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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Could Cause Pvc And Angina While Being On Beta Blockers?

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i am 31 years ols and have always been healthy with nor problems-last year i was diagnosed with pvc-have them 24 hours a day every 4-6 beats-on a beta blocker-and it hasnt made a difference-i occsioanlly experience angina but i think its mental.. is there any advise and why this may be happening-i havent heard of nayone else having it 24 hours a day with no break for this long--why is mine not occsional?? echo normal, have very mild mitrial valve proplapse.all labs normal
Tue, 25 Apr 2017
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Pulmonologist 's  Response
hello
Thanks for posting here
Add per your description you are having an extra beat every 4-6 beats. so it is a type of rhythm. If it's due to a congenital abberation in the electrical conduction system of your heart. As you don't seem to have any complaints like dizziness, episodes of loss of consciousness, there is nothing to worry about. It is persistent because the electrical activity pathway is organised in such a way in your heart.
However i would advice you to get a treadmill test which will show whether these extra beats increase with exercise or vanish during the exercise. If they vanish during exercise, they are the harmless extra beats.
If they increase or come in groups during exercise then they can be troublesome.
In that case, or if you got symptoms; an EP study can be done which involves identifying the abberant pathway and stimulating it to see whether it produces any life threatening arrythmias and ablating or burning the pathway if harmful. My view is you may probably not require the procedure.
wishing you good health
regards
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What Could Cause Pvc And Angina While Being On Beta Blockers?

hello Thanks for posting here Add per your description you are having an extra beat every 4-6 beats. so it is a type of rhythm. If it s due to a congenital abberation in the electrical conduction system of your heart. As you don t seem to have any complaints like dizziness, episodes of loss of consciousness, there is nothing to worry about. It is persistent because the electrical activity pathway is organised in such a way in your heart. However i would advice you to get a treadmill test which will show whether these extra beats increase with exercise or vanish during the exercise. If they vanish during exercise, they are the harmless extra beats. If they increase or come in groups during exercise then they can be troublesome. In that case, or if you got symptoms; an EP study can be done which involves identifying the abberant pathway and stimulating it to see whether it produces any life threatening arrythmias and ablating or burning the pathway if harmful. My view is you may probably not require the procedure. wishing you good health regards