I've been sick for 10 weeks, unexplained dizziness that started as ear pain, then moved into my left jaw.ENT doc found "nothing".MRI showed scattered "chronic smallvessel ischemic disease", my internist said was "nothing." I finallywent to the dentist,who found an abcessed tooth.root canal improved ear pain but i'm still dizzy. in the midst ofthis,palps have gotten worse. I've had them for 20 years. I've had loop monitors( last in December for 2 weeks), holter monitors, ekgs, echos.the outcome was always PVCs and PACs and "inappropriate sinus tachycardia" but nothing life threatening. the worst ever documented was 3 pvcs in a row ,when it happened i felt weak.questions:
1. could small vessel disease in my brain indicate vessel disease in my heart? i have excellent blood lipids (175 overall, goodcholesteral 75, low trygyc,),no diabetes,low BP.
2. I have othostatic hypotension that can be very noticeable one day,not bad or not there the next. can that cause palpitations?
3.doc has suggested trying beta blockers.i'm concerned it will lower my blood pressue too much. can just a tiny amount help palps?
4.doc doesn't think an ep study is necessary but will go that route if i insist. do you agree that not having any blackouts in all this time and noone documenting any bad arrhythmias means i'm probably ok without one?
5. could the tooth problem increase the palps some way?
I guess i'm feeling concerned because of the chronic dizziness & today i had a brief burst of fast/irreg. beats lasting 10 secs or so & felt weak momentarily.it is so scary.i'm so tired of being scared..