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PVC's/ PAC's

I'm 33 years old when I was 27 I had a short episode of A-fib my Cardiologist though it was holiday heart. After that short episode I was never troubled by any arrhythmias until three months ago I started having palpatations. My Cardiologist put me on a 24 hour monitor which reveled 20,800 superventricular beats and 1,800 pvc's. All my lab results where normal,nuclear stress test normal,echo normal.My Cardiologist recommeded a wait and see approach since I had no other symptoms. My only other medical problem is HTN for which I take 150mg Avapro.I'm not over weight, don't smoke and don't drink anymore. My question is.
1. Should I consider medication to suppress the arrhythmias?
2. Does this predispose me to going into other A-fib episode?
3. Would sugery be an option should this continue?

Thank you!
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Avatar universal
I am a 49 year old male who exercises for one hour daily and lives in a house built into a hillside with a lot of stairs!  I don't smoke, have now stopped caffeine & alcohol.  My blood pressure has always been low - highest is around 110/70.  My (younger) wife and I are about to have a baby in the coming week.

As a result of a routine physical, I was recently told that I have heart arrhythmia, although I had never noticed symptoms myself. I saw a cardiologist, did a stress EKG, had an echocardiogram.  The arrhythmia was not affected by exercise - it was consistent.  My heart is slightly enlarged.  My ejection fraction was about 40% at times.

I then wore a 24-hour halter.  The results showed that my predominant rhythm is sinus.  Minimum heart rate was 62bpm, maximum was 137 bpm.  Out of 124,661 beats in 24 hours, I had 29,937 PACs.  Total SVE beats were 33,082, rare PVCs.

I was put on Atenolol 25mg daily, but soon felt worse - I had palpitations I had not experienced before, a racing heart at times like a feeling of adrenaline, and shortness of breath which I also didn't have before.  I wore another halter, and the results were almost identical as without Atenolol.

I came off Atenolol and felt fine, although I could now recognize very minor palpitations occasionally, mostly at night in bed.  I have now been put on Rythmol 150mg three times a day, and so far (only one day in) feel okay, apart from a slight dizziness and the same very minor palpitations.

My doctor told me that my arrhythmia is not life-threatening, and without drugs, I feel more comfortable and have no symptoms aside from the very minor palpitations that I didn't notice before.  I do not have shortness of breath, other than on the Atenolol.

I am concerned about the longtime effects of Rythmol, especially on my liver.  I would prefer not to take any drugs, because I seem to feel better without them, but if Rythmol will protect me from something worse longterm, obviously I would be willing to take it.

But I have read that it should only be used with life-threatening conditions.  I was told that mine is not.  Do you have any advice on whether the Rythmol is a good idea or not?
Helpful - 0
Avatar universal
I am a 49 year old male who exercises for one hour daily and lives in a house built into a hillside with a lot of stairs!  I don't smoke, have now stopped caffeine & alcohol.  My blood pressure has always been low - highest is around 110/70.  My (younger) wife and I are about to have a baby in the coming week.

As a result of a routine physical, I was recently told that I have heart arrhythmia, although I had never noticed symptoms myself. I saw a cardiologist, did a stress EKG, had an echocardiogram.  The arrhythmia was not affected by exercise - it was consistent.  My heart is slightly enlarged.  My ejection fraction was about 40% at times.

I then wore a 24-hour halter.  The results showed that my predominant rhythm is sinus.  Minimum heart rate was 62bpm, maximum was 137 bpm.  Out of 124,661 beats in 24 hours, I had 29,937 PACs.  Total SVE beats were 33,082, rare PVCs.

I was put on Atenolol 25mg daily, but soon felt worse - I had palpitations I had not experienced before, a racing heart at times like a feeling of adrenaline, and shortness of breath which I also didn't have before.  I wore another halter, and the results were almost identical as without Atenolol.

I came off Atenolol and felt fine, although I could now recognize very minor palpitations occasionally, mostly at night in bed.  I have now been put on Rythmol 150mg three times a day, and so far (only one day in) feel okay, apart from a slight dizziness and the same very minor palpitations.

My doctor told me that my arrhythmia is not life-threatening, and without drugs, I feel more comfortable and have no symptoms aside from the very minor palpitations that I didn't notice before.  I do not have shortness of breath, other than on the Atenolol.

I am concerned about the longtime effects of Rythmol, especially on my liver.  I would prefer not to take any drugs, because I seem to feel better without them, but if Rythmol will protect me from something worse longterm, obviously I would be willing to take it.

But I have read that it should only be used with life-threatening conditions.  I was told that mine is not.  Do you have any advice on whether the Rythmol is a good idea or not?
Helpful - 0
Avatar universal
I am 56 and several years ago had the onset of paroxysmal AF (over a period of a year, 6 episodes lasting 12-20 hrs each, self-converting).  Since I enjoy sports, and the anxiety generated during sports generally kicked up the AF (even with Toprol/Tambocor), I had an rf ablation done on the pulmonary vein foci that were causing the problem.  It's been about three years now, and no recurrence.

If these AF attacks really bother you, your should consult an EP (cardiologist specializing in electrophysiology) and discuss the possibility of an ablation to cure you.  There are some risks, so be sure to discuss those as well.  Recent medical publications indicate the procedure is just as safe for older folks as well as younger.

Good luck.

-Arthur
Helpful - 0
Avatar universal
Ive had afib for over 10 years, and have taken Atenenol, Verapimail, Lanoxin, slept with a CPAP mask, and nothing has helped.  The attacks occur on an average of about one every 6 weeks and last about 3-8hours.  Since I've started taking CoQ 10, and a magnesium, potassium calcium combo, the attacks seem to have become shorter, but still as violent.  I have quit going to the emergency room as they follow protocol with an IV, but simply wait for me to convert, and then send me home.   A thalidimide strss test didn't turn up anything, blood pressure and cholesterol are normal.  I am 66 yrs old, female, and basically healthy, but these attacks scare the heck out of me, and my doctor, and cardiologist have me currently taking an asprin each day.  Any suggestions.  By the way, I can usually tell when an attack will occur ( only during the night when I am asleep) because the day preceeding the attack, I experience skipped beats.
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Avatar universal
I'll be finding out on June 14th when I see cardiologist (who is also an EP).

Cheers,

BM
Helpful - 0
Avatar universal
Hi all - am new to the site - but not to the PVC's!  Have had them for years.  I did find that the red and yellow dyes in M&M's trigger them - and those dyes are in a number of other prepared foods.  I use a mullein weed tea - made with the leaves and black strap molasses that works great in controlling them - 1 tbs usually does the trick and the tea lasts a whole year and than molds when the new plants are back out.
Helpful - 0
Avatar universal
It scares me to post, but no one knows who I am so I guess it will be OK.

I read this forum a couple of times a week to see that other people have similar problems like me, and how they deal with them. Especially the stuff about medicines and palps.

Sometimes people write stuff and make recommendations that alarm me. Like someone wrote about a virus Cocksakee(?), and all the stuff seemed to apply to how I was feeling, but when I posted for more info, no one responded and I was left swirling. Many of you may say "buck-up", but that's what happened.

I'm not asking anybody to change, just sharing how I feel. I feel like the technical stuff from non-medical but knowledgable people sometimes makes things worse for me. Maybe I should just stop reading, but I still really like knowing that others out there are like me and OK.

Also, I do not agree that having someone state that they disagree with one of you, even strongly, is a personal attack. It is simply a difference of opinion, which I like and hope people will still be OK doing

respectfully
Carl
Helpful - 0
Avatar universal
Guys,

Don't get sucked into responding to inflammatry posts my friends! Simply ignore them. My own take is just to stick to addressing the issues to hand: I've NO time whatsoever to get drawn into bickering of any nature.

Respect,

BM
Helpful - 0
Avatar universal
Once ADrocks stopped posting his/her cry baby posts everything was fine until Pantywaist or Parunuweap or whoever it is chimed in.

First of all, I wish people would leave Hank alone. He has done nothing to anyone. He is a very thoughtful, compassionate and intelligent person. We are all better people for having read his posts. When I see him or anyone else being attacked on this forum I stick up for them.

As far as my comments being immature. I speak my mind and I don't mince words. I am a friend to all of you. Most of you are intelligent people and I enjoy reading your comments. It seems a few people always ruin it for everyone. Let's take Bigmicks's advice and don't get sucked into this petty nonsense. Even me, the free speaker, will try to keep my mouth shut. Let's get back to what we do best. Sharing knowledge.
Helpful - 0
Avatar universal
Arthur, thanks for looking up animosity in the dictionary.  I did not intend to state that Hank is "actively hating" anyone.  I do think that his and Erik's repsonses were childish and inppropriate.  I also think that Hank's response to me was in the same vein.  I enjoy a good discussion but not the way this one was presented.
Helpful - 0
Avatar universal
Animosity is a bit strong...it actually means "active hatred"
I am sure no one here actively hates anyone else here.

However, I have noticed that strong opinions beget strong responses...and like everything else in this incredibly mysterious world, it's a normal part of conversation. Folks here just want to get to the bottom of things...so buck up.  

-Arthur
Helpful - 0
Avatar universal
Please stop with the immaturity. Your comments to ADrocks were insensitive and will likely scare others from posting on this site. Hank, I see that you're back on the board and creating animosity. Please temper your responses and lets have a kinder and gentler board.
Helpful - 0
Avatar universal
There are many physicians who read and follow medical help sites. It gives us more insight into our patients' concerns and fears. Thought you should know this the next time you choose to generalize about our manipulative motives.
Helpful - 0
Avatar universal
Sorry to have invaded your space.

Peace, and may God be with you.
Helpful - 0
Avatar universal
If you are indeed a dcotor you are very immature for being one.
You should go back to school for some "Courtesy 101". You may be booksmart, but you lack people skills. You are on a site that has an opinionated group of people posting comments and helping one another. The doctors who answer questions on this site are fine with us, so why should we care what you think?
Helpful - 0
Avatar universal
wasn't seldane pulled off the market. I know it was a prescription I had some. But it was pulled and they said it was a dangerous drug and that there could be some problems from that drug.
Helpful - 0
66068 tn?1365193181
Erik,

I also enjoy reading your comments, which are always well researched.  You're a very caring person and always willing to help out.  Bless you. Sorry I made that "cardiac neurotics" crack a few weeks ago.  That was very inconsiderate of me.

I've had PACs/palpatations for 30 years and afib for at least three years that I know of (I actually think I had afib off and on for decades but could never catch it on a Holter). I feel pretty good right now at age 62 with the help of Rythmol, which is keeping me in NSR (at least most of the time).

Best regards to you and Hank,

Tony
Helpful - 0
Avatar universal
I don't know how I managed to post three times like this.
Helpful - 0
Avatar universal
I also have had A-fib before. I am 35 years old. I know how you feel. You and Hank have quite a bit of knowledge and I enjoy reading your comments. I have done a lot of research myself having the PVC's, PAC's and A-Fib. Take care.

Erik
Helpful - 0
Avatar universal
I also have had A-fib before. I am 35 years old. I know how you feel.
Helpful - 0
Avatar universal
I also have had A-fib before. I am 35 years old. I know how you feel.
Helpful - 0
66068 tn?1365193181
Hank,

Thanks for the compliment but whatever I know about medicine is from reading and even then it's mostly about atrial fibrillation (because that's what ails me). I'm a government scientist (Ph.D. physics) working on defense related optical problems. I do have some background in biophysics and chemistry from many years ago. Being a researcher and a physicist, I'm trained to analyze problems by devising simple physical models to explain behavior. So I generally have an engineering view of how the electrical bio-pump we call the heart works. Anyway, it gets me more face time with my cardiologist (and better treatment) because he's amused when I explain my theories. In the end, though, I generally follow his advice.

You seemed to know quite a bit yourself, Hank.  You have a very logical and inquisitive mind.

Tony
Helpful - 0
66068 tn?1365193181
The web page http://www.alldoctors.com.au/ask_doctor/ALB_A/ab_951.asp describes aortic unfolding and its significance as follows:

"Aortic Unfolding

DESCRIPTION: The aorta is the main artery of the body and is about 2cm across. It starts from the top of the heart, bends (or folds) over, and then runs down the back of the chest and belly along the inside of the backbone. It looks like an upside down
Helpful - 0
Avatar universal
what is meant by aortic unfolding.  I have PVC and have know this for years.   Recent radiology report states ( The heart is of boderline size.  There is mild aortic unfolding.  No changes form 07/19/02. My daughter died at age 22yr. cardiomyopathy. ohter daughter had a slight mitral valve. we all took SELDANE with erthomycin.
Helpful - 0
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