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PACs, PVCs and Pulse

Doctor,

From a long term PAC sufferer - a couple of quick questions regarding pulse taking at the wrist and neck.  1.) Can PACs or PVCs both be felt in one's pulse?  2.) Does SVT or VT result in a rapid pulse, or might the rapid beats not be represented in the pulse and only on the EKG?

A side note, I think most users of your forum are saddened by the cut backs in posts and responses.  Is there any chance of it returning to its previous glory?  Its a fantastic resource.

Thanks.

Andrew
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Avatar universal
A related discussion, Scarred of blood clotting with eptopic beats and svt was started.
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I don't have much time to spend on the message board, but found this to be an interesting site, since I have experienced PVC's for nearly 14 years - since the birth of my son.  In the past year, I have developed PAC's on top of them, though only occasionally.  Like all of you, I spent time in the emergency room, took numerous medications, suffered depression and had doctors thinking I was a hypochondriac.  Since then, I have spent considerable time in consultation with my doctor, internists, cardiologists, and (yes, girls) my gynecologist. Hormones do play a role in many instances! Living with them has become easier over the years as the research I have done has provided much information that really helps.  Please feel free to e-mail me if you would like to communicate about some of the information I have received. My e-mail address is ***@****.  If I can help one person rest easier because of what I've learned, it will be well worth stumbling upon this site!
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Hello...  it seems we are all in a special community.  I to have PVCs.  I am 29 and have been very active all my life with cycling and running.  About 6 years ago, due to injury and a promotion to a desk job, I have gained alot of weight.  I was having dizzy spells after excercising for about a year before I saw a doctor.  I have had every test over and over again along with the ablation in my heart.   The ablation was not totally successful, but did help.  I am on atenonol, 25 mg in the moring and 25 in the Pm.  I am thinking of going in again to see if the doctor can do a better job with the more updated equipment.  The main question I have for everyone is that when your on a beta blocker,  can that effect your bodies ability to work out on a high level.  I was an elite level cyclist and am trying to get back to that level, but I feel that being on atenonol is holding back my heart from really putting in hard efforts.   Would anyone have any information for me??  thanks....
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Avatar universal
I HAD SVT FOR ABOUT TWO YEARS AND NO-ONE COULD FIGURE OUT WHAT WAS HAPPENING WITH ME. I WAS TOLD IT WAS PROBABLY ANXIETY TO JUST RELAX. IWAS ALSO TOLD THAT SINCE I USED TO BE A SMOKER THAT  THAT MADE MY HEART SPEED UP TO 230 BEATS A MINUTE. I FINALLY MET A CARDIOLOGIST WHO DIAGNOSSED ME. IN YOUR HEART THERE IS SOMETHING CCALLED AN AV NODE. THIS CONTROLS THE ELECTRICAL CURRENT IN YOUR HEART. MINE HAD SPLIT IN TWO, CONFUSING THE CURRENT BASICALLY. ALL MY DOCTOR HAD TO DO WAS, USING A CATHETER, GO IN TO MY HEARTAND PERFORM AN ABLATION. BURNING AWAY THAT PORTION CAUSING THE PROBLEM. I STILL HAVE AN EPISODE HERE OR THERE, BUT NOTHING CLOSE TO WAHT I USED TO HAVE. AND I DON'T PASS OUT, I CAN BREATHE. IT MADE A WORLD OF DIFFERENCE FOR ME
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I AM 33YRS OLD AND I TO AM AMAZED AT THE RESPONSE ON THIS WEB SITE. I HAD MY FIRST EPISODE OF RAPID HEART BEAT WHEN I WAS 15 NO PVC OP RAPID HEART BEATS AGAIN UNTIL I WAS 19 IT HAPPEN AGAIN,
THEN I WAS PUT ON MED CALAN FOR ABOUT 12YRS I TOOK THAT THEN THE PVC WORSEN, I GUESS DOC'S SAY THEY ARE TWO SEPARATE ISSUES I DID THE ABLIATION PROCEDURE FOR THE RAPID HEART BEATS 2YRS AGO. BUT PVC CONTINUE I HAVE CHANGED MED'S TWICE TO VERAPAMIL AND PRESENTLY ON TROPOL 50MG TWICE A DAY. I AM NOT TO SURE HOW WELL THE MED'S WORK CAUSE I HAVE EVER QUIT TAKING THEM, I TRY TO STAY FOCUSED ON STAYING IN CONTROL OF THEM, AND TELLING MYSELF IT IS NOT GOING TO CONTROL ME. BUT WHEN IT HAPPENS I LOSE MY STRENGTH BUT STILL CONTINUE TO FIGHT. IT DOES EFFECT YOU QUALITY OF LIFE, AND FAMILY AND FRIENDS JUST DONT UNDERSTAND CAUSE DOC'S SAY NOT LIFE THRENTING, I AM PURSUING NATURAL PATHIC AVENUES IF ANYONE HAS ANY SUCCESS STORIES, PLEASE SHARE ***@**** THANKS GOD BLESS
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Avatar universal
A few months ago I began to get an irregular pulse at first this didnt involve any pain just mild discomfort and a feeling of uneasiness. That would have been fine only over the next few weeks the symptoms became much worse my doctor did an ECG and referred me to a cardiologist who after doing the treadmill test reassured me that lots of people get this sort of thing and it sorts itself out! he also told me that the ectopic beats I was experiencing disappeared on excercise so I was fine - nothing at all wrong with my heart.
I returned to my own doctor as by this time I was feeling really physically ill my hair had fallen out in great patches I was having chest & back pain loss of appetite fatigue and was really confused as to what was happening. I even offered to be treated for stress but was told no as the doctor didnt think it was that, he then reffered me to a gastrointestinal consultant for further tests I have had every gastro test you can think of numerous blood tests all of them coming back negative. I was getting a constant baffled response from everyone, things came to a head about a week ago when I was admitted to hospital as an emergency, still more head scratching gastro team then handed me back to cardiology, first one examined me and said couldnt find anything out of the ordinary but when I saw the senior reg' he took out the results of the treadmill test I had originally to show me what was the problem! the test that I was told showed me how healthy I was. He explained to me the frequency of the extra systoles and that they didnt disappear during excercise but did get a lot less.
I have been reassured that I will not have a heart attack, but as some of you have described, the feeling of foreboding I experience with the pain makes you wonder how much worse it could be.
I have now been prescribed Atenonol, which even after a few days seems to be making a difference.
I felt I had to write to this page as I recognised the way a lot of you feel and though I'd rather not have this its a comfort that I'm not alone, and not losing my marbles!!
e-mail address.  ***@****
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Avatar universal
A few months ago I began to get an irregular pulse at first this didnt involve any pain just mild discomfort and a feeling of uneasiness. That would have been fine only over the next few weeks the symptoms became much worse my doctor did an ECG and referred me to a cardiologist who after doing the treadmill test reassured me that lots of people get this sort of thing and it sorts itself out! he also told me that the ectopic beats I was experiencing disappeared on excercise so I was fine - nothing at all wrong with my heart.
I returned to my own doctor as by this time I was feeling really physically ill my hair had fallen out in great patches I was having chest & back pain loss of appetite fatigue and was really confused as to what was happening. I even offered to be treated for stress but was told no as the doctor didnt think it was that, he then reffered me to a gastrointestinal consultant for further tests I have had every gastro test you can think of numerous blood tests all of them coming back negative. I was getting a constant baffled response from everyone, things came to a head about a week ago when I was admitted to hospital as an emergency, still more head scratching gastro team then handed me back to cardiology, first one examined me and said couldnt find anything out of the ordinary but when I saw the senior reg' he took out the results of the treadmill test I had originally to show me what was the problem! the test that I was told showed me how healthy I was. He explained to me the frequency of the extra systoles and that they didnt disappear during excercise but did get a lot less.
I have been reassured that I will not have a heart attack, but as some of you have described, the feeling of foreboding I experience with the pain makes you wonder how much worse it could be.
I have now been prescribed Atenonol, which even after a few days seems to be making a difference.
I felt I had to write to this page as I recognised the way a lot of you feel and though I'd rather not have this its a comfort that I'm not alone, and not losing my marbles!!
e-mail address.  ***@****
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Avatar universal
I was diagnosed with PVCs and told to live with them they were not serious.  It got to the point that my life quality depended on whether I thought I was going to have another beat.  Terrible at night.
Finally, my cardiologist put me on TOPROLxl.  Started with 50 mg. a day, now up to 100 mg. a day and it has completely restored my beat to normal.  It took some experimenting to get dosage correct, but it has been wonderful.  No side effects or problems that I know of with me.  Ask you doctor about this great med.
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Avatar universal
It certainly helps to read the same emotions expressed by others with arrhythmias.  I just saw a cardiologist today and was told my episodes are not life threatening, but this doesn't make them any easier to accept.  In the last month I've had two episodes that I couldn't stop and went to the emergency room.  They lasted 3 hours and not sure why they stopped.  It was finally caught on an EKG.  I've had a thallium stress test and that was normal.  I'm on 25mg of Atenonol in the morning and 50 mg at night.  Sleeping is the hardest as they will come on during rest.  I've been taking 0.5mg of Alprazolam at night and manage to get 5-6 hours of sleep. I've quit caffiene, nutrasweet, chocolate, alcohol and sugar for the most part.  This sensation seems to rule your days and nights as you are never sure when they will hit you.  I'm told to get rest, exercise, avoid stress and anxiety.  I'm hoping to try get back to some kind of normal living where my heart beats but doesn't tell me about it every second. Nice to know I'm not alone.
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Avatar universal
I am amazed at how many people suffer with these symptoms -- lightheadedness, palpitations, shortness of breath, chest pain, heart races to 250 beats/minute, and passing out.  This began during her senior year in high school. Her doctor said she was fine and told her to take large quantities of Advil.  After a number of visits, we looked for new doctors.  Some finally took her seriously.  She has undergone nearly every test, been misdiagnosed, worn a variety of heart monitors, and finally after 4 years we may have some direction.  Her electrophysiologist told  her he may finally have the necessary evidence needed to perform an ep study and catheter ablation.  We have studied and read about the risks for the past year.  I feel this may be our only hope.  Beta-blockers, anti-arrhymia medication, and pills to raise her blood pressure haven't helped.  People just do not realize how these symptoms affect the quality of life -- how disruptive it can be to school goals or employment -- how consuming this can become.  The symptoms erase hours and days from life.  The long episodes eventually land her in the ER and it takes nearly a day to recoop from the collapse.  She wants so desperately to be a dedicated student and employee.  Sometimes it just isn't possible.  I am grateful to hear the success stories regarding the ep study & ablation.  The risks are there and we'll pray to our Heavenly Father that she can be one of the "successes". May God bless you all in your search!
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Avatar universal
I am 44 yrs old and I have had PVCs for 2yrs. I have had all the test you can have. I even had a Heart Cather to see if I had blockage. I have chest pains sometimes, and also I break out into a cold sweat and get all clammy and lose my color. My Dr. has put me on a beta blocker called Toprol 50 mg. a day. It dont seem to help much. I want to know if any one else is on this medicin and if anyone has these same symtoms with there PVCs.
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Avatar universal
Hi all. I am too experiencing PVC's and PAC's ,tachycardia etc.
But i also experience another type of arrythmia. When i am like ordinary,and someone just shought and i'm scared,or if an important phonecall just rings i get something like an adrenalin rush,that in fact dosn't make my heart race,but like stop,and then pound really hard and slowly...After about 20-30 secs,this returns to normal BP like 65 or so. I have had 4 ekg's and 1 ultra sound and all turned up showing ok. I also feel dizzy after i stand up from a sitting position. I must say that i was overactive last years (now 20) and doing extreme sports,but also very stressed(depressed)? that i actually felt that when releasing adrenalin,i was more calm afterwards. Anyone with same symptoms? e-mail: ***@****
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Avatar universal
Hi,  I know where everybody is coming from.  I started experiencing PVC's for 3months now and I find them very scary.  I could at work just sitting there and they'll start out of no where.  I think I bring on an anxiety attack.  I keep telling my doctor but he does not seem concerned.  He put me on Toprol-XL 50mg, but I have not started taking them.  He also says I have sinus Tachycardia.  My heart is between 76-88 normal, when I get to the cardialogist is starts beating fast up to 140.  He doesn't understand that I bring this sudden rapid heart beats on myself because i very nervous.  I keep trying to make him focus on the PVC's but he is just concerned about the rapid heart beat.
Does any one out there experience this too.  Letty
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Avatar universal
Hello everyone, I just found this site and wanted to share with everyone the kind of meds that I am on for my PVC'S. I have the same things that I have been reading about. two,three,four in a row. Have had montitor, ekg's(many),echo,stress test etc. Same responce from two different heart drs. Medications to reduce the number of them and learn to live with them(ha,ha)...
Anyway, I finally got on atenonol and zoloft(50mg) and xanax.
I take xanax when I have an episode it it goes away almost right away. The zoloft i take everyday(it is for depression) but the small dosage along with atenonol has put me back in controll of my life. I have had very few episodes for this past year and am at a point now that I do not even think about them (untill they happen of course). But anyway, the meds I am taking have stopped the number of pvc's. I will go sometime weeks with out an episode. And when I have one starting it will only last about 10 to 15 seconds and stop.. What a relief!!!! this past year has finally given me my life back..Ask your Dr. for this combination of meds and see if they help you too.
Good luck all of you..
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Avatar universal
I was just diagnosed with pac's and i was wondering if anyone with this problem experiences a feeling of having your breath taken away each time you feel a pac.
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Hello everyone!  I'm a 28 year old very active mother of two and have experienced for the last 6 years various symptoms of Paroxsmal Atrial Tachychardia.  At first, I didn't know what was happening to me..I thought I was having anxiety attacks until finally I went to the ER and they caught the PAT on a EKG.  I found out that mine were being caused by caffiene and eating refined sugar, flour, and too much salt.  I do have an odd question for those of you out there......has anyone ever noticed that before they have a bowel movement there heart will skip or flutter?  I know it probably has something to do with the nervous system.  I find to that when I get excited or when I'm in anticipation of something happening my heart will beat wildly.  I usually bare down or cough and the feeling will go away.  This condition is quite annoying and I've spent to many precious hours worrying about when another attack will hit.  I think all the worrying I do about my condition can make my attacks appear!  Anyone else in the same boat?  Good luck everyone....and it's nice to know we're not alone!

Jennifer
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Avatar universal
I too have been diagnosed with SVT, Pac, and the ER mentioned AFib, but my cardiologist said all of this falls under SVT.  I have severe Asthma as well and am on alot of meds that worsen the condition such as prednisone, albuterol, etc. I have been scheduled for an Ep study on the 25th of April in hopes to help with this.  My question is this, the Dr. said if anything happened to come on in to the ER.  Since just having an episode of asthma that we are trying to get under control I am taking 30mg of prednisone,biaxin, nebulizing, serevent,  and am now about to jump out of my skin.  Depressed would be an understatement.  I am not having what I call my usual SVT.  Always before not only did my heart beat in the 200's but it also seemed to quiver or beat irregular.  My question is that now my hearbeat is running 110 to 130 should I go ahead and go to the ER or not. Please let me know your suggestions
Thanks
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Avatar universal
I had an MI about a year and a half ago. Fortunately, I started to recieve mediacal care within a *very* short time period. A subsequent thalium stress test showed  minimal damage. About 5 months ago I had symptoms which caused my cardiologist to implant a IACD.

I have had skipped beats for many years, with no adverse effects. A few weeks ago I had a sudden series of discomfort in the chest (no sweats, light headedness or other signs of another MI)> My cariogolist group, arrhythmai specialists, reset something in the imnplant which decreased the discomfort. However, I now experience a continued sensation in the chest, although I find no "skipped beats" when checking my pulse.

My cardiologist had me wear a heart monitor and concluded I have PVC's and that there is not much to do about them which doesnt have potential adverse effects (medication related).

I spoke with NIH to find out if possibly the implants actions is involved with my current symptoms, none of which were present before the implant had to be "reset"

NIH indicated that no research was, or to this mans knowledge, had been done in this "narrow" area.

Have you any info as to the possability that the implant is causual to my current, and almost, continuous discomfort?

Thanks for any input

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Avatar universal
Oh my gosh, in reading all of the above comments, I know at last I am not alone.  The PVC's, skipped beats etc. drive me crazy, depress me something terrible.  I stop doing the things I use to enjoy because I have become so fixated with these annoying (scary) beats.  I too, have had all the tests and told not to worry.  Easy for them to say.  Yes, I do have a panic, anxiety disorder that I take medication for.  No wonder with funky heart beats.  I am 45 years old and they began back in 1993 at age 38.  Stress of course creates more of them.  This past week has been awful as they happen every few minutes out of nowhere.  I try to relax, deep breathing the works, unfortunately they have a mind of their own.  I cannot express to all of you how much I sympathize with you and how I wish there was a little miracle pill to make it all better.  I want for us all to go on and enjoy life to the fullest as we should.  No beta blockers for me, thank you anyway.  I become catatonic.  I don't know what the answer is but thanks to all of you for being there and sharing your story it truly helps.  Your not alone, I know it stops us from doing the things we want to do.  Hang in there!
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Avatar universal
Hallo,
I too get all these symptoms as everyone else has discribed,
I am now 44 yrs old and started getting them when I was about 19 yrs old.... Not long after the birth of my first child.I also started seriously dieting and missing meals not drinking enough water and taking diet pills. I was sent to various doctors and even refered to a psyciatrist that tried to say it was in my imagination!!! In those days no one realy knew what they were!!! I finally proved everyone wrong when I was diagnosed as having SVT's. Now I also have skipped beats occasionally, I have found they follow a patern..
If they happen during the night it is because I go without a proper evening meal.. or my period is due. ( hormonal fluctuations)or I get overheated. I keep my blood sugar even by eating small snacks every 2-3 hours when I'm awake. I dont eat anything that is sweetened with sugars or refined carbohydrates no preservatives, artifiacial colours, spices, onions, No Aspartame (nutrasweet), no caffine, I dont drink alcahol, dont smoke, make sure I dont rush around too much and get enough sleep.I eat alot of fish and veges and fruit
sometimes I notice that occasionally when resting I get slow beats 55bpms,(I'm usually 70's when resting) but I'm usually overtired and up and awake till midnight when this happens. I WILL BE DRIFFTING OFF TO SLEEP AND SUDDENLY I FEEL LIKE I HAVE STOPPED BREATHING, I HAVE TO FIGHT FOR THE FIRST BREATH AGAIN, I ALSO FEEL LIKE IMPENDING DOOM AND I'M GOING TO DIE AND I FEEL LIKE I'M SINKING . then my heart starts beating faster back to around the 70s and then I feel OKay again, thank goodness this does not happen very often DOES ANYONE ELSE EXPERIENCE THIS HAPPENING TO THEM???????
I have also found that Magnesium dificency and potasium deficency
can cause my heart to play up also. So I take supplements of these also, I also use natural Progesterone cream though my cycles and take evening primrose oil tabs with vitamin E everyday.
I only have an SVT that has to be reverted by ADENASINE ( this is not so bad when you get used to them) every 2-3 mths now and the skipped beats dont happen very often now, when I do get them it feels like a big punch in the chest with a few flutters then another punch and flutter then I totally relax my body and that usually stops the missed beats. If I did not look after myself my life would be like it used to be years ago, almost unbearable couldnt go anywhere in fear of these attacks etc.. Also some medications can bring the missed beats on. Mogadon, Pethadine ( after an operation for pain relief. I've had a few ops over the years! I'm given Morphine which does not have a bad effect) Also the class 2 antihistamines ie: Zantac for ulcers. codeine.
I hope what i've found useful for myself can maybe help someone else
If you want to compare treatments or just things that might help with suggestions etc.. please e-mail me
***@****
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Avatar universal
It's true!  My friend did have to have a triple by-pass due to ablation complications.  The ablation was to try to fix symptoms from Wolff-Parkinson White Syndrome.  Her cardiologist tore a major vein in her heart with the catheter wire, which disrupted the blood flow to her heart.  When that happened, she actually "coded" on the table and had a heart attack.  So much of her heart was damaged that they took three veins out of her chest to do the by-pass.  Her by-pass is good for 50 years.  It wasn't a likely complication, but it did happen.
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Avatar universal
Just to inform everyone... ending up with a pacemaker is ALWAYS a risk of having an ablation... not a complication.  And there is no fesible way that puncturing the heart could end of up with having to have a triple by-pass.  Ablations are performed to correct "electical" malfuntions and by-passes for the"plumbing".
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Avatar universal
Is there much risk of a pacemaker with an EP Study?  An EP Study is the procedure incolving stimulating the electrical system of the heart, right?  If/when the doc finds an arrythmia during the EP Study, he may perform an ablation, right?  I wonder which holds the greater risk, an EP Study or an ablation?  I'm scheduled to have an EP Study this month.  I have nighttime spells of tach (180-190 bpm) lasting a few hours.  I'm wondering whether to have the EP Study or live w/ my tach.  I'm 33 and healthy, but I don't want to be 60 and have these bouts!

abm
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Avatar universal
Go for the EP study. If it can help fix your svt then I would definately go for it.  I have gone for 2 EP studies myself but unfortunately they could not get my heart to go into any odd rythums.  It really is not too scarey.  They place a catheter in your groin area and you all of a sudden feel them pacing your heart.  They give you drugs so you don't worry as much.  As I say, I am a BIG CHICKEN, but I have survived two of them.  Unfortunately I still suffer with PVC's, runs of PVC's and SVT.  Doc says to just live with it.  Good luck with your study.
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