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  • 1 year later...

,

The word on electric wheel chairs is that if they cant be repaired by the

dealer Medicare will replace it. Medicare also pays for the repairs. They

usually want another letter from the doctor verifing your need.

Later, Bud

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  • 8 months later...
Guest guest

> I have A-fib and usually have an episode every 2-3 weeks. This past

> Saturday I started having some strange feelings in my chest every

> once and awhile. I checked my pulse expecting to be in A-fib since I

> had gone 4 weeks since my last episode and wasn't. < < <

I presume you are on some sort of rate or rhythm control? Are you

happy with the results of these drugs? (Even with breakthrough

episodes every few weeks?)

I'm currently on a rate control drug, Cardizem. So far, when I do have

a breakthrough every few weeks, the episodes last between 1 minute and

under and hour. For me at the moment, I consider that to be fairly

successful for merely being on a benign rate control drug.

> I noticed an extra beat every 40 seconds or so. Went to the ER and

> they checked me over and told me I was having PVC. I have now made

it to 5 weeks no A-fib attack but continue to constantly have these

PVC. < < <

I recently started having PAC/PVC (doctor thinks they are PACs, hasn't

been documented yet on EKG) and asked the doctor a lot of questions as

well as my own research.

What I've found in research and talking to my EP is that isolated

PAC/PVCs in and of themselves are generally not dangerous, mostly just

annoying. Also, while there is a dispute on the # of them per day

before it becomes a real issue - we're talking *thousands* per day

before a doctor might become concerned.

Generally for PVCs, medication is not used *unless* it bothers a

person so much that they can't live their life. When they do medicate,

it tends to be a beta-blocker. Rhythm control meds don't seem to be

very effective? (Unsure on that last point)

Places for concern with PVCs is if it turned to a string of PVCs since

it can lead to Vtach - however, this is also rare unless there is

already structural heart damage. What I mean by " string of PVCs " is

in-a-row thunk-thunk-thunk without any regular beats inbetween. What I

do NOT mean is having 5 or 10 a minute but with regular beats

inbetween. Believe it or not, even having that many per minute, if

separated by regular beats, is still generally considered benign.

I recently had bigeminy PAC/PVCs and about freaked out. The EP

diagnosed PAC rather than PVC, but can't tell w/o catching it on an

EKG. The " bigeminy " means every OTHER beat was a regular beat between

the premature thud. Guess what? On a structurally sound heart, even

bigeminy was unremarkable.

My EP said I'd drive myself crazy if I thought about it too much, it

really didn't require medication, it really wasn't a medical concern,

and try not to think about it too much. And that he'd really like NOT

to put me on a rhythm drug for as long as possible. The indication I

was getting was that the toxicity of a rhythm drug was a lot worse

medically speaking than the annoyance of PAC/PVC. Assuming *I* could

tolerate it. He was giving me the signal that he'd go on my cues, but

gave me his strong medical preference.

A doctor probably would treat bigeminy PAC/PVCs (which I presume you

are NOT having) more aggressively if there was structural heart

damage, but even so - under treatment, risk levels from what I read

drop to under .5% ...

Hope that heads you in the right direction. I'm a newbie at all of

this and still wading through the information. You aren't alone - what

you are experiencing is fairly common.

Joscelyn

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Guest guest

> I have A-fib and usually have an episode every 2-3 weeks. This past

> Saturday I started having some strange feelings in my chest every

> once and awhile. I checked my pulse expecting to be in A-fib since I

> had gone 4 weeks since my last episode and wasn't. < < <

I presume you are on some sort of rate or rhythm control? Are you

happy with the results of these drugs? (Even with breakthrough

episodes every few weeks?)

I'm currently on a rate control drug, Cardizem. So far, when I do have

a breakthrough every few weeks, the episodes last between 1 minute and

under and hour. For me at the moment, I consider that to be fairly

successful for merely being on a benign rate control drug.

> I noticed an extra beat every 40 seconds or so. Went to the ER and

> they checked me over and told me I was having PVC. I have now made

it to 5 weeks no A-fib attack but continue to constantly have these

PVC. < < <

I recently started having PAC/PVC (doctor thinks they are PACs, hasn't

been documented yet on EKG) and asked the doctor a lot of questions as

well as my own research.

What I've found in research and talking to my EP is that isolated

PAC/PVCs in and of themselves are generally not dangerous, mostly just

annoying. Also, while there is a dispute on the # of them per day

before it becomes a real issue - we're talking *thousands* per day

before a doctor might become concerned.

Generally for PVCs, medication is not used *unless* it bothers a

person so much that they can't live their life. When they do medicate,

it tends to be a beta-blocker. Rhythm control meds don't seem to be

very effective? (Unsure on that last point)

Places for concern with PVCs is if it turned to a string of PVCs since

it can lead to Vtach - however, this is also rare unless there is

already structural heart damage. What I mean by " string of PVCs " is

in-a-row thunk-thunk-thunk without any regular beats inbetween. What I

do NOT mean is having 5 or 10 a minute but with regular beats

inbetween. Believe it or not, even having that many per minute, if

separated by regular beats, is still generally considered benign.

I recently had bigeminy PAC/PVCs and about freaked out. The EP

diagnosed PAC rather than PVC, but can't tell w/o catching it on an

EKG. The " bigeminy " means every OTHER beat was a regular beat between

the premature thud. Guess what? On a structurally sound heart, even

bigeminy was unremarkable.

My EP said I'd drive myself crazy if I thought about it too much, it

really didn't require medication, it really wasn't a medical concern,

and try not to think about it too much. And that he'd really like NOT

to put me on a rhythm drug for as long as possible. The indication I

was getting was that the toxicity of a rhythm drug was a lot worse

medically speaking than the annoyance of PAC/PVC. Assuming *I* could

tolerate it. He was giving me the signal that he'd go on my cues, but

gave me his strong medical preference.

A doctor probably would treat bigeminy PAC/PVCs (which I presume you

are NOT having) more aggressively if there was structural heart

damage, but even so - under treatment, risk levels from what I read

drop to under .5% ...

Hope that heads you in the right direction. I'm a newbie at all of

this and still wading through the information. You aren't alone - what

you are experiencing is fairly common.

Joscelyn

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Guest guest

> I have A-fib and usually have an episode every 2-3 weeks. This past

> Saturday I started having some strange feelings in my chest every

> once and awhile. I checked my pulse expecting to be in A-fib since I

> had gone 4 weeks since my last episode and wasn't. < < <

I presume you are on some sort of rate or rhythm control? Are you

happy with the results of these drugs? (Even with breakthrough

episodes every few weeks?)

I'm currently on a rate control drug, Cardizem. So far, when I do have

a breakthrough every few weeks, the episodes last between 1 minute and

under and hour. For me at the moment, I consider that to be fairly

successful for merely being on a benign rate control drug.

> I noticed an extra beat every 40 seconds or so. Went to the ER and

> they checked me over and told me I was having PVC. I have now made

it to 5 weeks no A-fib attack but continue to constantly have these

PVC. < < <

I recently started having PAC/PVC (doctor thinks they are PACs, hasn't

been documented yet on EKG) and asked the doctor a lot of questions as

well as my own research.

What I've found in research and talking to my EP is that isolated

PAC/PVCs in and of themselves are generally not dangerous, mostly just

annoying. Also, while there is a dispute on the # of them per day

before it becomes a real issue - we're talking *thousands* per day

before a doctor might become concerned.

Generally for PVCs, medication is not used *unless* it bothers a

person so much that they can't live their life. When they do medicate,

it tends to be a beta-blocker. Rhythm control meds don't seem to be

very effective? (Unsure on that last point)

Places for concern with PVCs is if it turned to a string of PVCs since

it can lead to Vtach - however, this is also rare unless there is

already structural heart damage. What I mean by " string of PVCs " is

in-a-row thunk-thunk-thunk without any regular beats inbetween. What I

do NOT mean is having 5 or 10 a minute but with regular beats

inbetween. Believe it or not, even having that many per minute, if

separated by regular beats, is still generally considered benign.

I recently had bigeminy PAC/PVCs and about freaked out. The EP

diagnosed PAC rather than PVC, but can't tell w/o catching it on an

EKG. The " bigeminy " means every OTHER beat was a regular beat between

the premature thud. Guess what? On a structurally sound heart, even

bigeminy was unremarkable.

My EP said I'd drive myself crazy if I thought about it too much, it

really didn't require medication, it really wasn't a medical concern,

and try not to think about it too much. And that he'd really like NOT

to put me on a rhythm drug for as long as possible. The indication I

was getting was that the toxicity of a rhythm drug was a lot worse

medically speaking than the annoyance of PAC/PVC. Assuming *I* could

tolerate it. He was giving me the signal that he'd go on my cues, but

gave me his strong medical preference.

A doctor probably would treat bigeminy PAC/PVCs (which I presume you

are NOT having) more aggressively if there was structural heart

damage, but even so - under treatment, risk levels from what I read

drop to under .5% ...

Hope that heads you in the right direction. I'm a newbie at all of

this and still wading through the information. You aren't alone - what

you are experiencing is fairly common.

Joscelyn

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