Aa
PVCs
My last pacemaker check revealed 1000 PVCs per week. Based on my calculation, that's about 8 PVCs per hour. I also have runs of SVT. This is my second pacemaker, and my cardiologist installed the device the first of September. I can't take a beta blocker because I have asthma. Of note my heart does about 99%, sometines 99.9%, of the work. Essentially my pacemaker is a monitoring device. I would like to know if there is cause for alarm? Am I a potential candidate for ablation?
MEDICAL PROFESSIONAL
We usually don't ablated PVC unless they are severe symptomatic or are close to 15% of all the beats in a 24 hour period. You are nowhere near that. I would not be alarmed at this point. If they do become symptomatic or more frequent we could always try non-beta blocker meds such as sodium channel blockers, etc. Pts who fail medical therapy or who have numerous PVC's are candidates for an ablation.
Before my ablation and pm/icd implant I had over 54,000 pvc's daily (42%) and no pac's. The day of my implant I started having PAC's and I'm 28% Atrial paced and 1% Ventricle paced now, within 2 mths time of the implant.
I'm glad to see a doctor's answer pertaining to the % of HB over a 24 hr period. My EP told me 15-20% for surgery, so I'm glad to see that confirmed; since that's a question that I read daily on the heart rhythm forum.
I def wouldn't worry about 8 pvc's per hour; unless it's sustained vt; maybe I'm completely off here - did your interrogation show sustained or non sustained? I've had several runs of sustained and non sustained pvc's that I've been converted from and 1 run of VFib and shocked.
And Frank, oh yeah pvc's pac's shocks to me are way better than the alternative :) at least for me.
I'm glad to see a doctor's answer pertaining to the % of HB over a 24 hr period. My EP told me 15-20% for surgery, so I'm glad to see that confirmed; since that's a question that I read daily on the heart rhythm forum.
I def wouldn't worry about 8 pvc's per hour; unless it's sustained vt; maybe I'm completely off here - did your interrogation show sustained or non sustained? I've had several runs of sustained and non sustained pvc's that I've been converted from and 1 run of VFib and shocked.
And Frank, oh yeah pvc's pac's shocks to me are way better than the alternative :) at least for me.
I have had as high as 2500 PVC's/day recorded on my pacer. The cardiologist and Medtronic rep are concerned. Fortunately I'm a biomedical engineer and have built my own ECG. If I'm concerned about some new feeling I hook myself up and take a look.
A couple of years ago they felt different and the ECG showed that the pacer was losing ventricular capture. That could have been a lot more serious with my 100% AV block. I got in to ER and they arranged to turn up the pacing voltage.
Otherwise, they sure are uncomfortable, but I guess a PVC is better than no heart beat at all.
A couple of years ago they felt different and the ECG showed that the pacer was losing ventricular capture. That could have been a lot more serious with my 100% AV block. I got in to ER and they arranged to turn up the pacing voltage.
Otherwise, they sure are uncomfortable, but I guess a PVC is better than no heart beat at all.
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