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Normal amount of PVC's
Can you tell me what a normal number of PVC's/PAC's would be per day. I don't know if one a minute or one an hour or one a day is considered occasional or quite a bit. I get maybe one every hour where it feels like a skippy, flutter or bang. I have been to a cardiologist and she says he gets them as well but I forgot to ask if let's say one every hour is okay. Sometimes I will feel them every couple of minutes and then they just disappear for a couple of hours. Could you please tell me from what you have seen in your practice how many skips, flips, bangs or flutters would be acceptable. Cardiologist says I have a normal heart. I have had these things for 20 years plus. What would you do with a patient complaining of this if all tests come back negative.
Good Morning I hope your heart issues are good Fred. I have been a long time observer and sometime post on the site so i do know the history etc etc. While i do agree with your arguments im not sure how relevant they are. For instance, If you are a frequent flyer then you surely have an increased ...risk... from being in an air accident, however that doesnt mean that just because you fly that you will be a victim. Or, if you dont fly then that means that you are NO risk from being involved in an air accident. Statistics can be misleading. Everyone, yes everyone has a pvc pac now and then. But that doesnt mean that just because they have a couple here and there... even after excersize, that they are going to suffer an event, anymore than if i get on a plane today that i am certainly going to be involved in an air incident.
Hello doctor.
It is exchanges like this that lead many critical thinkers into a conundrum.
We hear in clinic, "I reassure them that all the data suggests that PVCs in normal hearts are not considered dangerous...". However, when we ask for proof of such statements, nothing is presented, or studies clearly showing a defined risk for PVCs is presented. The study presented here appears to expand upon the risk defined in an earlier Cleveland study. Risk has now been found to include post-exercise PVC suffers who have relatively few PVCs and have been screened for heart failure and atrial fib.
For all the data to suggest a given outcome, it would be assumed that there would be "some" data to form the body of "all" the data from. Science dictates that for a consensus, there should be a body of evidence to draw from.
Without a body of evidence to draw this clinical opinion from, and indeed a large body of evidence to suggest there are defined risks from PVCs, it is hard (at least for a few of us critical thinkers) to draw a conclusion other than statements claiming PVCs are benign are at worst uniformed, and at best "benevolent misdirection".
I mean no malice by this post. You certainly seem to be practicing the medical state-of-the-art, doctor. It would just appear, in this case, that this state is not one well rooted in science.
It is exchanges like this that lead many critical thinkers into a conundrum.
We hear in clinic, "I reassure them that all the data suggests that PVCs in normal hearts are not considered dangerous...". However, when we ask for proof of such statements, nothing is presented, or studies clearly showing a defined risk for PVCs is presented. The study presented here appears to expand upon the risk defined in an earlier Cleveland study. Risk has now been found to include post-exercise PVC suffers who have relatively few PVCs and have been screened for heart failure and atrial fib.
For all the data to suggest a given outcome, it would be assumed that there would be "some" data to form the body of "all" the data from. Science dictates that for a consensus, there should be a body of evidence to draw from.
Without a body of evidence to draw this clinical opinion from, and indeed a large body of evidence to suggest there are defined risks from PVCs, it is hard (at least for a few of us critical thinkers) to draw a conclusion other than statements claiming PVCs are benign are at worst uniformed, and at best "benevolent misdirection".
I mean no malice by this post. You certainly seem to be practicing the medical state-of-the-art, doctor. It would just appear, in this case, that this state is not one well rooted in science.
Hi guys,
thanks for the info. I guess if nothing else, if mine get crazy when I start running or cycling again, I will see what my cardiologist feels in terms of doing a stress test. I know sometimes all these tests can be oversensitive. I am hoping to be done with medical testing and surgeries for awhile :)
thanks for the info. I guess if nothing else, if mine get crazy when I start running or cycling again, I will see what my cardiologist feels in terms of doing a stress test. I know sometimes all these tests can be oversensitive. I am hoping to be done with medical testing and surgeries for awhile :)
Studies have been revised somewhat with regards to PVCs, nothing significant has come up with the revision. long terms studies report with long term follow up that PVCs in a normal heart suggest just slightly above 1% in mortality which the persons that conducted regarded it as an insignificant percentage , it is suggested that persons with frequent PVCs get evaluated at least every 5 years if I remember the report correctly.I can't post the information as the rules of the forum don't allow. Only the Doctor the answers the question can post references.
Hi fwilson,
where have you found information/research suggesting PVC's are not benign? I am curious, as I only read things saying they are benign (except they are more worrisome if happening during the recovery phase of exercise).
The only doctor I have ever talked to that has suggested, even lightly, that they might create mischief (if frequent and in bigeminy) is my neurologist.
where have you found information/research suggesting PVC's are not benign? I am curious, as I only read things saying they are benign (except they are more worrisome if happening during the recovery phase of exercise).
The only doctor I have ever talked to that has suggested, even lightly, that they might create mischief (if frequent and in bigeminy) is my neurologist.
Hi PVC Lady,
yes it is hard to get used to them. I hadn't had them - at least where they were noticeable, until about a year ago, and along with them came extreme light headedness, nausea and lots of skipping. They progressively got worse, but seem to have calmed down now. I hope you have luck with the Toprol. hang in there.
yes it is hard to get used to them. I hadn't had them - at least where they were noticeable, until about a year ago, and along with them came extreme light headedness, nausea and lots of skipping. They progressively got worse, but seem to have calmed down now. I hope you have luck with the Toprol. hang in there.
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