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967168 tn?1477584489

Pvc's and exercise

In the heart disease forum there's a thread about pvc's and exercise.  Recovery PVCs During Treadmill Testing Tied to Heart Disease - http://www.medscape.com/viewarticle/571891

http://archinte.ama-assn.org/cgi/content/full/168/2/225?maxtoshow=&hits=10&RESULTFORMAT=&fulltext=Recovery+PVCs+During+Treadmill+Testing+Tied+to+Heart+Disease&searchid=1&FIRSTINDEX=0&resourcetype=HWCIT#IOI70198T3

thoughts?
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995271 tn?1463924259
I'm always referencing that article :-)

I used to only get recovery PVCs when I was younger.  Now I don't get them during recovery.  I've been ona  statin as a precaution for about a year.

I will be interested to see any follow-up.  They said that next step was going to study if statins have any effect on stopping recovery PVCs.  This would lend more evidence to the findings.  I think it's the only area of study I know of for "benign" PVCs because it's the only time they've been able to link "benign" PVCs to long-term morbidity.  I hope they continue to pursue it.
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967168 tn?1477584489
I read the study, I'll have to read it again a few times but some things jumped out at me on first reading:

There's alot of info in that article; the study had several important limitations that we would probably expect from the patients in this study; such as the study population was composed almost entirely of older men. (I believe 53+)  

As we age our bodies lose part of the normal functioning and some of the results can be attributed to normal aging. Also, they did not have the data on left ventricular systolic function, which could be an important factor.  According to this article - http://emedicine.medscape.com/article/761148-followup

"Left ventricular dysfunction has a stronger association with increased mortality rate than do PVCs. Many now believe that PVCs reflect the severity of heart disease rather than contribute to arrhythmogenesis."

One big thing I question is that their exercise protocol did not include a cool-down walk; so I'm not sure what that would mean for testing this way.

Since I failed my stress test miserably and had pvc couplets during the test and a triplet in recovery phase, I would like to see a broader based patient study on this; this study does raise alot of questions about pvc's; exercise and recovery pvc's.
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