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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Remedy For Severe Chest Pain

Approx 2 months I started suffering from dizziness, noticed my pulse was irregular. I have had 2 ecgs the first said abnormal qrst contour consistent with old inferior mi and non specific st depression. the second showed pvcs and prolonged qt. I have just had a 24hr holter which showed over 3000 pvcs, sinus tachcardia with some bigeminy and trigeminy. My gp told me this is nothing to worry about and is referring me to cardiology as routine. I have also been having left arm pain and pain radiating into my left neck and shoulder. the last couple of days I am experiencing a severe stabbing pain upper left chest below collar bone and the arm pain is worse. The pain is intermittent but lasting atleast 30 mins, sometimes hours. Should I be concerned? or should I wait for my appointment which will be around 2 months?many thanks Jackie
Fri, 30 Dec 2016
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Cardiologist 's  Response
Hi
pvcs more then 300o in a ecg are to be taken seriosly , 3 or more pvcs taken together in succession are called non sustained ventricular tachycardia ,ifduration is less then 30 sec , if duration is more then 30 seconds its called ventricular tachycardia.
Most common cause of vpcs in ecg are ischemic myocardium , that is when blood supply to heart is less or compromised, inferior wall mi also signifies it.
yes you should be very concerned about it
few base line investigations like
2d echo
tread mill test should be done as early as possible to identify ischemia to heart.
medicines like betablockers and nitrates could be started initially by gp before you reach a cardiologist
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Suggest Remedy For Severe Chest Pain

Hi pvcs more then 300o in a ecg are to be taken seriosly , 3 or more pvcs taken together in succession are called non sustained ventricular tachycardia ,ifduration is less then 30 sec , if duration is more then 30 seconds its called ventricular tachycardia. Most common cause of vpcs in ecg are ischemic myocardium , that is when blood supply to heart is less or compromised, inferior wall mi also signifies it. yes you should be very concerned about it few base line investigations like 2d echo tread mill test should be done as early as possible to identify ischemia to heart. medicines like betablockers and nitrates could be started initially by gp before you reach a cardiologist