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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 : 1777 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
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