All facts point to good outcome, Seems innocuous:)
Premature ventricular contraction
(PVC) is caused by an ectopic cardiac pacemaker located in the ventricle.The clinical significance of PVCs depends on their frequency(minimum 6 in one strip of 2 mins), complexity( Assciated with any morbities and cardiac disease history), and hemodynamic response ( shocks, hypertesnions, low blood pressures, some infection histories like endocarditis
If the above etiologies are ruled out PVCs are then just innocuous and should not be worried about.
Here are some innocuous reasons for PVCs
-Electrolyte imbalances( increased or decreased potassium levels) secondary to some illness like vomiting diarrhoea or renal troubles.
- the recovery phase of exercise,
-hormonal changes in female patients (pregnancy, menses, menopause
-male sex has more predispositions
-advanced age( beyond 50 and 60. so you are safe)
- African American race,
-underlying ischemic heart disease
-a bundle-branch block on 12-lead ECG
-hypomagnesemia(Low Magnesium Levels)
Remember PVCs in young, healthy patients without underlying structural heart disease
are usually not associated with any increased rate of mortality.
PVCs in older patients, in particular those with underlying heart disease, are associated with an increased risk of adverse cardiac events, particularly sustained ventricular dysrhythmias and sudden death.
In patients who have had a MI, the risk of malignant ventricular arrhythmias and sudden death is related to the complexity and frequency of the PVCs. Patients with PVCs in Lown classes 3-5 are at greatest risk
Frequent PVCs may be associated with increased risk of stroke in patients who do not have hypertension and diabetes
If you are out of any serious comorbidities which i am sure you will be as age of 34 is too young to have some serious issue. Just take precautionary measures
use omega 3 fatty acids
fruits vegetables use
regular sleep patterns
Modification of lifestyle
AHA assesment of your cardiac score.
All precautionary measures of healthy life to be on the safer road.
I advise some investigation to be done to rule out underlying cause.
-serum electrolytes ( for hypokalemia/ low potassium)
-Proarrhythmic drugs screen like theophyllin, digoxin etc
-Do ECG or Signal-averaged ECG or 24 Hours Holter Monitoring for lown criteria for counting the PVCS in an hour.The higher the grade, the more serious the ectopy.
Grade 0 = No premature beats
Grade 1 = Occasional (< 30/h)
Grade 2 = Frequent (>30/h)
Grade 3 = Multiform
Grade 4 = Repetitive (A = Couplets, B = Salvos of = or > 3)
Grade 5 = R-on-T pattern
( to rule out valvular lesions or ejection problems)
-Excercise stress test
Mean while take some beta blockers for symptoms like
Some calcium Chaneel blockers like
Verapamil (Calan, Covera, Verelan)
some electrolytes like
Consult near by caardiologist for Antiarrhythmics and if the PVCs are complex which i am sure they are not and resistant to medication consider catheter ablative therapy.
Your young age with no previous morbidities and any complication and normal test results all point to the fact that you are safe and out of trouble and had a PVC just from some innocuous cause which will resolve soon and by itself.
I hope i was of some help.If you have any more queries for me
please feel free to ask , i would be glad to answer them.Other wise kindly close the discussion and rate the answer as per your experience.
I wish you a very good luck.Take some special care of yourself.