Pvcs , 3 in a row

[Marymara]

Hi everyone, now they are telling me they have seen 3 pvcs in a row once in 6 days is that a worry? Any information would be welcome.

[BobD Volunteer]

I wouldn't .

[Marymara in reply to BobD]

You know Bob 3 in a row they view as VT, which can turn bad, but I'm looking for reassurance that 1 lot in 6 days is ok

[ForensicFairy in reply to Marymara]

That’s not actually correct.

Three in a row is called a triplet. If the rate they occurred at is over 100bpm then it would be non-sustained ventricular tachycardia (NSVT) but a very short run. For it to be ventricular tachycardia it has to be fast. Tachycardia means fast.

I have triplets, couplets, bigeminy and trigeminy. I also have NSVT and had one caught on a monitor which lasted 29 seconds which was bordeline VT. VT is over 30 seconds.

As someone who can have over 10,000 ectopic beats a day, I would not be concerned at all about a triplet PVC.

[Marymara in reply to ForensicFairy]

Thankyou

[Marymara in reply to ForensicFairy]

Does that go for everyone? Or does it depend on the condition of your heart?

[ForensicFairy in reply to Marymara]

That’s for everyone.

The technical description of ventricular tachycardia (VT) is a fast (greater than 100bpm), abnormal rhythm originating in the ventricles which usually needs intervention to end.

The technical description of non-sustained ventricular tachycardia (NSVT) is the same but last less than 30 seconds and stops by itself.

If you suffered 3 PVCs in a row and they occurred at a rate higher than 100bpm it would be considered NSVT.

VT is often life-threatening for people with structural issues of the heart.

If the three PVCs occur slowly or are spaced out, they don’t qualify as VT or NSVT; they’re just grouped ectopic beats which are called a triplet.

[Sixtyslidogirl]

I had something similar a while back while out running. I definitely felt it and it didn’t feel good. My cardiologist didn’t like it either. I put it down to late heavy meal and a glass of wine, and took it as a warning. Lifestyle changes meant it wasn’t repeated. Is there anything you could tie it back to?

[Marymara in reply to Sixtyslidogirl]

This was in amongst AF

[Ppiman]

Have a look at my recent ECG below. These are no fun at all and not so different from AF, but I have become used to them. Yours are likely, as with mine, an electrical issue with the lining of the top of the heart and will be of no long term consequence to your heart.

Steve

Apple ECG showing frequent atrial ectopic beats,

[Buffafly in reply to Ppiman]

I think those are PACs?

[Ppiman in reply to Buffafly]

Thanks, B. You’re right (and that’s what my specialist says) although my home ECG often reports PVCs. They are wide, also, thanks to the bundle block (LBBB).

I wasn’t sure if the OP was reporting what a home device showed or not. I could have been clearer.

Steve

[Marymara in reply to Ppiman]

No my result was from the hospital,

[Ppiman in reply to Marymara]

I have had the same, Mary, and I was worried, like you. My specialist me assured this was of no consequence. In your case, I would speak to the hospital that did the ECG but I feel sure all is well.

Steve

[Marymara in reply to Ppiman]

Yes, the thing is as we always say on here, we are all different, with different heart problems which maybe what changes the possible outcomes, I don't know.

[Ppiman in reply to Marymara]

I don't really think we are all so different as some say. It's partly that AF might be what we all have, but some of us will have other issues, ranging from physical ones with the heart and valves, to things like heart block. It the other issues that muddy the waters in terms of giving advice, I would say as those might affect how AF is treated.

My own experience is that I have had lots of weird ECG results including runs of PVCs and PACs and have had scans and an MRI that shows these are all, essentially, caused by the same atrial conduction issues (that stared in 2019 with atrial flutter, although I had palpitations for donkeys' years).

Runs of PVCs (if they originate from the ventricles) can be important to have checked, but, in my case, were of no consequence - and I feel sure yours will be the same.

Steve

[Marymara in reply to Ppiman]

Thankyou

[kitenski]

I'd personally say 3 in a row is of no concern at all, heres a summary I got from Wellue over 11 hours when I felt I was in and out of Afib. But do please check with the consultant.

summary

[DawnTX]

I had prolonged tachycardia following the last ablation, especially although I had tachycardia from day one and probably before that. Following my bad ablation I had a steady tachycardia rate around 1 not good. I was having doctor issues and I let. Long story short I was in heart failure 6 months. I been suffering with the tachycardia so bad I could not walk and standing up, brought tears to my eyes. I could scuffle to the bathroom, but feel as though I was going to blackout. It is no laughing matter. Those are three that you know of how many others? I was found to have up to 300 a day because of the implant they had put in me when they were having trouble diagnosing a fib with a holter. My EP and Cardiologist did not want to waste time a one hour procedure while awake and two weeks later they had all the answers and were shocked and not happy to see what I have been dealing with. I don’t know if I don’t feel pain like some people or what it is, but I have a tendency to let everything go too long this time it almost cost me my life. when they make statements to you like that, put them on the spot right then there and ask to have it explained they should not just throw terms at us. I have had an incredible EP who would teach as he would teach his students because I listened and I questioned without being foolish. I wasn’t wasting his time with what I would ask even my tech for my pacemaker told me it’s rare to have someone like me take so much interest and understand but knowledge is power.

the more I have learned the less afraid I am I used to be scared to death of everything, especially death. It doesn’t mean foolish and ignore important things and if you’re not sure if it’s important reach out to the doctor or go to the hospital. but every time you feel a little something, I personally do not run to the hospital. I roll with what a fib gives me because it’s a nasty little thing that does what it wants. Even with a pacemaker, I can still feel they just no longer damage and my heart failure has actually improved because of the rest from having a pacemaker. I had a 40 ejection rate. It is now in the 70s according to my EP I can do whatever anyone can do pretty much the 70s is good at my age, even if I did not have a fib.

actually I have atypical a fib and flutter and all four chambers are involved so I have a unique pacemaker as well I can honestly tell you most of the time I don’t think about it I feel normal. Sometimes I avoid coming on here because it makes me think about it when I have no reason. It is what it is. I will always have it, but I will tell you try to not focus on it because you will make yourself crazy. I can lay here and feel every little thing I can feel my veins we all can. That’s not the way I choose to live. I want to live normal as possible. My suggestion when someone wants to know is get out of your head about it unless it’s something you have to attend to.