Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
191 Doctors are Online

Premature atrial complexes (PACs) and premature ventricular complexes (PVCs) - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Hypertension and Heart Disease
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1640 Questions
User :   ok as you will see from my previous notes I have been seeing a cardiologist for pvc's and Pac's after an ectopic episode last January in which I was hospitalised for a few days. I have night time sleep issues where I wake up unable to breathe and at the latest episode my blood pressure had dropped to 85/36......anyway my cardiologist has done tilt test, corsitol and ecg and my heart is structually normal. At my last meeting he looked at my even monitor and told me that I had some promolonged beats - this was actually while i was on beta blockers too..... i came off them on the monday and had my monitor fittedthen for three days - so i think they were still in my system. Anyway this concerned me so at my next appointment I asked the registrar what the cardiologist meant and he said he didnt know. He definatey said i had a few polonged beats, so when I came home I got out my ecg from hospital when i was having my episode pulse rate 120, and its says QT 368 QTc 461 - my cardiologist hasnt seen this ecg as it was a hospitl in a different county - what I need to know is , is this reading safe or is it borderline for long QT syndrome
Doctor :   hello
Doctor :   give me a min
Doctor :   let me read your query
User :   ok
User :   that should read prolonged beats
Doctor :   tell me about your symptoms at the moment ?
User :   pacs pvcs
User :   i also wake up in the night sometimes as above
User :   its much better than it was when my weight was 7 1/2 stones im now 8 stone 3
Doctor :   ok
Doctor :   see
Doctor :   any problem in hearing >?
User :   no
User :   my first episode happened after sport
User :   a very hard session of sport
Doctor :   may i know your age and gender
User :   female aged 39 - sorry I thought i had included this
Doctor :   no problem
Doctor :   well just by the ecg changes we cannot diagnose the problem
Doctor :   did you had any other tests done ?
User :   no family history of fainting or dropping dead...though mum has a fib and sister has svt and they investigating her at the moment
User :   ecg and echo thats it, bloods all came back ok just low barcarbonate
User :   gastic guy said he thought it wasnt gastric - GERD
User :   gastric
User :   so are those figures ok or too high, thats what I am writing to find out...
Doctor :   they are borderline normal
Doctor :   nothing serious
User :   but borderline isnt great is it?
User :   and thats at rest not under a stress test
User :   why nothing serious
Doctor :   because the human body can tolerate it and you can live a normal life
User :   what does bordeline normal i more likely to have SAD because of it
User :   does it mean i should or shouldnt do competitive sport...and also does it mean that I could have more under a stress test of exercise?
Doctor :   it means you are in the range but towards the higher side
Doctor :   you dont want to stress your body too much
User :   in what way
Doctor :   like doing strenuous exercise
User :   but I have since I was 10
Doctor :   tell me the current medications you are on?
User :   and my cardiologist said carry on, but since I have dug out my ecg when i was in hospital its concerned me....have they missed this, they cant have if he spotted a few prolonged on my holter.....should i show him these results??
User :   Im on the pill thats it, cardiologist put me on betas for pvcs but i came of them becasue of low bp
Doctor :   does your cardiologist knows you are off the pill ?
User :   no im on the pill off betas
Doctor :   ok
User :   he knows im off betas they were just for pvcs
User :   what do you suggest i do carrying this forward
Doctor :   well like i said its not serious or life threatening but still i will advice you to just get another ecg done
Question is related to
Diseases and Conditions
© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor