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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Why Is My PAC S Painful?

I am 45 yr male morbid obese intermittent atrial fibrillation w frequent PACs. Tonight my PACs are painful. I have had 2 MUGA scans (EF 61) 2 chem and 1 tmst. No indication of angina or blockage. Current daily meds 250 mg Atenolol (150 mg A.M. and 100 P.M.) HCTZ/Triamterene, Aspirin (325mg) pantoprozal sodium 40mg
Thu, 9 Jun 2016
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Pulmonologist 's  Response
Thanks for your question on Healthcare Magic.
I can understand your concern.
PACs (premature atrial contractions) in atrial fibrillation (AF) are suggestive of poor rate control in AF.
And you are taking only atenolol for rate control.
So in my opinion, you should consult cardiologist and get done Holter monitoring (24 hours continuous recording of ecg).
If rate of AF is high or frequency of PACs is high then you will need Radio Frequency Ablation (RFA).
This will treat your problem permanently.
Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
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Why Is My PAC S Painful?

Thanks for your question on Healthcare Magic. I can understand your concern. PACs (premature atrial contractions) in atrial fibrillation (AF) are suggestive of poor rate control in AF. And you are taking only atenolol for rate control. So in my opinion, you should consult cardiologist and get done Holter monitoring (24 hours continuous recording of ecg). If rate of AF is high or frequency of PACs is high then you will need Radio Frequency Ablation (RFA). This will treat your problem permanently. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.