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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Have Intermittent PVCs And PACs, Taking Toprol. Family History Of Ventricular Fibrillation

Hi. I am 57 (female). I have had intermittent PVCs and PACs for years. My cardiologist has assured me that they are of no significance. I take toprol, which doesn t help much. I have settled into bigemeny for the past one month continuously: 24/7. It makes me feel bad. My internist wants me to go back and see the cardiologist, but I am afraid to go see him because the cardiologist always says nothing to worry about - ignore them and makes me feel like a worrier. Is the change from occasional to every other beat worthy of another visit to the cardiologist? My mother died at 47 from ventricular fibrillation , so you can understand my concern.
Mon, 1 Jul 2013
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Cardiologist,  's  Response
Dear patient

thanks for your concerns. i agree with my colleague that isolated pacs and pvcs are benign; even stable bigeminy can be benign, but now the most important thing is HOW you feel now, and you say bad. Therefore, I strongly suggest to visit an Electrophysiology colleague (cardiologist specialized in heart rhythm) to contemplate other options, such as class 1 or 3 antiarrhythmics vs an electrophysiology study with potential ablation if feasible

yours truly

Dr Brenes Salazar MD
Cardiology
Mayo Clinic MN
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Have Intermittent PVCs And PACs, Taking Toprol. Family History Of Ventricular Fibrillation

Dear patient thanks for your concerns. i agree with my colleague that isolated pacs and pvcs are benign; even stable bigeminy can be benign, but now the most important thing is HOW you feel now, and you say bad. Therefore, I strongly suggest to visit an Electrophysiology colleague (cardiologist specialized in heart rhythm) to contemplate other options, such as class 1 or 3 antiarrhythmics vs an electrophysiology study with potential ablation if feasible yours truly Dr Brenes Salazar MD Cardiology Mayo Clinic MN