Multifocal or Multiform PVC's
"When an ECG rhythm strip has PVC's that have 'QRS' complexes (wave patterns) with different shapes, these are called either multifocal or multiform PVC's. It used to be thought that when PVC's had 'QRS' complexes with different shapes that they were always produced from different ectopic sites in the ventricles, and hence they were always called multifocal PVC's. However it has recently been discovered that a single ventricular ectopic site can produce PVC's with various shaped 'QRS' complexes, depending on the conduction pathway, so they are often referred to as multiform PVC's."
Hope that helps. I also have multiform PVC's but I have 2 to 3 foci's (coming from both the left and right ventricle).
Thank You. I have Multiform PVC Also they was found from me wearing a Holter Monitor. Can I ask are you on meds for them and how do you live with them. i'm trying so hard to deal with them. My heart doctor did start me on some medicine to try and suppress them.
diva~I'm so sorry to hear that yet another has symptomatic PVC's. I have had them on and off for 23 years with the last 13 months being in the thousands daily almost constantly. The single most important thing to remember (repeat to yourself often) is that in a structurally normal heart, they are benign.
I've tried both Metoprolol and Sectral (beta blockers) and the side effects were more then I cared to deal with ontop of the PVC's and for me, the slow heart rate made them worse.
Anxiety, dehydration, being overheated, and things like MSG are my worst contributors. I'd also try cutting out all the known contributors like caffeine, smoking, alcohol, cold medicines, etc. and get some blood work done if you haven't already to make sure your PVC's aren't being caused by an electrolyte imbalance or something like hypothyroidism.
Dealing with them is another story. The best advice I can give you is to try not to stress to much about them and to try to stay busy whenever they are acting up. Exercising and eating lots of potassium and magnesium rich foods can also help.
Reading the archives here helps me alot (knowing I'm not alone) as well as a few books I've read that has helped with the anxiety they can cause, namely Help and Hope for your Nerves by Dr. Claire Weekes. Stress and anxiety reduction is a must and is the usual big trigger for me.
Unfortunetly, it's very hard to track down all the triggers, most of us have multiple or unknown (idiopathic) causes and it can be real frustrating.
Just remember to tell yourself daily, (hourly if needed) that PVC's in a structurally normal heart are not life threatening! (although they can be life-altering) Hopefully the meds your doc gave you will alleviate them!
Wishing you the best!
Wow, great post Celeste!! What foods are rich in magnesium?? Did they help you? I thought I was the only one getting thousands a day latley!!
Diva, I would agree with Celeste. I would add that there are just times in your life when PVCs seem to go crazy, and then subside. I think they are hormonally driven for both women and men. I just wish we knew more about how to measure the hormone thing and somehow counter act it.
I would also add to her comments that sleep seems to play a big role for a lot of people. Lack of it can be a big trigger.
Feel better ladies...
I am a 31 yr. old female. I suffer from terrible pvc's. I just want to say thank you for sharing your stories. It is giving me hope, and letting me know that i'm not alone is encouraging. Thank you all,
Thank you! ...and so sorry to hear about your PVC's in the thousands daily.
It's a real trial isn't it? I sorely miss the days, months and years without them.
My Cardio/EP started me on MagOx (pills) and it didn't do much for the PVC's, but it did help with my IST. I started taking liquid mag. months ago and my PVC's did go away for just about 1 week.
It was heaven. Unfortunetly, they resumed, but not in the constant 10's of thousands like they had been for months before. (I also have Hemochromatosis so I'm not a typical PVCer. High iron levels cause arrhythmia's like PVC's too.)
I'm taking 240 mg's of liquid mag. daily. To much mag. can cause frequent trips to the restroom, so finding a balance between foods and supplements is probably best. ;)
Pill form is very hard to absorb >20%, but liquid is highly absorbable <80%. Of course, food sources are always the best, but eating 10 to 20 cups of certain foods daily is very hard for me (probably hard for anyone). My family calls me a grazer....lol..., I eat very small portions all day (like a string cheese, banana, yogurt etc.), and I'm sure I'm not getting all my nutrients, but it does help keep the weight off for me.
Anyway, you asked what foods were sources of magnesium. My Cardio/EP suggests 400 to 450 mgs. daily for people with arrhythmia's.
Most fruits and veggies only have about 20 to 30 mg's of mag. per cup. Black beans have about 120 mg's. per cup, baked beans have 80. Nuts about 60 mg's per 1 oz., and grains around 40 to 60 per 3/4 cup. Seeds like pumpkin or squash have high concentrations at 150 mg's per 1 oz. Dairy has between 10 and 25 mg's per cup. A slice of cheese has around 10 mg's.
Cereals vary. I believe shredded wheat has around 80mgs. per cup and bran flakes around 45. (if I remember right)
Here's a pretty good list.
Vegetables and legumes: globe artichoke, asparagus, black eyed peas, beets, broccoli, collard greens, sweet corn, kale, lima beans, okra, parsnips, green peas, potato (especially with skin on), pumpkin, sauerkraut, spinach, squash (especially winter varieties), sweet potato, tomato, tomato paste, turnips, vegetable juice cocktail, yams.
Fruits: dried apricots, avocado, banana, blackberries, black currants, dates, dried figs, kiwi fruit, cantaloupe, orange, papaya, dried peach, dried pear, dried prunes, raisins.
Grains: Whole grain cereals and barley, cornmeal, millet, brown rice, wild rice.
Dairy contains various amounts of mag. Whole Milk has about 24 mg's per cup.
Meats vary in amounts:
Meats higher in Mag:
Halibut 1/2 fillet 170 mgs.
Oysters 3 oz 49 mgs.
Scallop 6 large 55 mgs.
It chocolate doesn't trigger PVC's for you: (doesn't phase mine)
A milk chocolate candy bar has 24 mg's. per 1.5 oz's. ;)
Hope that helps alittle and you find relief with high mag. like so many of my Cardio's patients have!
Here's wishing you good fortune and a PVC free day, week, month, etc. etc.. :)