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I Am Currently Seeing An Electrophysiologist. My History Is I

Posted on Sun, 27 Oct 2019

Question: I am currently seeing an electrophysiologist. My history is I had atrial fabulation and atrial flutter, which I had ablated. I am seeing him right now because I have PACs and PVCs. About three months ago he put me on a halter monitor for 48 hours. It showed that I had one and a half percent PVCs and about 2 1/2%25 PACs. i%E2%80%99ve had quite a few more skipped heart rate recently and I am on 150 mg of Flicka night twice a day. So I went back to see him and he%E2%80%99s put me on another halter monitor for 24 hours. He is suggesting that if I have over 10%25 of my heart beats that are PVCs I shouldconsider an ablation or a more agressive arrythmic medication.. From all the literature that I have read it says that PVCs are dangerous if they%E2%80%99re over 20%25. Does 10%25 seem like a logical
number to consider for an ablation? I have had an echocardiogram and two EKGs in the last year. They say I have a structurally sound heart.

Answered by Dr. Bhanu Partap (1 hour later)

Brief Answer:
Please refer to the details below

Detailed Answer:
Hello

After going through the medical details provided by you I can understand your concern for your health and well being and I would like to tell you that more than 20% of VPCS are considered significant and medical attention.

Optimal medical therapy with the help of beta blocker should be the first option rather than directly going for an ablation.

You can discuss with your treating doctor about this.

I hope this information will guide you properly.

Kind Regards

Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Vaishalee Punj