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bigeminys

I am plagued with bigeminys, so much so that I had a heart catherization.  It showed heart disease, but nothing bad enough to be taken care of.  I am on atenolol, avapro, and synthroid.  My blood work up comes back perfect, and my blood pressure is fine.  Now, can you tell me what is causing these bigeminys to happen?  They have ruined my life for many years.  It seems they become more active with movement.  When I am sitting or laying down, they are still.  All happening on the left side, right under the breast. Since they seem to happen a lot when I get hunger pains, I had an upper GI series done.  It showed I have GERD. Many times I burp sour when I have a bad episode.  Do you think these are coming from the stomach, and if so, what can I do?  Thank you.
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Avatar universal
I have a lot of anxiety also, and I think most of my symptoms relate to the anxiety and not the PVCs--mild dizziness, shortness of breath and fatigue. I find that .12 mg of xanax really helps, if the anxiety is really bad I take an extra .12 mg, but that's only if I'm having a really bad day. The xanax makes me care a lot less about the PVCs, but doesn't really change the frequency. Some doctors are reluctant to prescribe xanax because they feel it is addictive, and it could be, but if you don't want to be on meds in the first place, then I don't think you'd have a problem taking it as needed.

When I was first having PVCs 24 years ago I was prescribed antidepressants, but they gave me so many side-effects it made everything worse. And of course the doctors only solution was to change the antidepressant to another one. It wasn't the right way to go. I had PVCs and anxiety, not depression. But if you are having depression, you might talk to your doctor about something that can assist that way.

I know that it's easy to say "don't let the PVCs control you" but it's harder to put into practice. They will slip into your consciouness at the most bizzare times and it's never a good time. It sometimes helps to repeat a phrase like "get lost I don't have time for you right now", or "do your thing and make it quick so I can get on with my day". Because unless you focus on the PVCs, I'll bet you don't feel them ALL day long. Enjoy the hours you are not bothered by them and I hope you will find, as I did, that even with bigeminy there are times I forget about them altogether.
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Avatar universal
Thank you for you insight.  I am having problems with dizziness and fatigue from the beta blocker as I have border-line low BP before the DR put me on them.  I tried a few days without the beta blockers and had some rough days.  Drinking fluids helps and going for walks.  Were you told to keep your exercise on the moderate side?  The DR wants me to take 400 mgs of magnesium twice a day, but I get the side effects from them.  Now I am taking 100 mgs like you and tolerate it better.  I still have the bigeminy all the time.  Appreciate any suggestions to improve my quality of life.  I am trying to adjust and stay upbeat, but I have been struggling with anxiety and depression.
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Avatar universal
Hello Dot,
My PVCs have been increasing to almost constant bigeminy. I was also prescribed a beta-blocker--metoperol XL, but I haven't taken it because my blood pressure and heart rate are very good.

I can't see the point in taking a beta-blocker, which is supposed to lower BP and HR, and therefore in a person with "normal" BP and HR may cause dizziness and fatigue. The beta-blocker is supposed to decrease the sensation of the PVC so you notice them less, and I think the DRs hope with lower HR, you may have fewer PVCs, but another side effect is that you could also have more!

I should mention, that even with almost constant bigeminy, my symptoms are very very mild. I have found that taking 1000mg of magnesium per day and sips of water ALL day long, help reduce the sense of the PVCs, with no side effects, but this hasn't decreased the frequency. Yet. So you might want to try that if you want to go drug free. There are of course more potent drugs which lower the frequency, but they carry far greater risk. You might want to ask your doctor about those--antiarrythmics.
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Avatar universal
I was recently diagnosed with Ventricular Bigemniny.  The comments in this forum have been very helpful to read.  Does anyone know if a head injury can cause these?  Also looking for any helpful hints on how to feel better.  Currently the dr has me taking a beta blocker but it lowers my BP and heart rate too low and then I am tired and light headed.
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Avatar universal
Hi I have PAC'S and PVC'S nd my Cardiologist has prescribed Flecainide for me and I've read all the warnings on the drug and I'm afraid to take it but I want My PAC'S to go away, PLease if someone else is on this drug write me back and let me know how it effects you and if it got rid of the PAC'S,I'm on 34 and I have these problems when I sleep when I bend over or lift anything or if I'm in the heat or cold and am sensitive to smells will bring them on. Any body out there with this????

If so please email me at ***@****
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Avatar universal
Thanks for the feedback about my post on loud music and P.V.C.s.I didn't realize that anyone else out there had this problem and now that I see that some of you guys unfortunately feel the same,I no longer feel like an odd ball or an outcast.Thanks for your comments and for the M.V.P.support group link.(Although I didn't see the music thing mentioned there.)

I feel that this is still a very rare occurrence compared to the general population,otherwise we would be HEARING much more about it and perhaps there would be warnings posted on the concert tickets for people with weak hearts or heart conditions.
  I wonder if there has been any documented medical cases linking loud music to any fatalities or heart attacks?I guess if there were,we wouldn't hear much about it since it would tend to scare people away from concerts and lots of money would be lost.Or maybe any possible cases could or would be blamed on drug use or something else.
I also wonder if there's a medical term for this condition?
As for me,I was diagnosed with a mild case of M.V.P. back in the 80's and wonder if that also played a role.

I used to think of ways to deal with this situation like perhaps wearing heavy,shock absorbant clothing to concerts,anyone heard of rubber suits? Ha! Ha!Just kidding,but I prefer just to stay away from concert events and movies for the time being since it would be no fun to deal with a heart crisis,so I'd rather just continue to live my dull life and stay away from fun things like that until one day somebody finds a cure.
Did I mention that my husband was a musician and I can't see him play live music anywhere either unless I watch him through a bar window outside the concert or from miles away through binoculars.I'm glad that he understands,but his band mates don't and they wonder why I never go to his concerts or to any parties where there's loud music or D.J.S..It's hard to explain these things to a non believer..I'm glad I can talk about this here..Thanks..
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Avatar universal
Also wanted to add that Tickertok has been very helpful and informative on this board!

AND, Barbara, with respect to your recent diagnosis of GERD, there is a study published June 17th, 2005 in which researchers found a bacteria--Helicobacter pylori (which causes ulcers and can cause reflux) to be also found in patients who had a-fib.

I'm not sure if H.pylori may be found to have any connection to PVC sufferers, it appears they only studied "normals" compared to an a-fib group.

That might be a good question for the wise doctors.
How long have you had the PVCs at this frequency?
Chris
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Avatar universal
Hello, just thought I would join in and let you know that I'm another soul out there with almost constant bigeminy, you really are not alone. Actually when I listen to my heart with a stethescope I get really excited when I have 5 regular beats, isn't that sad, ha ha.

I've talked a little with momto3, and a lot to smeltzy, and they are great contributors to this board, they have a lot of information.

I had a 48hr holter monitor done recently which showed 1220pvcs/hr, which is up from 450pvcs/hr 10 years ago, but I've had them for 22 years. Don't know why the increase. I did suffer greatly from heart burn in the months preceding the increase until I stopped drinking red wine. The heartburn is gone completely, but the PVCs remain.  

I have been prescribed toperol-XL, and I have been so reluctant to take anything because my symptoms are so mild, really I think it's more anxiety related than anything. With a good pulse per minute and low blood pressure I'm worried the BB will cause more symptoms than lessen the PVCs. I did try a teeny teeny amount and felt the PVCs were stronger, but still the same rate.  I've never heard of the lisinopril before, I will research that one.

I have requested an echocardiogram which will help me determine whether to take any meds, have you had that done? If my heart is structurally fine and EF is ok, I think I will just get an echo every year or so and keep tabs on it like Smeltzy. But you will find many many posts of people who have been helped greatly by BB or antiarrythmia drugs. I have to repeat Smeltzy's advice, get out there and as best you can, ignore the PVCs if everything else is fine. Easy to say, harder to do, but you will waste your days otherwise. Let us know if anything changes. And I'm sorry about the length too, I get so chatty when I find someone else who has such high frequency PVCs. Chris
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Avatar universal
Just an observation for this thread since Lisinopril was mentioned above a couple of times ........... I was placed on this drug 4 months ago for high blood pressure and one of the side-effects (actually a GOOD one for a change) is a major reduction in my pvc's.  I don't know if this is a coincidence or an actual fact, but the Lisinopril appears to have an impact on the frequency.  Anyone else?
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Avatar universal
I am part of another message board website called MVPS.  Everyone there has mitral valve prolapse and we talk about pac's and pvc's all the time.  Someone started a post awhile ago on the website describing what you described. Then quite a few other people chimed in that they experienced the same thing. So I just wanted to let you know that although I have not experienced what you have described, a lot of other people have.
I think the webisite is MVPS.com.  I use my favorites to access this site and have forgotten the actual web address but I think that is it.  I don't know if you have MVP or not, but you can browse the website without joining in if you don't have MVP.  Although some people have joined the website who have been told they don't have MVP but have all the symptoms. If you go to that website you could look for the post in the archives that talks about music affecting ones palps.  Hope this helps you somewhat!
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Avatar universal
I know,I should start a new subject post with this unusual question,but everytime I try ,the mailbox is full and won't let me post anything so I'll post my question here as a comment and hope you guys will see it and respond..I'll try to post it again under a new title called,"Rhythm and Blues".Ha.Ha.but not so funny...

Does anyone here have trouble with P.V.C.s and P.A.C.S. occuring at loud concerts????

It happened to me once back in 1985 during a R.E.M.concert,( no drugs involved,but I was on Inderal,a Beta Blocker at the time )I left the concert screaming in fear and had to take another dose of Inderal to get the beats back to normal,but they occured more often than usual for several days after this concert.I haven't been able to attend concerts or go to any movies since( dull life ) because the vibrations of the loud music will bring on a terrible, back to back case of P.V.C.S( who needs that ) which are simply horrifying.The loud music makes me feel like I'm getting punched in the chest..Has anyone ever experienced this? It only happened since taking Inderal..I used to be able to go to concerts as a teenager with no problems ,until Inderal.Even a loud home stereo system will make my heart skip.( Talk about a "killer" stereo system!)I also have to get away from people driving cars with those mega systems gosh..Whats up with that? Sound familiar?
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84483 tn?1289937937

I have experienced PVCs at airshows when the jets fly real close to the ground and you feel the vibration in your chest, also as a youngster watching airplanes take off while standing near the runaway, always wondered if it was excitement or the vibration, glad to know others had the same experience.

I was also at a Conway Twitty concert many years ago and got a few, I was very close to the stage probably about 30-40 feet away. Strange!!! Ecitement or vibration???
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Avatar universal
I was wrong..the website's address is mvpsupport.com
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Avatar universal
Hi,  I have experienced what you are talking about at concerts or loud events.  If I go up close to the stage, it's real bad, so I try to stay near the back. Just wanted you to know you are not alone in this.  I've even felt like it has thrown my heart out of rhythm at times, although I have know proof.

Does the inderal help calm things down?  Have you been checked out by a cardiologist?  I have been diagnosed with a long Q T syndrome, and borderline high BP.  But now that I've been on a beta blocker, I feel just fine.  This was all precipitated by 2 fainting spells in the last year, and the last one in a parking lot.  One of my colleagues called an ambulance thankfully.  I'm glad no one ran me over.

One last thought about posting a question, one tip I've found helpful is trying on the half hour, starting about 7:30.  What time zone are you in?

Good Luck,
marching on

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Avatar universal
Yes, this just happened to me at a Kenny Chesney/ Gretchen Wilson concert. We had floor seats so were quite close to all the action.....The concert was incredible but my heart decided to dance all by itself, which then became a distraction for me...I am 43 and bothered by pvc's and pac's, I seem to have a very sensitive heart, am not surprised when something new sets it off. Tonight we will be at a huge fireworks show here in Washington state and won't be surprised if my pvcs kick up.....So as hard as it is I try to not let these dang things hold me back, actually just tell myself that there are lots of people around if I need help.Question??????? here do any of you feel the fluttery feeling in your neck artery....this is my recent symptom when I check my pulse it feels fine, my neck just feels weird. Anyway just wondering! Happy Independence day!!! May be someday someone will " Turn the beat around " and figure all this arthymia stuff out......Have a wonderful day.

Kelly
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84483 tn?1289937937

there is a theory that the foci responsible triggering these ectopics are sensitive vibrations and noise, as far as i know this there is no proof to this theory but i just thought i'd throw it out there to see if anyone else heard of this.
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Avatar universal
hi,, are you sure were not twins?  LOL,,, Nope Im not in Cleveland,, Im in Virginia.  I guess your in Cleveland?  I was in the hospital this past september for surgery, not heart related, I was in for 10 days,, I was of course on a heart monitor, I had this one nurse who used to tease me that they were going to charge me for all the paper the monitor at the nurses station was printing out,, she said she had never seen it print so much,, its nice to know there are others out there just like you, how old are you?  Feel free to email me, so we wont clog up this board, LOL,, ***@****    I have been I should say warned by my EP doc not to get pregnant, (which I would commit myself if I did, I have 3 already and 2 grandkids) he also had mention that I shouldnt ever work like as a school bus driver or something like that,,,something that I would be putting others lives at risk,,,, I have also been told a couple of times in the past that I could go at any time,,, but hey we all can,,,,,,,,,, Amy
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21064 tn?1309308733
Congratulations on your upcoming wedding!!!  How exciting!!!

OH MY GOSH! When I read your story, I was thinking....this is MY cardiac autobiography!!!  Unbelievable similarities!!  

I have had the same experiences with nurses and doctors...they would get SO nervous when they saw my EKG strips!  And, when they listened....OMYGOSH!!  Always sent people scurrying.  But, like you, absolutely "normal" for me.  I used to watch the nurses' faces when they would listen to my heart.  They'd always get this peculiar expression, set down their stethoscopes, and say, "Do you know you have an arrythmia?"  Um, yepper!!  That's my heart alright!!  hahahaha

Fortunately, my EF only bottomed out to around 40% before it was caught.  Totally caught me off guard after 20+ years of beatin' to a different drummer.  Again, normal for me : )

I have been on lisinopril (ace inhibitor) and the doctor said if need be I'd also go back on a beta blocker.  So far, so good.

I have also been on a number of meds, but mostly Inderal, flecainide, rhythmol and lisinopril.  I was also hospitalized to start the anti-arrythmic (in my case, flecainide).

Wait till you hear this!!!  This past November, my EP also wanted to share my cardiac history and records with a professor/MD from California.  He was from San Francisco.  Sounds pretty impressive that this doctor can work outside the heart...WOW!!  I'm with you...wedding first : )  Then, you can discuss medical stuf (assuming it is still not life-threatening, which it sounds like it is not).

Are you in Cleveland by any chance?  

Congrats again!!  Have a wonderful wedding!!

Connie
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Avatar universal
Thanks, I just got done researching that ablation procedure, I had no clue about it,, all I was told is that it was new,,Im glad I got to read about it,,I know my doc didnt want to do it himself on me because he doesnt have it perfected yet, or however you would term that,, thanks again, Amy
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84483 tn?1289937937

Thanks for the response. Best wishes on everything , icluding the upcoming marriage. I think the type of ablation procedure you were referring to is called the epicardial ablation technique, for foci that arise arise outside the heart rather than within. Good luck.
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Avatar universal
the last post from me was also to you, I forgot to put your name on it also,, Amy
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Avatar universal
Hi, I have posted here in the past about myself,, In the beginning when I was diagnosed with the DCM and HF my doc said it was probably do to a virus.  Then about a year or so later he sat us down (my fiance and myself) and told us that new research (he works a huge teaching hospital)is telling him that my arrythmia (the bigeminy and vtach) are most likely the cause of my HF and DCM.  

My EF was 25-30%,(from heart cath), I was on Toprol XL and Monopril (ace inhibitor),  about a year later from an Echo my EF is now around 50-55%, I have also lost 155 pounds since first told I had HF and DCM.  I had my last Echo this past May, I get one every 6 months.  When my EF was lower I was still working out, but just a half hour 5 days,, but I was still going strong..

I have been on so many heart meds, I cant remember them all,, this has been going on since I was in my early 20's,,, I was taken of Toprol XL,, and was hospitalized for 4 days to be loaded on Sotalol,(antiarrythmia), I was on that a bit over a year, this past May I was switched to Flecainide.  I go back in September for another Echo... (with the new med change, I still feel the same)

(I wanted to see for myself how the new med was helping me, LOL) my daughters friend is an EMT,, him and his partner came by one night after me being on the new med for about 2 weeks,, they did an EKG on me,, his partner wanted to take me to the ER,, I told him no, that this in normal,, when they got back to the station, his supervisor called me and told me I need to get to the ER,, I told him that its a normal heart beat for me,,he was so worried,, I drive nurses and ER people nuts when they see my heart monitor,, Ive had them come running in with the crash cart and there I am fine as a fiddle,,

My EP doc said theres a professor coming out from California for a short bit in August and he said that he can reach the outside of the heart (ablation) he wants me to see him when he comes here.... I told him I will think about it, because I am getting married in August, and if anything were to go wrong,, since it is such a new procedure, I will be like a guiney pig,,

Oooops sorry for the long post,,, Amy
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21064 tn?1309308733
Tickertock - Hi!!  You beat me to it....I was wondering the exact same thing.

Smeltzy - Just wondering, are you taking any medications?  When I developed cardiomyopathy, my perpetual bigeminy became suspect and  two ablations resulted in much improved heart function.  Now, I'm taking lisinopril and still enjoying many pvc-free days.  

connie
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84483 tn?1289937937

Hello,
    
     Can I ask if your doctor ever suggested that the bigeminy was the cause of your dilated cardiomyopathy or was it the bigeminy along with frequent runs of non sustained v-tach. I assume your EF is above 35%. Thanks in advance.

     You have a great attitude and a positive outlook on life, I would think that is the biggest plus for you. Take care.
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