Re: Numerous PVC's
From: Ed (none_at_all.com)
Date: 03/16/05
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Date: Wed, 16 Mar 2005 16:08:58 GMT
On Wed, 16 Mar 2005 07:00:08 -0500, "Andrew B. Chung, MD/PhD"
<andrew@heartmdphd.com> wrote:
>Ed wrote:
>>
>> I recently ( Feb 21 ) had a Medtronic EnPulse E2DR01 pacemaker
>> implanted and I'm experiencing numerous PVC's . 17,000 within the
>> first 24 hours following surgery . Another 143,000 PVC's from February
>> 22 to March 1st at which time the cardiologist changed my medication
>> to 50 mg of Atenolol twice daily and 5 mg of Enalapril Mal ( Vasotec )
>> daily . Prior to this I was taking 5/10 mg of Lotrel to control
>> moderately high blood pressure . From March the 1st to the 9th I had
>> another 79,509 single PVC's plus 2,844 repeats . My energy level has
>> pick up but I'm still feeling these PVC's at various times of the day
>> and night . The doctor and pacemaker rep don't seem to be overly
>> concerned about the quantity of PVC's . I guess my questions are ,
>> does this seem like to many PVC's
>
>It is.
>
>> and is Atenolol ( a beta blocker )
>> the drug of choice for controlling them ?
>
>It has helped some. I am curious about what led up to the pacemaker
>being implanted. Iow, what did your doctor(s) see on the holter
>monitoring that was done prior to the implantation?
>
>> Any insight would be
>> appreciated .
>
>You are welcome, Ed :-)
>
>
>At His service,
>
>Andrew
Sir ,
Thank you for your reply . To begin with I'm 56 years old and in
fairly good physical condition . My heart related problem began in
January of 2003 during dental surgery . I was having all my upper
teeth pulled and the gums had to be opened up and some bone removed .
During the surgery my heart started beating irregularly and they had
to wake me up before the surgery was quite over . I had a physical a
couple of months before the procedure which included an EKG which was
normal . I went to my doctor after the dental surgery and another EKG
was done which showed that I now had a left bundle branch block . I
was then sent to the cardiologist and a echocardiogram and a nuclear
stress test . The stress test was negative and showed no blockages ,
the echocardiogram showed a loss of heart function with my heart
pumping 40cc of blood per pump . I had another echocardiogram done six
months later which showed no changes .
On February 1st I was experiencing flu like symptoms and coughing up
yellow/green mucus so I went to our family doctor on February 2nd and
he put me on Ketek for five days . During these five days my feet ,
ankles hands and wrist started swelling up . My blood pressure started
fluctuating from 103/60 with a pulse of 31 to 160/119 with a pulse of
100 . I was feeling tired all the time but I couldn't sleep much and I
felt like I could faint several times a day . I went back to our
family doctor on the 7th and the x-ray showed that I had bronchitis
and pneumonia in my right lung . I was placed on Levaquin for seven
days at that time . I told the doctor about my symptoms and we decided
I should follow up with my cardiologist .
I called the cardiologists office on the 8th and a appointment for
another echocardiogram and a nuclear stress test was made for the 11th
. After the test I was told they would call me early the next week
with the results . On the 15th I called the cardiologists office and
asked for the results of the test but was told that they hadn't been
read yet . Again on the 16th I called the cardiologists office and
told them my symptoms were getting worse and that I was having some
chest pain . I asked for the results of the test but was told that
they still hadn't been read so I firmly requested that someone look at
them now if possible . They called me back a few minutes later and
told me the results we positive and that I should go to the emergency
room . While in the emergency room my pulse dropped to 30 .
I was in the hospital from the 16th through the 18th during which a
heart catheterization was done . It showed no blockages but that I was
having electrical problems . The cardiologist ordered a nuclear scan
of just the affected area of the heart and it was decided that I
needed a pacemaker . I was allowed to return home for the weekend and
returned to the hospital on the 21st and had a Medtronic EnPulse
E2DR01 pacemaker implanted and I was released on the 22nd . I'm pacing
at 44% atrial and 1.5% ventricular . I'm experiencing numerous PVC's .
17,000 within the first 24 hours following surgery . Another 143,000
PVC's from February 22 to March 1st at which time the cardiologist
changed my medication to 50 mg of Atenolol twice daily and 5 mg of
Enalapril Mal ( Vasotec ) daily . Prior to this I was taking 5/10 mg
of Lotrel to control moderately high blood pressure . From March the
1st to the 9th I had another 79,509 single PVC's plus 2,844 repeats .
My energy level has pick up but I'm still feeling these PVC's at
various times of the day and night . The doctor and pacemaker rep
don't seem to be overly concerned about the quantity of PVC's . The
medications I'm taking are Atenolol 50mg twice a day , Enalapril Mal (
Vasotec ) 5mg and a Buffered Asprin 325mg once a day .
I'm currently walking three miles in the morning and another two
miles in the evening . I have a appointment with the cardiologist on
March 22nd .
I copied and pasted this from a letter I just wrote for our company
nuse explaing my history and current condition .
Thanks again !
Ed
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