I have been suffering painful pvc/pac since 5/01. Taking toprol xl 25mg a/day to alliviate PVC/PAC. I have app. w/Dr. Wilkoff @ Clev. for opinion. I'm 37-f/145 pounds-no smoke-no drink-no caffeine. Used run 6 miles a day, stopped cause afraid of pvcs. Here studies done- your opinion very appreciated.
6/01 Bruce protocol: achieved 10 mets, 95% age predicted heart rate-27,700 double product-no dyspnea-no chest pain. Occasional pvc seen. 1/2 - 1mm upsloping st depression was noted in the inferolateral lead at peak exercise w/resolution w/in 1 minute of recovery.
Echo 9/01 - The doppler study shows a trace of mitral, pulmonic and tricuspid insufficiency (regurgitation) - w/ normal velocity - all other values w/in normal ranges.
Holter Monitor 12/01
103395 tot beats noted: 12% were ventricular ectopic beats.
St activity: Max st depression of 2.4 mm in Channel A - no significant St changes in Channel B - Superventricular activity: 15 psv noted - no episode of irregular sv > 80 were noted. No sv tach > 150 noted - Bradycardic activity: 2 episode of sudden rate decrease from 96 bpm to 64 - no pause > 2.5 seconds noted - no episode of marked sinus bradycardia < 40 bpm noted - Ventricular Activity: 117 pvc noted at max rate of 9 measured over 10 minutes interval - 8 different ventricular ectopic forms were noted, mostly occuring form accounted for 68.21% of ventricular ectopic beasts noted. 2 ventricular couplets were noted.
01/15/02 Stress Echo Test - result not obtained yet.
02/14/02 Scheduled for Cardiolite stress test.
PVC/Pac have changed my life