Bigemini and Trigemini PVCs

[mallard16]

I am 46 and have suffered from VT and Bigemini and Trigemini heart rhythm for the better part of my life. At last week’s visit to the cardiologist I was put on the tred mill and VT started with hardly effort at all. Going for my 4th ablation attempt. I am told that I have a perfectly normal heart by various cardiologists following multiple MRI and other tests. Anybody around here has Bigemini or Trigemini quasi permanently? Have had them for nearly 2 weeks now, it’s driving me round the bend. Anybody out there can share the experience?

[Gowers]

When I went for various tests for AF few years ago they said I had bigemini which came as a surprise - I had no idea what it was & hadn't heard of it before. I've had 4 ablations, been on nearly all the drugs prescribed for AF but now been on Amiodaron medication for a year & it is the only drug that has helped. I was warned & made aware it is a toxic drug & a last resort - if it stops working & symptoms return they will advise having a pacemaker. I have regular blood tests I have to have regular blood tests to check kidneys liver lung & thyroid function.

[Hidden]

It’s never regarded as a sign of underlying disease by cardiologists… and treated like ectopics… but here is a way to bring things back under control… Bigemini and Trigemini will often disappear if you increase potassium in your diet.. try eating a couple of bananas to see if the frequency lessens… also keep some cream of tartar in the medicine cupboard..I cured a three day bout of trigeminy using this method .. one quarter teaspoon in a little warm water contains enough potassium to stop these two rhythm patterns.. once things return to normal you should not return to this issue .. but if you do…for some reason you may be losing certain electrolytes… kidney or thyroid may be part of the problem… so see your doctor and ask them to check your potassium levels… magnesium balances the sodium potassium ions and counters calcium.. and may help in the long term … especially magnesium taurate… best wishes.

[Prada47 in reply to Hidden]

I was told ( by a Hospital Pharmacy ) that you would need an awful lot of bananas to alter your bodies Potassium.

I really don't think you should mess without a Blood Test , have you ever been told you have Low Potassium ? I have Bigemini and Trigemini and also an Ectopic every other beat at times.

Bisoprolol at 10mg helps along with Entresto and a few other meds, they do go away but they also return for no apparent reason ! I also have other underlying Heart Issues so we will all be different . Potassium is not something that should be regulated without medical supervision. It is used to stop your Heart prior to CABG surgery !!!

Regards

[Hidden in reply to Prada47]

Actually as an adult you should be taking 3500 mg of potassium a day.. that would be equal to ten bananas… all I am suggesting is if two bananas can lessen these doublets and triplets then you can ask your doctor to check why this is so… because that’s how I treated mine when in a foreign country with no access to a hospital…and my suggestions are not dangerous at all…bananas do not carry a health warning ..

And magnesium is essential… my ectopics have a history of some 40+ years until I discovered magnesium taurate .. now they are very very rare… and as for asking Doctors ways to reduce them.. most just say they are nothing to worry about… I was put on 160 mg of propranolol .. and became zombie …which is really helpful when you whole day is one of multiple missed beats… I only suggest what has worked for me… but if you feel it’s a waste of time .. then fine.. but let people who read these threads be able to decide and research ALL suggestions.. there are quite a few forums that have shared these remedies …

There is always a reason for a change in heart rhythm.. this notion that these occur for no apparent reason is false..

Yes potassium chloride injected into the myocardium will alter the potassium/sodium ion exchange and paralyse the heart…but to get enough potassium to reach the heart via the stomach you would need a very very high dose… maybe over 500 bananas … in one sitting… 2 is pretty safe.

electrolytes often go awry in hot climates .. stress uses up magnesium.. sugar depletes it .. PPI stops you absorbing it from foods … reasons enough to investigate what you are doing or not doing in order to figure out the solution instead of masking the cause… rant over hope you start to look at this differently..best wishes .

And thank you.

[Prince123456 in reply to Hidden]

They would of tested for electrolytes a thyroid or should of, 90% of VT is due to structural damage to the heart muscle but obviously not in this case or my case, I have a normal heart VT first diagnosed in 2019 I had a ICD fitted also for a back up, I tried various medications from Bisoprolol / Verapamil / sololtol but they didn’t work, I eventually found a fantastic electrophysiologist who tried me on Flecainide a thankfully the worked for me.

[AmatureKnitter]

I used to have a lot of bi & trigeminy all through the night, better in the day when my HR was higher. I didn't know I was anaemic and had very low VitaminD. All my tests were normal thankfully and I've been able to improve things by taking a lot of supplements. It took months for blood levels to get up to a useful level, so I took a lot of bisoprolol in the meantime. I hear a lot of people with thyroid problems experience the same.

[mallard16 in reply to AmatureKnitter]

Hi, do you remember what supplements you were taking? I am currently taking magnesium and potassium. Would be great if you could give me some ideas to keep my bigemini under control. Thanks and appreciated!

[AmatureKnitter in reply to mallard16]

Taurine, L-arginine, iron biglycinate, folic acid, vitD, K2. Dosage according to blood levels.

Magnesium and electrolytes made no difference.

Co-Q10 made things worse.

[Hidden in reply to AmatureKnitter]

People with low thyroid hormones have calcium level issues .. and the counter to high calcium .. is magnesium.