Hi,Dear,Thanks for your query to HCM.
Dear I read your query and reviewed it with context to your query facts.
I understood your health concerns and feel Concerned about them.
Based on the facts of your query, you seem to suffer from-
PAC and PVC lately with 10 cm
Lymph node mass-The reason does not seem more on your lines of thinking.
With 27 yrs of CABG x 3 ,This is impending partial block compromising on the coronary supply,though have maintained a very nice life style and health care.
Tight pants causing increased intra-abdominal pressure causing pressure on the heart across the diaphragm,would lead to the compromised
coronary circulation,causing the PAC and PVC in your case.A Drop in the coronary circulation from increased abdominal pressuer from tight pants is the reason in your case.
Other reasons for PAC and PVC,like liberal lifestyle with more coffee / tea/ alcohol/
smoking if any needs to be kept in mind in your case as the casue of these PAC/PVC's.
Hope this reply would help you to plan further treatment with your family and specialist doctors there.
Welcome for any further query in this regard.
Good Day!!
Dr.Savaskar M.N.
Senior Surgical Specialist
M.S.Genl-CVTS