I am a 28 yr old male. I'm not in very good shape and Im overweight. I also have had high blood pressure for about 8 yrs., 145/80 on average. I recently went to a cardiologist for palpitations.
He did a 24 hr holter monitor and seen i had on average 1 PVC per minute (1300 somethin he said) in 24 hrs.
He said that i shouldnt worry about them as long as they dont occur in groups. He also did a echocardiogram and said my right atrium was just a little large, again; he said nothing to worry about. He then did a stress test. My pulse rate got as high as 158. He said he saw a few PVC's during that but not enough to worry. So anyways, he said I should just keep taking my atenolol 50mg bid and to not worry. He said to call him if I begin to get PVC's in groups of 3 or more or have any chest pain. What do you think of this opinion, should I relax and just listen to him?
2007-09-06 16:53:09 · 7 answers · asked by Anonymous in Health ➔ Diseases & Conditions ➔ Heart Diseases
Outkast,
I agree with your doctor's assessment and advice.
However, you are missing the most important point!
A finely tuned heart will run with fewer palpitatiions.
Initiate a DAILY exercise regimen that begins with walking, then moves into brisk walking, then alternate running with walking.
Exercise AT LEAST 30 minutes a day!!
Lose that weight, Outkast - ESPECIALLY if it is abdominal fat.
Fat in the middle kills us.
Cut back on caffeine and never use decongestants - these make the heart muscle more irritable.
PVC's are extremely common. Everyone has some.
Your heart beats about 110,000 times a day.
So your abnormal beats were less than 1% - that's trivial.
The atenolol is a fantastic medicine (inexpensive and effective) for you.
Get in shape, son.
Take good care of your heart and it will take care of you for another 60-70 years.
2007-09-06 17:03:08 · answer #1 · answered by TravelDoc 4 · 0⤊ 0⤋
There must be at least 10 PVC on your leads, to be diagnosed as a case of PVC.
I think your doctor is correct otherwise he would do an echocardiogram.
You should cut down your weight and do physical, avoid rsk factors.
You have the privilege to opt. for a second opinion.
2007-09-07 14:39:48 · answer #2 · answered by Dr.Qutub 7 · 1⤊ 0⤋
Pvc are not normal and are very annoying and scary to feel. Your heart rate should not be going up that high. Why is your atrium large. Try seeing another doc to find out why you are having these problems. 1300 pvc in one 24 hour period is certainly alot. Alot of times these problems are seen in patients who have lung problems, asthma, smoking,
2007-09-07 00:02:39 · answer #3 · answered by Nancy B 4 · 0⤊ 0⤋
If you are that concerned about it, take your records to another doctor and get a second opinion. I have 3 valves that regurgitate, with occasional chest pain. The doctor said not to worry about it unless my symptoms get worse.
So, you could just keep an eye on it and if the symptoms worsen go back. Good luck.
2007-09-06 23:58:43 · answer #4 · answered by kiki 5 · 0⤊ 0⤋
Don't worry about it, if he could have cut you he would, but if you want to get a second opinion ask him for a cardiologists name
2007-09-07 08:20:17 · answer #5 · answered by frank 5 · 0⤊ 0⤋
On general principles always get a second opinion. It lets you sleep better too.
2007-09-06 23:59:25 · answer #6 · answered by Just Tink 6 · 0⤊ 0⤋
Eat less animal fat like meat, cheese and eggs.
2007-09-07 10:05:34 · answer #7 · answered by ted j 7 · 0⤊ 0⤋