Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
Suggest Treatment For PVCs With Normal Echo
Question: Hi I'm 41 years old and have had pvcs and pacs since I was 20 documented on several 24 hour monitors and also have had several echos. Most of time the past 10years my echos have all read the same "normal". The only exception is the lvh reads any ware from 1.1 to 1.5 back to 1.2 and this last echo 1.3. My cardio says for me this is probably normal do to my body size index. I'm 275 6-3. Do you agree with this? My anxiety over heart palps have just made me a nervous wreak and I believe that my pvcs are caused by this lvh thickness and I'm going to drop over dead anytime
Brief Answer:
Probably normal!
Detailed Answer:
Hi and thank you so much for this query.
I understand how worried my clients are each time I say they seem to have a heart problem. This holds true for everyone and am not surprised when you feel that way too. It is totally normal and understandable.
What is certain is, we can only deal with what we have at hand now. PVCs are never a problem or call for concern unless they cause symptoms. In your case, they have not caused any severe symptoms over 20years and I think you should not get too worried about this right now unless something new comes up.
The LVH is probably normal in your case. The difficulty is that we have not had ventricular readings standardized taking into consideration the persons BMI. It does not make sense comparing the thickness of the heart of a person with a normal BMI to that of someone with obesity when we know that by virtue of their body sizes, the heart of an obese person would be bigger than that of a person with normal BMI. With a minimally increased size given your BMI status, I second your cardiologist to say you should not get too worried about it. It is probably normal for you and not the text books.
Would you drop death? I am not sure about this. What I am certain about is that we can work on addressing the known cardiac risk factors. Eating healthy, exercising regularly, avoid smoking, minimal alcohol consumption, reduce excess weights, avoid fatty diets, and treatment of any cholesterol disorders would help reduce the risk of any cardiovascular events significantly.
I hope this addresses your query fully and provides useful information that you can act on. Feel free to ask for more information and clarifications if need be. I wish you well and thank you so much for using our services.
Probably normal!
Detailed Answer:
Hi and thank you so much for this query.
I understand how worried my clients are each time I say they seem to have a heart problem. This holds true for everyone and am not surprised when you feel that way too. It is totally normal and understandable.
What is certain is, we can only deal with what we have at hand now. PVCs are never a problem or call for concern unless they cause symptoms. In your case, they have not caused any severe symptoms over 20years and I think you should not get too worried about this right now unless something new comes up.
The LVH is probably normal in your case. The difficulty is that we have not had ventricular readings standardized taking into consideration the persons BMI. It does not make sense comparing the thickness of the heart of a person with a normal BMI to that of someone with obesity when we know that by virtue of their body sizes, the heart of an obese person would be bigger than that of a person with normal BMI. With a minimally increased size given your BMI status, I second your cardiologist to say you should not get too worried about it. It is probably normal for you and not the text books.
Would you drop death? I am not sure about this. What I am certain about is that we can work on addressing the known cardiac risk factors. Eating healthy, exercising regularly, avoid smoking, minimal alcohol consumption, reduce excess weights, avoid fatty diets, and treatment of any cholesterol disorders would help reduce the risk of any cardiovascular events significantly.
I hope this addresses your query fully and provides useful information that you can act on. Feel free to ask for more information and clarifications if need be. I wish you well and thank you so much for using our services.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thanks for the response, i have allowed my anxiety and panic to take over my life. If i start feeling skipped beats i just freak out and i believe i brimg more skips on which is a visous cycle. I get quick dizzy sensations with runs of pvcs or pacs but thats usually after i have my self good and worked up. Thanks again for your time
Brief Answer:
Thanks!
Detailed Answer:
Thank you so much for your kind words. I hope you find the right coping strategies to regain control of your life.
Let me know if there is something more that you would like us to talk about at this time.
I wish you well.
Thanks!
Detailed Answer:
Thank you so much for your kind words. I hope you find the right coping strategies to regain control of your life.
Let me know if there is something more that you would like us to talk about at this time.
I wish you well.
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
Get personalised answers from verified doctor in minutes across 80+ specialties
