PVC's After Hip Injection

[Sanpet]

Hi all, I haven’t posted for a while as I have been enjoying 'normality' following very successful ablations around a year ago for AF and AFl. All meds except Edoxaban stopped.However. . . I had an injection in my hip (for a labral tear and impingement) a few weeks ago and immediately following I have experienced a vast increase in PVC 's (premature ventricular contractions). Before that, I could count on one hand the occurrence of PVC's, which never really bothered me.

In the week following the injection, I had almost continuous fluttering in my chest, recorded as PVC on the Kardia, and felt quite unwell. Things have improved since then (2 weeks later), but not quite returned to pre-injection state.Is this a coincidence? Has anyone else experienced this after such a procedure?

I asked my hip consultant about the injection, who advised that the local did not contain adrenaline (I had heard this may cause issues, so asked).

I have contacted my cardiologist for his opinion, but he is away at the moment.

In the meantime, I would appreciate any information - I will be so dissapointed if this is a deterioration rather than a temporary issue triggered by the injection.

Many thanks

[EX_PVC]

It can be a consequence of the procedure, but not because of the fluid injected (is that hyaluronic acid, I guess?) but for the injection itself, which can be triggering a vagal response. If your PVC occur mainly ar rest and are reduced by exercise, this could support the hypothesis.

[Sanpet in reply to EX_PVC]

Thank you for your reply, that's very interesting.I do believe this was much worse when sitting quietly, and not noticeajle when exercising (say brisk walk or working in the garden).

I don't think I have suffered with anything affecting my vagal nerve before, so haven't researched it.

The injection was quite an uncomfortable experience, I recall being taken aback immediately, so you may be right.

It has subsided, as I say, does that also tie-in?

[EX_PVC in reply to Sanpet]

Yes maybe, in my view vagal (para-sympathetic) PVCs are triggered by stimuli such as pain, internal organs distension - stomach, gut etc, but also airways and why not joint capsule. Also anxiety and fatigue can trigger them, but in the recovery phase, thus possibly creating a circle of stress-rest-PVCs-stress.I had them for years, up to 15-20 k / day, but it was enough to run up the stairs to terminate them.

Eventually I underwent ablation, but even there eliciting them with epinephrine failed while deep sedation worked.