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What Causes Ectopic Heart Beats With History Of Successful Ablation?

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Posted on Mon, 22 Jun 2015
Question: I am a 28 year old female with history of pvcs pacs and svt. I had an ablation for svt in 2006. I currently take labetalol for pvcs and have been on it over 2 years. I had an echo in april with trivial regurgitation in mitral, tricuspid and pulmonary valves otherwise normal. stress test with occasional pacs otherwise normal. ekgs have been "normal" last one in may. my question is I mowed the lawn yesterday, and last evening and night was having frequent extra and skipped beats. woke me up at times. Today I am still having them off and on. I'm not dizzy and no chest pain. Should I be concerned? I have terrible anxiety about these e ctopics and worry mowing the yard somehow damaged my heart somehow or my electrolytes are off? Should I be concerned?
doctor
Answered by Dr. Ilir Sharka (2 hours later)
Brief Answer:
Don't panic! It isn't a dangerous situation, just consult your cardiologist

Detailed Answer:

Hello!

Thank you for asking on HCM!

I would like to explain that, facing the fact you have a structurally normal heart (echo report), and have undergone a successful ablation, your ectopic heart beats are considered harmless. You don't have to worry, as they are not dangerous for your heart, and couldn't impose any risks to your life (though they may give an unpleasant feeling and disturb you).

Nevertheless, I recommend you to consult your cardiologist for a cardiac check up (perform a clinical examination, resting ECG, check blood electrolytes, thyroid hormone levels, etc), and if necessary an ambulatory 24 to 48 hours ECG monitoring (Holter), to perform a quantitative study of the arrhythmia (if it persists).

Hope to have been helpful!

Feel free to ask me whenever you need. Greetings! Dr. Iliri
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Ilir Sharka (5 minutes later)
When are pvcs cause for concern? You mentioned a cardio check up which could take a while to get in. Could I just see my regular doc tomorrow?
doctor
Answered by Dr. Ilir Sharka (3 hours later)
Brief Answer:
No urgency to visit your doctor.

Detailed Answer:

Hello!

PVCs would be considered serious when they are part of a more complex arrhythmia, are in large amounts, and most importantly are generated as a result of a severe cardiomyopathy.

There is not any urgencies, you may consult your doctor when you can.

Best regards! Dr. Iliri
Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Ilir Sharka

Cardiologist

Practicing since :2001

Answered : 9542 Questions

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What Causes Ectopic Heart Beats With History Of Successful Ablation?

Brief Answer: Don't panic! It isn't a dangerous situation, just consult your cardiologist Detailed Answer: Hello! Thank you for asking on HCM! I would like to explain that, facing the fact you have a structurally normal heart (echo report), and have undergone a successful ablation, your ectopic heart beats are considered harmless. You don't have to worry, as they are not dangerous for your heart, and couldn't impose any risks to your life (though they may give an unpleasant feeling and disturb you). Nevertheless, I recommend you to consult your cardiologist for a cardiac check up (perform a clinical examination, resting ECG, check blood electrolytes, thyroid hormone levels, etc), and if necessary an ambulatory 24 to 48 hours ECG monitoring (Holter), to perform a quantitative study of the arrhythmia (if it persists). Hope to have been helpful! Feel free to ask me whenever you need. Greetings! Dr. Iliri