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SVT? Pac's Pvc's

Hi,

I want to say how much I love this site!  It is a great blessing to many.  

My stats...Female, 33 years old with past history of thyroid problem that seemed to correct itself postpartum.  OK, here goes.  For the last 3 years I have been dealing with Pac's, Pvc's, tachycardia and chest pain.  I've had the usual good ol cardio work-up...stress test, stress echo's, ecg's and just recently a nuclear stress test.  Passed them all with flying colors.  Only findings are the wonderful pac's, pvc's and some kind of tachycardia.  

Here's my questions.
1.  I have a lot of tachycardia, mostly while sleeping that ranges into the 130's or 140's (yes I'm on 12.5 atenolol 2 times a day too).  Why does this mostly occur at night?
2. When I have tachycardia it feels very pounding or jittery.  In a structurally normal heart, does this sound benign?
3.  My newest cardiologist said she has no idea what kind of tachycardia it is...first she said svt (my dad has it), pat now she doesn't know but wants to increase my atenolol even tho my heart rate goes into the 40's and makes me like a zombie.  Any advice?
4.  Latest holter done in March showed sinus arrythmia vs. sick sinus syndrome.  No clear diagnosis though.  I was on a higher dose of the atenolol during this holter which I think caused the lower heart rates.  
5.  I've had since November chest squeezing right in the center that only lasts a few seconds but can come back in a few minutes.  Dr. says I'm too young for CAD of course.  She put me on protonix 40mg 2 times a day and it's a little better but not gone.

Thank-you!
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Avatar universal
Hey I am only 24 years of age and constantly have loss of breath and heart palputations. I was diagnosed with abnormal heart rates @ an early childhood age. Not until age of 23 was I diagnosed with SVT. I have attacks that surpass anyone I've ever known up to 3 hours straight litterally before I start feeling side effects and come down. I have found a great solution (other than obviously diet and mild exercise) and that is an herb extract called Hawthorn. Look it up it is the best kept secret for a healthy heart. Doctors can't make money off of it so they put you on medication that they claim works (yet highly expensive). Hawthorn, try it for a month and you won't be dissapointed. I have heart disease and also haven't had an SVT attack since, seriously. It doesn't cure any condition it just strengthens your heart. Again look it up, and good luck staying healthy everybody!
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Avatar universal
A related discussion, SVT and food allergies was started.
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Avatar universal
I just bought the taurine and L-arginine this morning. I'll let you know if I think they work. I figure there is nothing to risk to try it.

I am not going to take the high doses quoted in the article at first. I think I'll go with 1.5 grams per day of each one at first and see how it goes.

Here's more information on taurine/arginine from the same source:
http://www.coldcure.com/html/taurine.html
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Avatar universal
Yes, it is pretty funny. I can laugh about it too. I almost already know how the appointment is going to go....each Doctor finds "something" (thyroiditis, PSVT, sinus tachycardia, GERD, etc.), but because there is no communication between the Doctors, nobody is piecing it together....so off I go. It's a circle. I even get asked to send messages between Doctors, which doesn't always go over well. It's a "don't shoot the messenger" type of thing. "Tell Dr. so and so that I think this, or to test you for that, or that it's not this", and when I do, I get another set of messages "But if it's not that, tell me that HE should continue testing you for this" and before I know it, it's a few years down the road and I'm still at the beginning testing the same 2-3 things that showed up years ago without any new leads/suggestions. Sure, on its own, one of these ailments may not be the only culprit, but together, the picture is very different so piecing it together would be great. I live in Canada and unfortunately, our medical system is not integrated. Everyone treats separately so the big picture is often missed.

How did your cardiologist appointment go? Did he give you any leads? I battled the PSVT (240 bpm pulse) from age 16 to 30 when it was finally diagnosed....I'm now 33 years old (same age as you) and don't want to spend the next half of my life with 9 hours of sinus tachycardia a day following meals. I hope your cardiologist had some good suggestions for you!!
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Avatar universal
That's an interesting article. I will look into it further. Have you tried these supplements? If so, is it working for you?
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Avatar universal
hi everyone on this sunny uk morning!

hi momto3 - does your ep have any suggestions for these darn things being as he is an expert and gets them himself - you would think he would be "head in book" looking for the cure wouldnt you!! or is he unphased by them completely?
mine have diminished in the last few days - but as we all know it never lasts forever!
i am considering acupuncture  - if not to treat the irregular beat then the anxiety - i am going to phone one today and see what they say
am at present on hawthorn and taurine and about to start L- Arginine too - i will let you know whether they do anything
i saw a great anomoly for up pac sufferers on another site - the description was
"we are like swans - all calm and serene on the surface - but paddling like crazy underneath"
it describes me to a T - everyone thinks i cope just fine - and im in turmoil inside - even when i dont realise it!
does anyone else get the "fizzy,nervous feeling" in the chest just before they are about to start a bout?
take care all
lynne
x
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Avatar universal
I just had to laugh when I read your post because the way you described how your doctors are treating you was like de ja vu!  I too experienced the ping-pong effect because gp said he didn't know, cardio said looks good go back to gp, gp said got to gastro, gastro said go back to gp!  That's when my endocrinologist stepped in and physically dictated a letter to all of them detailing my symptoms, etc.

Rest assured, we are NOT CRAZY!  I've been battling this for over 3 years now and I'm still kicking (:  Hang in there and don't be afraid to question the doc's.  Some of them don't like it, but too bad.  It's your health and if you truly don't understand what they saying or it doesn't make sense, ask them again.  I have a cardio dr. appt. this morning and I'm not leaving unless I get some direct answers!  Take care and best wishes to you!
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Avatar universal
Hello fellow palpitation sufferers.

Has anyone ever seen this before?

http://www.coldcure.com/html/taurine-l-arginine-arrhythmias.html

Looks interesting. You can get these 2 amino acids at any nutrition store.

I am 50 and PVCs started suddenly for me this February. (Thousands per day). Stress test and everything else was normal. Toprol makes me tired.

I am not the anxious type so I jumped to step 8/9 on Skippy's list right away. But, I still hate em.
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Avatar universal
ljd
Hi, I've been dealing with sinus tachycardia for the last 6 months.  I went through all the tests and my diagnosis was stress.  Funny, but I only was stressed when my heart went crazy.  I am learning so much from these forums.   It's nice to know their are others out there.  Have any of you tried accupuncture?
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Avatar universal
Hi Everyone:

Im not sure if you have tried these points, but FYI:

1) Food additives (MSG) caused me serious problems- research on Google and you'll learn how to avoid additives... mainly by eating more fresh veggies/fruits, less processed foods...

2) Consider a 'Macrobiotic diet' also found on Google, basically whole grains, legumes, rice, veggies/fruit. Add some chicken/fish for protein!  Google: Aveline Kushi; Dr Ornish.

3) Get more calcium/magnesium/potassium (OJ, banana, avocado)

4) Drink more water (filtered) and as it depletes nutrients, take a multi-vitamin.  (DrSinatra.com, DrWeil.com for reference)

5) Get more sleep as our heart/nervous system depends on rest.

6) Get adequate sunshine as it creates vitamin D and stems depression which is bad for our heart!

7) Eat foods that are ruffage- Fruits,(prunes) oatmeal, salads... I also get colonics x2 per year to keep the alimentary canal tuned up- (you get the picture!)

8) Walking (even slowly) while deep breathing for stress and depression management.  Yoga works too, even for guys!

Hope this helps you and if it does, tell people in need!! Helping people helps the heart, too!

regards,
Tom/7Deuceman
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Avatar universal
Thank you very much for your suggestions, especially your suggestion of getting all my Doctors to "talk". That is a very important point, which hasn't happened at this point. Doctors have been treating my symptoms/diagnosis separately and putting the responsibility back on to the other Doctor....I feel like a ping-pong ball. Gastroenterologist says that I have acid-reflux but sends me back to cardiologist, cardiologist says sinus tachycardia is apparent but sends me to endocrinologist, endocrinologist says it can't all be the thyroid and sends me back to my GP, and of course, my GP has no clue. It's almost comical.....if I wasn't so sick. I wish someone would take the ball and run a little further than the bare minimum. We need a hero!!! Thank you again....the way you described your hyperthyroid symptoms is exactly how I feel. It was comforting to read someone else's description as being identical...so we're not crazy. Best of luck to you too!!! Take care. :)

P.S. Thank you also to 7DEUCEMAN for you thoughtful suggestions. Good luck to everyone!!
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Avatar universal
Thank you for your suggestions. I checked the archives and searched the web for palps/tachy after eating. Remarkably, I found many people complaining of the same problem/symptoms but no solutions. It appears that it is more common than I thought but it doesn't seem like anyone has figured out the cause. Mind you, once someone figures out their problem and is cured, they have no more need to post on these types of sites! Digestion is definitely an issue as it is happening after food, it's just difficult to determine what is causing the indigestion as acid-reflux pills/antacids don't help. Tachycardia has been linked to GERD. Since it is happening after every meal, I struggle with figuring out which foods may be the culprit. Of course, hormones could also play a role on the heart as well as other metabolic diseases. The thyroid thing is a whole other story....probably one for the thryoid section but it has certainly been a contributor to my heart tachys. When my thyroid is high (during thyroiditis attacks which last 3 months), my heart is incredibly stressed. Recently, my cardiologist and endocrinologist discussed burning my thyroid out with radioactive iodine (which will turn me to hypo) to stop the hormonal fluctuations and the extra pressure on my heart. I went through with it 3 months ago but with my luck....I turned hyperthyroid a few weeks after the RAI treatment so my heart is going even faster than before the RAI!! Will it ever end??? I hear this can happen as a final "backfire" by the thryoid before it dies, but it is frustrating and difficult to deal with as I'm trying to sort of so many possible culprits. My palps are bad enough without the additional thyroid hormone!!! Tomorrow I am off for food allergy/sensitivy testing......the heart can be affected by so many imbalances in the body, especially immune system over-firing like allergies etc.
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Avatar universal
Wow, I'm so sorry you're having such a tough time!  Thyroid problems alone are enough to make you insane, let alone gerd or heart issues.  This is just my opinion, but it really sounds like the tachycardia is a result of your thyroid issues.  

After my 3rd baby was born, I literally woke up one morning and my body was crazy.  I had an unbelievably fast heart-rate, shaking, tremors, jitteriness, more bowel movements that I care to say, hair falling out, trouble sleeping and rapid weight loss.  Just bizarre.  I literally thought I was dying because every system in my body went loopy!  I went to my Internal dr., they did a blood test and determined I was hyper-thyroid.  Not fun because I swung from one to the other for a while!  I guess my point is that when I was hyperthyroid, it felt like my heart was going to explode.  The tachycardia was so unbearable.  

Very strange that you went hyper after the RAI.  Apparently your thyroid won't go down without a fight!  Good luck to you, I hope they can figure out how to help.  One bit of advice my endo dr. told me...make sure all of your doctors are talking.  That way they can coordinate the best treatment for you. (:
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Avatar universal
Hi,

How strange.  I know I've read elsewhere on the forum about people complaining of tachy after they eat.  From what I remember, the doctor said it was probably due to digestion.  Your's is different though since it continues for so long.  No wonder you're pooped at the end of the day!  You should check the archives about tachycardia and eating.

About your thyroiditis...from what I understand (my endo thought I had this too after my 3rd baby) it's an inflammation of your thyroid that can flare up.  When this happens the extra thyroid hormones are dumped into your bloodstream causing either hypo or hyper thyroid symptoms.  Yours definitely sound hyper.  I would get a 2nd opinion from another endo and follow-up again with your cardio doc.  I went to 2 endo doc's until a good friend referred me to someone who knew what they were doing.  Technically I'm still borderline hypo (my tsh is 3.5).  Good luck and I understand some of what you're going through, especially the tachycardia!
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Avatar universal
I've also experienced tachycardia/palpitations...the worst is after eating. After I eat, my heart rate jumps up to around 150 bpm and stays elevated for several hours. One glass of red wine and/or rich food seemed to aggravate my heart, so I gave up all alcohol and stimulants like sugar and coffee (and no, I've never smoked). I am now eating a bland diet (mostly pureed soups), but my tachycardia still persists after eating. I have a history of tachy - my first tachy episode (240 bpm) happened when I was 16. The Doctor did a simple ECG (which is only a 12 second picture of the heart) and a 24 hour monitor. When neither showed anything (since I wasn't lucky enough to have the tachycardia during those 12 seconds or 24 hours), he labelled me as an anxious teenager and offered me anti-depressants/relaxers instead of a cardiologist referral. After 14 years of debiliating 240 pulse, my Doctor gave in and sent me to a cardiologist who diagnosed me with PSVT. I had two ablations done on my heart by an electrophysiologist a few years ago - who said that it was a complicated case. I no longer get the random PSVT attacks, but I still suffer from sinus tachy after eating (which is worse to me as it lasts longer and there is no way of stopping it). I've tried atenolol and sotalol....nothing helps the intensity of the pulse. They tell me to ignore it but I'm not able to ignore a 150 pulse for over 9 hours a day (i.e. for 3 hours after each meal)!! A lot happens in the body to make the heart beat that rapidly (nervous system ignites etc.) and my body is exausted from working in such a heightened state for most of the day. I stay up all night at least 3 nights per week and it is greatly affecting the quality of my life. I've tried medication for GERD but it made my symptoms worse as I had even more trouble digesting the food...so the gastoenterologist said it was not GERD. Has anyone else had these tachycardia symptoms brought on by eating/digestion?? If so, any suggestions??? I've spent several years like this and it has progressively gotten worse...I am now off work due to 9+ hours of tachycardia per day that gets worse if I do any activity. It is incredibly uncomfortable and exhausting. Nothing I've tried seems to help. Some have suggested insulin problems, food allergies etc.  I do get reooccuring thyroiditis episodes (resembling hyperthyroid disease) but once my thyroid levels return to normal, my tachycardia is still there so the endocrinologist says that it is not my thyroid.  I can light up a heart monitor like a Christmas tree after eating.....but it only shows sinus tachycardia, which my cardiologist says is not caused by the heart but by something in my body that isn't working properly.  But what??
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Avatar universal
hi everyone
has anyone ever tried acupuncture for pacs or chinese/homeopathic remedies at all?
i am on 80mg half beta-prograne sustained release beta blockers at the moment - i only started them yesterday and hate taking drugs - they seem to do the trick so far - only felt a few pacs today rather than 100s
i have got to the point where i know they arent dangerous and i am not scared of them - i just want them to go away!!so i can be "normal" again and not be aware of my heart all the time
i would cut my head off if somebody said it would cure them!!
does anyone actually physically personally know anyone else who gets them - or only us on the forum - i dont know anyone else who gets them - none of my friends or family do - it would be great to actually meet someone else in the flesh and talk wouldnt it
none of the heart organisations seem to have support groups for pacs/pvcs - that i have been able to find anyway - the support groups are only for serious heart conditions
hope everyone is feeling positive - found this on the net today


PVCs are "premature ventricular contractions." They are "extra beats," originating somewhere in the ventricles, whereas the normal heartbeat originates in the sinoauricular (SA) node of the atria. PACs-premature atrial contractions--originate in the atria, or upper chambers of the heart.

In 90 percent of cases these extra beats are not dangerous and have no special significance. Everyone has them at some time or other. If you do Holter monitoring of 1000 normal people for 24 hours, nearly 100 percent of them will have anywhere from a few to several hundred premature contractions, many occurring during sleep. Most people do not even notice them, even during the day. Some people, who are anxious or very conscious of their hearts, will note every one of them and become even more anxious, thinking the heart is "skipping beats," or that it may stop. The feeling of "skipping" comes about because there is often a pause after an extra beat while the normal rhythm "catches up." A number of large, long-term studies have been done on people with premature contractions indicating their harmlessness. They may be caused by anxiety, by loss of, or lack of sleep, by smoking, alcohol, and especially the use of caffeine and other stimulating drugs. Much of the time, they are simply termed "idiopathic;" i.e., without any known cause.

Treatment involves correcting any of the known causes; after that, there is not really much that can be done. Vigorous exercise may abolish them, whereas many people get so worried about them that they are afraid to exercise. Sometimes the various hawthorn berry extracts, and some of the magnesium compounds, may be helpful. But the main thing is reassurance that they do not indicate heart disease, and are harmless.


so thats nearly 100% of people with have pacs/pvcs - 100% - from a few to hundreds in 24hrs - we cant all be going to pop off can we!!
take care
lynne
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21064 tn?1309308733
Hi Lynne,

I know lots of people who have extra beats.  In fact, my EP gets them.  Most of the time, the anxiety is more debilitating than the ectopics.  They are not harmful, rather more bothersome.  Hopefully, the medicine will give you some relief.  Hang in there....They really are benign.

connie
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Avatar universal
Hi,

I have not had an ablation.  I am on atenolol to control my tachycardia not the pac's and pvc's.  For me, when I started the atenolol my pac's and pvc's increased greatly for about a month or so and then settled down a little.  I don't have 1000's of pvc's a day.  They can come where it feels like most beats are skipping for 4-5 beats then go back to normal.  I'll go weeks without any and then have times where I have them for several days straight.  My big concern though is my tachycardia, not the pacs or pvcs.  Believe it or not, you get used to them.  The best thing to remember is that if your heart is structurally normal, than they're probably benign.  Just an incredible nuisance.  You should go to the search button and type in pac and then read all the posts.  You'll gain a lot of reassurance from reading how many others there are, many who have insane numbers of pac's a day!  Skippybeat's post is right on the money for coping with these nasty little buggers! (:
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Avatar universal
hi all - im new to this forum
live in the uk in east yorkshire - have been having pacs since nov 2005 after a period of high stress - also developed gastro reflux at the same time - ended up in hospital with a couple of panic attacks from it all
they started off as only a few a day and have gradually increased to anywhere between 5ish to a couple of hundred a day at the moment
momto3 - did your ablations cure you of your pacs?or diminish them greatly? - my doc has given me propranolol 80mg to take when i cant cope with them - i am loathe to take the meds tho - i try to cope on my own - have good days and bad days - i am in awe of you coping with tens of thousands - i would go insane im sure!!
have an underactive thyroid too - but this had been checked and my thyroid levels are not the cause of the pacs
i thinks skippyhearts 10 point list posted on 9/5/06 is wonderful and can identify completely!!
has anyone ever been to a chinese herbalist or homeopath and had any success with these b....y pacs?
take care
lynne
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Avatar universal
I think you may have wanted to post and address your questions to "momto3" who is a different person from "momto3girls".

The multiple 1000/day PVC/PAC club doesn't wish for any more members, in fact I think we would all wish for there not to be a single person struggling with this issue.

Like you, I have hesitated to take any meds for high frequency PVCs, but after a while you begin to think you'd try anything. Toperol xl at 25mg at night still made me feel sluggish during the day, but did decrease the "sensation" of the PVCs, but I remained pretty constant trigeminy. I'd probably still be on it, but I couldn't shake the "slow-mo" feeling during the day.

Currently I'm trying fast acting propanolol or inderal at 5mg (10 mg made me feel like I was on cold medicine like sudafed). It seems to have decreased the PVC frequency, but now it's highly varible, bigeminy, trigeminy, 6 to 20 regular beats. Thought that would make me feel better, but the pattern just feels weird. Unpredicatble. Hope that helps. Good luck with your decision. Ablation is not normally considered for PVC/PAC unless your symptoms are debilatating, but I'm sure you'll always find a doctor somewhere who is willing to do it. I think if you've read the recents posts even momto3 who has had two successful ablations (but only after develping a CM), still gets the occassional visit from PVCs.
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88793 tn?1290227177
At least you are all luckier than me.  You've a holter to look in what is what?  I asked my GP to write me a holter but he refused.  I don't know what I have yet.  Previously, I had wpw (PAT & RBBB) and I had my his bundle ablated 20 years ago.  Dr said I didn't have Pac or Pvc.

I have a tightness in my chest last 2 years.  My dr said is anxiety as well.  Now the tightness is like an pregnant elephant sits on it (more heavier than before).  Did the dr give any treatment of anxiety?  Mine wasn't.  Ask me to live with it!

I have much symptoms after eating.  Do you?  My blurr vision goes exactly like "eyes testing that drop went in".  Dr said ignore it.  I wander what to do if it happens while I'm driving?  It is too bright and no sight is clear all in a sudden.  Head is having pressure as well!  Any one has experienced it?  I didn't feel any palpitations while having the tightness.  Few strong beats in a row will give me 5 minutes break of tightness.  Unfortunately, it returns quick.  Please let me know if anyone has these problems and how you solve it.  Tell me what medication can relief it.  I tried some heartburn medicine but it caused me another problem.  Appreciate for any input!

Pika.
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Avatar universal
I, like the doctor, suggest that you go to a cardiologist that specializes in arrythmias.  Since this is not an exercise induced tachycardia and you get it about the same time everyday, it would be easy to have it monitored.

Also you have a family history of arrythmias since your father has them.  I had afib (ablation worked), my mom had afib (deceased), and my sister has afib (controled by meds).  Coincidence?  I don't think so.  When I was at Mayo they tend to believe there is a family history when it comes to arrythmias, and I am part of that study (nothing conclusive).

I understand your fear of an ablation.  If you are highly symptomatic, the arrythmias are clearly identified, and the foci are obvious, then ablations are pretty successful under the proper hands.
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Avatar universal
Thanks!

I probably should go to a cardio doc specializing in arrythmia's especially since my current cardio dr. says she has no idea what my tachycardia is.  She said svt, then pat, now she doesn't know.  She was concerned that my night-time tachy was lasting for 7 beats at a time (doesn't sound like a lot to me though). When she listened to my heart, she heard it speed up for 5 beats and then go back down (like 65 and then up to 110).  Exercise does not produce the tachy, never has.  I really just hate the jittery, pounding feeling I get from it even during the day.  Plus I don't get night-time tachy every night either.  The good news is that they've captured it on a holter and she says it's in sinus.  The question of the day is what the heck type of tachy is it?  I do have family history...dad has RBBB and SVT with successful ablation just recently, grand-father 3 heart attacks and died age 48, uncle heart attack age 35 still living.  

Funny too, since my Internal dr. I originally saw when this first happened told me to ignore my heart rate of 180 and accompanying symptoms and relax.  She was so helpful, NOT!  

Thanks for your reply.  I am very sorry to hear about your mom though.  Best wishes (:
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Avatar universal
Thanks for your warm Mother's Day greeting!  This forum is a wonderful tool and helps so many.  Thank-you for taking time out of your schedules to help others (like me!)

I am frustrated.  My holter showed varying rates of 42 bpm to 143 bpm and my symptoms correlated with these as well.  The prelimary findings were sinus arrythmia vs. sick sinus syndrome.  I have the print-outs of my results and they show supposed svt and pat but all is in sinus (always good to hear!)  I do have some occassional tachycardia during the day with a jittery, pounding heartbeat sensation and pac's and pvc's(which are now my friends!)  I guess I want to be resassured that I've had a proper work-up and that even though I have tachycardia, it's not going to cause damage down the road like cardiomyopathy or something.  My dad has had bad svt for over 20 years and finally his medicine stopped working.  He ignored it for years and 10 years ago finally went to a doctor.  I'm trying to be pro-active and keep whatever my tachycardia is at bay I guess.  Anyhow, thanks so much for your time.  It is greatly appreciated!!  Sincerely,

momto3girls (:
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