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-   -   PAC's & PVC's w/ Sinus Tach (https://www.healthboards.com/boards/sinus-problems/712803-pacs-pvcs-w-sinus-tach.html)

MyHeart916 09-15-2009 07:29 PM

PAC's & PVC's w/ Sinus Tach
 
I'm 29 years old and I've been to the ER twice lately. I have known I've had PAC's & PVC's with sinus tachycardia for over 10 years now but for the past few months it's been really bad. I have been on atenolol, verapamil, metoprolol, and bystolic. My dr just changed me again and put me back on metoprolol (generic for lopressor). I hope it works now I'm on 25mg twice a day. Has anyone ever got this - it sounds like a panic attack?!! When you know it's not, and you know what you are feeling!! Most everyone including the ER couldn't help me, I am now wearing this wonderful 2 week monitor that records every single heartbeat and now I hope I will get somewhere. As many of you know, this is not a constant thing, it's totally random. It drives me crazy sometimes. Just today my heart went to 150 bpm and I was just sitting in a chair, nothing strenuous. For so long, my heart would race & flip, and after so long it just becomes normal. Happens for a few seconds and then fixes itself, but not lately, happens for hours on end. I really don't want to be on medication but I feel I have no other choice now. I have always felt medication is just a temporary solution to the problem. The ER doctor did mention a heart rhythm specialist. A electrophysiologist. Has anyone heard of this? I just thought my cardiologist would do it all but maybe these types of doctor's would help my issues more. Anyone, please post. :confused:

lukejameson 09-20-2009 11:52 AM

Re: PAC's & PVC's w/ Sinus Tach - natural Remedies
 
I have the same thing. I've had sinus tach with a resting heart rate of 145, throughout the day my rate never dropped below 120 - it felt terrible and I was pretty sure it wasn't good for my heart. However, the doctors were dismissive and told me to simply ignore it. They did give me a beta blocker, propranolol which helped.

Later, a simple test discovered that I had a wheat allergy. I cut out the wheat and the tachycardia disappeared!

However, the Palpitations/PVCs persist. Especially with stress or lack of sleep. They'll happen every other heartbeat or so, and will continue in a run for ten minutes or more. It's very uncomfortable, and when sustained inevitably comes with panic.

I've found that Magnesium helps. I take 400 mg in the morning and at night. Not quite a cure, but I'm so glad that I found it. None of the doctors that I've seen suggested it, and they even seemed a bit irked when I relayed my discovery.

I've also heard that B vitamins help. I didn't see much reaction from them, but they can't hurt

Good luck at the electrophysiologist, let us know what you find out!

Jcoope28 09-21-2009 06:02 PM

Re: PAC's & PVC's w/ Sinus Tach
 
It sounds like an Electrophysiologist would be great! They are specialists in the electrical system (rythym controls) of your heart. I went to one and had an EPS study for Inapropriate sinus tachycardia and he was a great DR. I would highy consider going to an Electrophysiologist. He will probably be able to fix your condition with meds or an ablation.
I wake up with those nasty heart races and it makes me panic! I cut out wheat foods and it helped my tachy dramatically too.

MyHeart916 10-20-2009 09:04 PM

Re: PAC's & PVC's w/ Sinus Tach
 
Well I went to 2 electrophysiologists. They both got my records from my cardiologist. The 1st one wants to do an EP study on me and possible internal heart monitor I'd wear for 3 years. Also, he said a possible ablation. He seemed like a good doctor but I always need a 2nd opinion. This other electrophysiologist I went to, says it does not seem necessary to do the EP study since my recent heart monitor did not show any signs of anything other than sinus tach and he also said an ablation may not even fix my issue and it comes with risks. This 2nd electrophysiologist also increased my medication (double), I was only on 25 mg of atenolol twice a day and now I'm on 50 mg twice a day. The 2nd electrophysiologist talked to me for a long time & I was amazed because most doctors anymore seems to give you some medication and push you out the door. Now, I'm more confused than ever. The 1st doctor gave me information and a dvd on an EP study and ablation. The ablation seemed great, saying how I would not have to be on meds anymore, but what about the negatives?? Both doctors told me to start conditioning my heart by exercising & I have no problem doing that, it's just with my heart racing all the time anyway, when I do exercise feels like my heart goes nuts!! I am 29 years old, I do not want a pacemaker & now I don't know if I should go with the opinion of the 1st or 2nd electrophysiologist. Maybe a 3rd opinion, augh!! Any ideas/comments would be greatly appreciated. Thanks.

Jcoope28 10-21-2009 02:50 AM

Re: PAC's & PVC's w/ Sinus Tach
 
I completely understand what you are going through. I am in the same boat since I was 33. I am 41 now. I saw about 4 different Electrophysiologists and 6 cardiologists since this whole thing started! Sounds like you are faced with the options that I was faced with. I desperately wanted the ablation that the first Electrophysiologist suggested to me also. The next Electrophys did an EP study and my results came up as just sinus tach and they couldn't find a direct trigger for my tachycardia during the EP study. After that study the Dr. said that doing an ablation on a person with just sinus tachy comes with many risks such as needing a pacemaker and making other heart rythym disturbances. Many times it just doesn't work or only temporarily. I was disappointed at the time BUT I am still pretty glad that I didn't play around with it. I take my medications and try to exercise (yawn). Just a suggestion if I were you I would think about trying the new dose of medicine for awhile before I get ablated BUT I would get the EPS study done. Just get the study but tell the Electrophysiologist not to ablate anything until he tells you the findings first. If they are able to trigger the arrythmia then you can go back for the ablation. Let me know how it works out.

falcon42 10-23-2009 03:01 PM

Re: PAC's & PVC's w/ Sinus Tach
 
Are these pvcs/pacs really so common and benign? That is what I have been told and do most people not have anything wrong with the heart? I don't get it why do they happen in a healthy heart. Mine are a bit better with taking the toprol bid, but some are real strong. For a while they were just continuous with no known trigger or cause. I think mine is somehow related to the vagal nerve because it started after a fall.

Robert Rand 04-02-2010 10:49 AM

Re: PAC's & PVC's w/ Sinus Tach
 
The heart depends on electrolytes for proper electrical conduction. You may be lacking...especially potassium and magnesium. Deficiencies in these can cause arrithmyahs...i.e. PVC's or PAC's. I take a supplement of 400mg/day magnesium glycinate (that's 1/2 bunch brocoli) and 100mg/day potassium gluconate (that's about 1/2 large banana). I get very few, very seldom PVC's. It used to be a major problem for me also. Check with you doctor, get some tests run for electrolytes.

Regards, Robert Rand

lylone 04-07-2010 12:40 PM

Re: PAC's & PVC's w/ Sinus Tach
 
Just had an SVT episode this AM and they checked my electorlytes and potassium levels and they were fine. Then was converted by them using adenosene and I am fine now. I take perscription Potassium and magnesium on a daily basis. For me it hasn't worked....:confused:

scott1965 04-13-2010 07:30 AM

Re: PAC's & PVC's w/ Sinus Tach
 
I have the same thing: PVT's and SVT's. I mainly have the skipped beats (can't remember which that is), and don't experience the racing that a lot of people have. My doctor has me on metroprolol once a day (50 mg, I think). It helps, but doesn't completely eliminate the problem. I'll go days on end without an episode, then I'll end up getting them for several days straight. It's scary, because I'll get lightheaded---I end up coughing and that usually fixes it.

We haven't talked about the ablation that much, but I'm not sure that I'd want it anyway when I read about the possiblity of having a pacemaker installed if the procedure doesn't work.

lylone 04-13-2010 08:42 AM

Re: PAC's & PVC's w/ Sinus Tach
 
Sometimes coughing wil put my heart back to normal, but sometimes it doesn't work. I like you are afraid of the whole pacemaker thing.

scott1965 04-13-2010 03:31 PM

Re: PAC's & PVC's w/ Sinus Tach
 
I've been told and read that the ablation technique isn't always recommended for everyone. It depends on the severity of your condition. Unless my episodes get a whole lot worse, I wouldn't try it. You can end up worse off than where you started---it's not a guaranteed thing.

lltomich 04-21-2010 07:53 PM

Re: PAC's & PVC's w/ Sinus Tach
 
[QUOTE=scott1965;4224799]I have the same thing: PVT's and SVT's. I mainly have the skipped beats (can't remember which that is), and don't experience the racing that a lot of people have. My doctor has me on metroprolol once a day (50 mg, I think). It helps, but doesn't completely eliminate the problem. I'll go days on end without an episode, then I'll end up getting them for several days straight. It's scary, because I'll get lightheaded---I end up coughing and that usually fixes it.

We haven't talked about the ablation that much, but I'm not sure that I'd want it anyway when I read about the possiblity of having a pacemaker installed if the procedure doesn't work.[/QUOTE]

Most ablations do not end with pacemakers. Those that do will they tend to know before they even do the procedure. Pacemakers are more common for those with ventricular rhythm issues and Afib and it doesn't sound like anyone on here has those. With SVT's the risk is extremely low. What I'm confused by is that a lot of people on this thread seem to have sinus tachycardia (after hearing the beats per minute under 160) and ablation is usually reserved for those with more diagnosed conditions (mine was AVNRT with a heart rate of 180, 200, 220 or even higher). PAC's, PVC's tend to be very benign. Worrying about them will give you a heart problem. The # 1 best way to fix a tachycardia under 160 beats a minute is to relax and stop thinking about your heart so much. I've had my heart racing at 230 beats a minute for 5 or 6 hours while I was laughing and on a date at a restaurant.

lylone 05-04-2010 08:14 AM

Re: PAC's & PVC's w/ Sinus Tach
 
Mine usually hover around 180 beats per minute and I had another one yesterday morning. Just bent over to get some clothes off the floor and whammo.
It lasted two hours and I felt awful the rest of the day. It is hard to go and work and be "normal" for the rest of the day when you feel like you had the energy sucked out.
The bad thing about it is that you never know when it is going to happen and it does seem to be more than just an inconvenience.

lltomich 05-05-2010 05:53 AM

Re: PAC's & PVC's w/ Sinus Tach
 
[QUOTE=lylone;4239044]Mine usually hover around 180 beats per minute and I had another one yesterday morning. Just bent over to get some clothes off the floor and whammo.
It lasted two hours and I felt awful the rest of the day. It is hard to go and work and be "normal" for the rest of the day when you feel like you had the energy sucked out.
The bad thing about it is that you never know when it is going to happen and it does seem to be more than just an inconvenience.[/QUOTE]

I'm not a doctor but living with AVNRT for my life (until I was cured 3 months ago) I can definitely say this sounds like AVNRT to me. It ranges around 180 a lot for AVNRT. And movement will so bring it on. I would pick something up above my head and lower it or like you so move a bag across the car seat and bam instantly goes to 180. And yes, once the attack is over you are drained and tired. It will eventually be more than in inconvenience as I got older the attacks became more frequent, harder to bring down without going to the ER and eventually...the meds almost killed me in the ER. So, I wised up, got the surgery done (took only 3 1/2 hours and was a no-brainer) and today I feel empowered! No more SVT's for me. I'm so happy that I've cried with joy for hours over my cure. And yes, it can happen at the worst times. It happened when I was at Universal City in California what a pain that was. Nothing like being on vacation in a large city and not being able to bring it down for 6 hours and having to find an ER. Or on a plane...or on a date. That happened to me too, no second date on that one... Fine a good electrophysiologist and get rid of it permanently. Meds are dangerous - get cured!! That's my 2 cents! Best Wishes.


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