pvc's and couplets

[lindalof]

can pvc's and couplets cause fatigue....??

[Gabby46]

No I have no idea why mine started.  I was actually healthier than I had been in years just prior to them starting.  My main symptom was the intense fatigue but I also had shortness of breath (when I was in constant bigminy or trigimeny), my muscles and bones had started to constantly ache, my head hurt a lot, my blood pressure stayed high and I was light headed a lot.  Most of that has completely stopped since the ablation though.  My blood pressure is still a little high but it is a lot lower now than preablation.  I had a bad reaction to beta blockers and couldn't take them.  I also tried a couple of antiarrythmics and had reactions to those so I could not use them.  

[zil]

I am very lucky.  For over a year I had severe PVC's, and they controlled my life.

A combination of just trying to ignore them, relaxing, and possibly when I started taking fish oil they have all but disappeared.  I suspect it was stress, then a worrying sprial that caused them, but the fish oil really seemed to help.

[101705]

Thank you for your response.  I assume that like me Beta Blockers were useless to you otherwise you would not have gone for your ablation.  Did you have any symptoms besides fatigue - I feel all the wacky beats both the premature ones and the recovery beats (drives me nuts).  My only other symptom is that I sometimes have a mild sub-sternal/left chest discomfort - I'm not a 100% sure if it is PVC related but it seems to be - I know it is not classic angina.  All my heart troubles started in 2005 after a bad flu in the spring of the year - as I was recovering I went into a sinus tach for about 10 days - had all the med tests was asked if I was on coke NO! everything came back negative except white cells were slightly up in keeping with a viral infection - I think I had a mild case of viral myocarditis - anyway I recovered and pulse went back to normal for a few months - that is until Oct 17, 2005 when all hell broke loose with PVCs - I am male and 43.  Do you have any idea how you may have "acquired" your PVC problem? - If you have time please answer

[Fran71]

When I get many PVCs a day I do get tired, especially because I usually have sinus tachycardia with them. I spent about 2 weeks with over 3000 PVCs a day and a mean HR of 100 (never got below 70 not even at night). My cardiologist said it was as if I had been running for 2 weeks...
I've had great success with beta blockers. I took Inderal as needed for some time, then on a daily basis during a very bad PVC-tachy period last year. Now I've had virtually no PVC for months! Well maybe a hundred a day but what is a hundred PVCs??
So far Inderal has worked but it's reassuring to know ablations can be done, if necessary. My cardio though said he wouldn't like me to have an ablation since my PVCs come from the left ventricle.

Cheers everyone

[Gabby46]

Sorry to hear yours are not completely gone, but I too have heard 2-3 months before it all settles down.  I will be 6 weeks post ablation tomorrow and as far as I know I have not had any pvcs at all during that time.  I know I was hooked up to a monitor at Cleveland Clinic and the pvc counter still had 0 when I checked out the day after the procedure.  I have not felt any at all when taking my pulse, which is the only way I would know as I usually did not feel mine, I just felt exhausted all the time.  I have not been back and had an ekg or holter since the ablation though.  I am scheduled for a follow up next week.  My 1st ablation did not work at all.  He made 14 burns and the pvcs stopped for about 10 minutes but then started right back up in biginimy at the same rate as before.    I could not tolerate any more pain (was having vasal vagal reaction) so he stopped the procedure.  Before my 1st ablation I was having around 24,000 RVOT pvcs.  On my next holter I had about 29,000. As far as I know it was all RVOT.  We thought they had started up in the left ventricle instead of the right after the 1st ablation but come to find out during the second one they were all still coming from the RVOT. In fact the Dr.said he just reablated the previous burns but used a larger catheter to make the new burns.  If you are still having 10 to 15000 per day it might be worth it for you to try reablating especially if you are severely symptomatic like I was.  I swore I would never have another one after  unless they could find a way to anestesis my weird vein but it I start having them in the 10's of thousands again I will consider it.  You know I was just like you, I had never had them in my life and had never even heard of them or of an electrophysiologist,  and then all of a sudden I am having 25,000 a day.  Just goes to show you never know doesn't it.  Good luck.  I hope yours settle down without having to have a new ablation.  

[101705]

Hi Gabby.  I too an a major PVCer since Oct 2005 - before that never had a single PVC in my life - since then I have been plauged by them.  Constant and in huge #s.  32,000 on one 24 hour halter and just under 19,000 on the most recent - pre-ablation.  Well I got fed up and went for a PVC ablation on July 20/07.  The first week was great - no PVCs, then had recurrance of bigem and trigem for about 2 weeks, then they went away for 3 weeks of bliss then slowly came back again for a week, then gone for 2 more weeks (more or less gone) and now back again but not as bad as before - I've had no halters but I know myself my current #s are about 10,000 to 15,000 per day still with some periods of bi and tri. esp at night  - I keep telling myself I am still healing and not to become too disheartened - I was realy hoping for a result like yours.  My EP told me what you have at 6 weeks is what you get but I have seen others that say its up to 3 months of healing and others say more.  Anyway just FYI; I am a RVOT PVCer and they burned (RF) two spots; one on the anterior wall (about 6 RF applications) and one on the posterior wall (about 4 RF applications).  Maybe at some point I might go for a second ablation as you have done - I am curious - was your 1st ablation experince like mine (i.e. not satisfactory)? what were your PVC #s before and after the 1st ablation? what are they now post the second (100% gone)?, how many areas did they burn in your case? all in the RVOT or elsewhere? How many actual RF applications (If you know)? - if you have time let me know - as you probably know yourself it is almost impossible to find any info on the REAL outcome of PVC ablation except from people who have been there and there are so very few of us about.