Guest guest Posted January 14, 2003 Report Share Posted January 14, 2003 Bruce dont despair, I had exactly the same one month one,, I got so worried I took extra Dofetilide to calm things down.. It feels like your pulse is going crazy but I bet you its not AF. Mine felt like it but turned out to be Atrial ectopics these went after about two months. Try and get an ECG or a 24 hr tape of what is going on, just to settle you down. c [ > Hi all, > > I didn't have such a good day yesterday I'm sorry to say. One month > after my PVI, I had an absolutely horrible day with a lot of skipped > beats. On average I'd say I was experiencing at least 10 > skips/minute. There was one stretch in the afternoon where every > other beat was skipping. Called my doctor's office and was told by > the nurse, that unless I feel faint, dizzy, etc. that there's no > reason for concern. I know that irregularities are expected, but to > this extent? Still having skips this morning and thought I'd ask > those who've gone through the PVI already if they've experienced > something like this? Also, when do a large number of skips become a > real problem? Of course, if things don't improve this morning, I may > insist on seeing my doctor today. THanks. > > Bruce > ********************************************************************** This message may contain information which is confidential or privileged. If you are not the intended recipient, please advise the sender immediately by reply e-mail and delete this message and any attachments without retaining a copy. ********************************************************************** Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 14, 2003 Report Share Posted January 14, 2003 what is the difference between pacs and pvc? Re: bad day yesterday >I have definitely had ectopics to match what you describe, and more than a month after > the PVI, but because Dr. Cheng said the inflammation in the heart tissue from the ablation can cause misfiring for up to 3 months, I > don't take it too seriously. , As a spectator in this AF venue, may I ask what are ectopics and how are they different from afib beats? Are they distinguishable? My husband talks about having irregular beats that he says are neither PACs or AF. Maybe this is what they are, but I am not familiar with that term. He also describes his pulse as being very loud sometimes at night...enough so as to wake him up. We are looking forward to his PVI in hopes of significant changes. Bruce, Glad you are having an easier day. BJ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 14, 2003 Report Share Posted January 14, 2003 > Try and get an ECG or a 24 hr tape of what is going on, just to settle you down. One time I went into my docs office and an ekg didn't catch anything. After I insisted something was going on, they hooked me up to a weird little machine that took a continuous tape while I was sitting in a chair and caught many pacs and pvcs. Worth asking for, if you are like me and will sometimes go into sinus when you lie down and than back into stuff when you sit up. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 14, 2003 Report Share Posted January 14, 2003 > Hi all, > > I didn't have such a good day yesterday I'm sorry to say. One month > after my PVI, I had an absolutely horrible day with a lot of skipped > beats. > Bruce Hey Bruce, Hated reading about your bummer of a day.Are you still taking any meds to regulate your rhythm while your heart readjusts to the PVI? I know it had to have been a horrible experience, but your report gives those of us facing this in the near future some knowledge of what to possibly expect. Hope everything has settled back down by now. BJ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 14, 2003 Report Share Posted January 14, 2003 " bruceboulanger " wrote: > . . . thought I'd ask those who've gone through the PVI already if they've experienced > something like this? Hi, Bruce, I'm very sorry you're having such a rough time. I have definitely had ectopics to match what you describe, and more than a month after the PVI, but because Dr. Cheng said the inflammation in the heart tissue from the ablation can cause misfiring for up to 3 months, I don't take it too seriously. It is now exactly 2 months since my PVI, and I'm on the 14th day of NSR since the last episode of AF. Frequently I will notice ectopics, but I don't focus on them. I think it is still one month too early to draw any conclusions. If you decide to see Dr.Cheng, I'd be interested to hear what he says. Sieber Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 14, 2003 Report Share Posted January 14, 2003 Hi, Thanks for the replies. Things aren't as bad as yesterday, but its still skipping around a lot today. In terms of meds since the ablation... only coumadin. I had a bad experience trying to use Tambocor (flecanide) and I really am not inclined to try something else, especially where its essentially guess work in trying to find one that could possibly work. That's why I opted for the PVI. Talk to everyone later. Bruce Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 14, 2003 Report Share Posted January 14, 2003 >I have definitely had ectopics to match what you describe, and more than a month after > the PVI, but because Dr. Cheng said the inflammation in the heart tissue from the ablation can cause misfiring for up to 3 months, I > don't take it too seriously. , As a spectator in this AF venue, may I ask what are ectopics and how are they different from afib beats? Are they distinguishable? My husband talks about having irregular beats that he says are neither PACs or AF. Maybe this is what they are, but I am not familiar with that term. He also describes his pulse as being very loud sometimes at night...enough so as to wake him up. We are looking forward to his PVI in hopes of significant changes. Bruce, Glad you are having an easier day. BJ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 15, 2003 Report Share Posted January 15, 2003 To answer the message below: I gave my understanding of PACs and PVCs in my message of Tuesday, Jan. 14. To quote from that message, " These premature beats can be in the atrium (a premature atrial contraction or PAC) or in the ventricles (a premature ventricular contraction or PVC.) " As to the second message below: I'm not the one to define the word " ectopics. " The definition in " Dorland's Pocket Medical Dictionary " that seems to fit our use of the word is, " arising from an abnormal site or tissue. " However, that definition could apply to AF and AFlutter, and on this site we seem to restrict it to momentary events like PACs and PVCs, rather than events that are sustained for a time, like AF and AFlutter. Could someone like or afib-friend jump in here with a more authoritative answer? Sieber schw9883@... wrote: > what is the difference between pacs and pvc? > Re: bad day yesterday > > , > As a spectator in this AF venue, may I ask what are ectopics and how > are they different from afib beats? Are they distinguishable? > My husband talks about having irregular beats that he says are > neither PACs or AF. Maybe this is what they are, but I am not > familiar with that term. He also describes his pulse as being very > loud sometimes at night...enough so as to wake him up. > We are looking forward to his PVI in hopes of significant changes. > > BJ > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 16, 2003 Report Share Posted January 16, 2003 <<As to the second message below: I'm not the one to define the word " ectopics. " The definition in " Dorland's Pocket Medical Dictionary " that seems to fit our use of the word is, " arising from an abnormal site or tissue. " However, that definition could apply to AF and AFlutter, and on this site we seem to restrict it to momentary events like PACs and PVCs, rather than events that are sustained for a time, like AF and AFlutter. Could someone like or afib-friend jump in here with a more authoritative answer? Sieber>> Well I can jump in but please don't think my answer is more authoritative. (I often get my confidence and knowledge balance the wrong way round!) My take on it is the similar to s, an ectopic beat is any beat which originates away from the SA node. It's a premature atrial contraction (or complex depending on whose definition you a looking at) [PAC] if it originates in the atria and a premature ventricular contraction/complex [PVC] if it originates in the ventricles. The atria don't actually beat when in AFib they quiver, and as such there is no origin to the beat, the AV node passes as many signals as it can down to the ventricles and it's this that produces the irregularity of AF. <<Are they distingushable?>> PACs/PVCs are usually isolated events or come as short runs (several in a row). So if you feel one or two missed beats there most likely to be ectopics. If your pulse is irregular a lot of the time then it's more likely to be AFib (or some other arrhythmia). It's very easy to spot the difference if you are hooked up to an ECG machine. (and it's the only way to know if an ectopic is a PAC or a PVC) <<My husband talks about having irregular beats that he says are neither PACs or AF.>> Some people believe they can distinguish between PACs and PVCs by feel alone but I'm a little sceptical of this. The force of the ectopic is a matter of timing and how much blood is in the heart at the time. (it's often the case that one does not feel the ectopic but the following beat). hope this helps. -- D Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 27, 2003 Report Share Posted January 27, 2003 > > >The atria don't actually beat when in AFib they quiver, and as such there is >no origin to the beat, the AV node passes as many signals as it can down to >the ventricles and it's this that produces the irregularity of AF. > I would agree with everything except that the focal areas of the atria (usually the Pulmonary Veins) do produce " beats " or A-Fib signals. At the A-Fib Symposium they had some presentations where you could actually see the beats or frequencies coming from the PVs. The effect is to make the Atria quiver, but they are beats or signals that conflict with the signals from the Sinus Node. (I will do that report on the A-Fib Symposium once I get through all the E-mails.) A-FibFriendSteve Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 28, 2003 Report Share Posted January 28, 2003 I think I wrote : >>The atria don't actually beat when in AFib they quiver, and as such there is >>no origin to the beat, the AV node passes as many signals as it can down to >>the ventricles and it's this that produces the irregularity of AF. Steve replied: >I would agree with everything except that the focal areas of the atria >(usually the Pulmonary Veins) do produce " beats " or A-Fib signals. At >the A-Fib Symposium they had some presentations where you could actually >see the beats or frequencies coming from the PVs. The effect is to make >the Atria quiver, but they are beats or signals that conflict with the >signals from the Sinus Node. (I will do that report on the A-Fib >Symposium once I get through all the E-mails.) >A-FibFriendSteve Hi Steve, I think we are both right I think what you are describing is focal AF but I don't believe it's true to say that everyuone one with AF has focal AF. AF is a re-entrant arrythmia capable of sustaining itself (even when an ectopic trigger is no longer present). I think it is still a big uknown as to what the split will turn out to be. -- D Quote Link to comment Share on other sites More sharing options...
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