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pvcs or af?

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farhadjvd im sound engineer and music composer Find out more about farhadjvd
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  • pvcs or af?

    hi iwas diagnosed 5years ago with no gradient. an 22mm of thickness. i get metoral and verapamil twice aday but in few moths ago i had pvcs .its like my heart skip one beat.specially after my exercise when my hr want to go down is it dangerous?or is it can be af?

  • #2
    Hello Farhad, welcome to the forum.
    It is a common occurance in people with a HCM to have occasional extra beats or feel like they are skipping a beat...it could be PVCs or PACs..... there is no way to truly know without having an EKG hooked up while they are happening. Occasional extra beats are not generally dangerous....frequent extra beats could be. Your cardiologist needs to know you are having new symptoms. He/She may want you to wear a monitor for a few days, and especially during excercise to see what is happening. Or do an exercise stress test. That will give answers as to the next step, which may be to increase medication or just know they are occasional and don't need treatment.
    After years of symptoms:
    Officially Diagnosed HOCM 2006
    Myectomy 3/11/13 at non-COE
    Extended Myectomy 7/23/14
    At Mayo with Dr. Joseph Dearani

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    • #3
      Could it be af? If you're feeling isolated beats like this, that's not likely. But you can check with your doc and see if they want you to wear a monitor for a while.
      Myectomy on Feb. 5, 2007.

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      • #4
        i went to my cardiologist . and he said its a pvc .but he just saw my ekg .ithink he could ask for holter monitor. im not sure he diagnosed right!!!!

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        • #5
          You can certainly ask for a Holter, but I'm not sure why you want to. You've described isolated beats, and your cardiologist sees PVCs on your EKG. Yes, it might really be AF, but I'm not sure from your description that there's any reason to go hunting for AF.
          Myectomy on Feb. 5, 2007.

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          • #6
            because. my cardiologist did not see pvcs and my ekg was normal.and after I described my feeling he said that.and one more question could i go to canyoneering or rock climbing?my dr said dont do competetive sports but non competetive???

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            • #7
              Sports to avoid are (1) anything that you can't stop if you start to feel bad. For instance, I can ride a bike, but I don't go on long bike trips because it's not easy to just stop. I'd be concerned about that with climbing and maybe canyoneering, depending on how far you're going. (2) Avoid anything that involves lots of fast starts and stops. (3) Avoid anything that involves big strains, like body building. (4) Avoid anything that could endanger others if you start having problems. The classic example of this is scuba diving; I wonder if rock climbing might fall into the same category. I know this may sound restrictive, but it is what it is.

              So you had a normal ekg and you've only felt some stray beats. Sure, you can ask your cardiologist for a longer-term monitor - in fact, my HCM specialist has me wear a 48 hr Holter monitor routinely every year, and I've worn 30 day monitors when needed - but it doesn't really sound like you have AF.

              Gordon
              Myectomy on Feb. 5, 2007.

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              • #8
                tnx. it really helped me

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