to long life.

Look like one the biggest risks now is being in the wrong place at the wrong time.

Good luck and let us know how it turns out.

    hank.
Helpful - 0
1381 tn?1317825822
Thanks for the link.  I am actually one of those people who had both SVT and NSVT.  My NSVT or the PVC's arising from it would always be the trigger for my SVT.  I did get the SVT ablated however in my first ablation.  FOur more ablations and 36 burns later however and still can't ablate my NSVT.  Epicardial Ablation is the next step.  Very interesting article for me.  Thanks
Ben
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1381 tn?1317825822
Hi Blondie,

I have non-sustained VT all of the time.  I'm a 28 year old male.  I started with PVC's and couplets and bigeminy.  Ocasionally my heart would miss over and over like yours and I would get a dizzy spell.  Holters showed it was non-sustained V-Tach.  I never get runs more than 10 to 20 beats.  It is a scary feeling though.  I take 100mg of atenolol a day. I've had 5 EP studies and FIve ablations to try and cure the VT.  I have what is called Idiopathic Right Ventricular Outflow Track VT.  I go to the Mayo for treatment, and they state, as well as everything else I have read, that this condition poses the same risk of sudden death as the rest of the normal population.  The condition is benign.  After you get your cardiac work-up, stress test, echo, etc. and if your heart comes out OK, then there is a good chance that you have VT that arises from your right or left Outflow track.  All the studies show that non-sustained VT in a normal heart is benign.  This condition also can be cured by ablation.  If i was you, I would go to a very good electrophysiologist from a place like the mayo or cleveland clinic and get an abaltion.  There is an 80% plus chance you'd be cured.  So if your heart is normal relax, you won't die from it.  I know better than anybody that that is easier said then done.  VT is a very bad feeling, and I still get extremly nervous every time I have it even though I know it won't kill me.I'd have to say however, that bigeminy is worse than the VT.  Hope all is well and you can relax.  Ep studies and ablations are not bad.  The worse part about them is the Foley catheter.

Good Luck,
Ben
Helpful - 0
Avatar universal


Thanks for the kinds words. I might have mentioned many times that PVCs and AVNRT same to hand in hand in many cases.

Read this rare documentation for reference, I just came across it today. Very interesting.

http://www.ipej.org/0402/pirat.htm

Apparently RVOT VT and SVT can initiate and support the other though rare, the key sames to able to ablate the RVOT VT,  first, then procede with the abaltion of the AVNRT to completely cure the palpitations.

Maybe this might actually be a more common condition than thought and be responsible for alot of PVC/SVT symptoms that apparently does not resolve by ablation for AVNRT alone or vice versa, just a thought.
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Avatar universal
Just briefly, I'd like to thank you for the good instructions last week about how to increase your chances to post a question. It really helped me, even though it took alot of persistance I got one posted a few days ago!  I have only been able to post twice in the last year and a half since I found the forum, but we all thank you for the helpful hints. I have learned alot from the archives in the meantime.  I do admire the helpful, selfless person you seem to be.
Thanks,
Uptown
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Avatar universal
Thanks, Mr. H

I also copy on your caveats.

VC
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