I am a 40 year old male who has suffered from pvc's and PAC's for 20 years. BP and cholesterol ok, both grandparents died before 50 of heart disease. I am 6 ft 4 weighing 215 lbs. Athletic all my life with the exception of the last few because of palpitations. Can you translate some of these readings for me and tell me if I have anything to worry about. Can I still exercise regularly?
1. 24 hour holter negative with the exception of rare supraventicular ectopy totalling 900 beats.
2. Stress test, Functional capacity, normal, HR response to exercise, normal. Everything normal with exception of SVT during recovery of 250BPM, 4 beats of V-Tach, and 2 vent. couplets, few PVC's, and frequent PAC's. Normal exercise tolerance.
3. Echo- Left Atrial Diam-4.1, aortic root-4.1, post wall thickness, 1.0, fractional shortening, 25%, LVID kin Diastole-5.4, LVID in Systole-4.1, septal thickness, 1.3.
Normal LV chamber size with mildly increased thickness in the septum, sigmoid appearing, and mildly enlarged left atrial size.
Bi-Leaflet mitral valve prolapse, mild in nature, with mildly enlarged left atrial size.
Grossly normal appearing tri-leaflet aortic valve, normal aortic root, normal right ventricle and function, normal tricuspid, normal right atrium, normal pulmonic valve, no pericardial effusion. Normal flow within LV cavity, normal flow across the aortic, tricuspid, and pulmonic valve. Mild mitral regurgitation.
IMPRESSION- Using 2D echo, Normal LV chamber size with mildly increased thickness, mild MVP of both leaflets with mild regurgitation.
Please help!