Abnormal EKG's

[md33]

I am 33 y. o.  I was in the hospital for severe shortness of breath and treated for poss. pneum. while in the hosp, I had an episode of ventri. tach. and the impression was biventricular tach, irregularly irregular, suggesting the prob of atrial fib with aberrant conduction.  About a month later i was hospitalized in a different hospital and an EKG showed sinus tachy, possible left atrial enlargment, nonspecific t wave.  I have been home for almost 2 months now and I experience episodes of my heart pounding, and occasionally i will "hear" it in my ear.  It happens pretty much on a a daily basis.  It will stop as suddenly as it starts.  One episode last week lasted about 2 hours and then my heart just stopped pounding... my PT says it sounds like an arrythmia, adn is urging me to see a cardiologist.  Do any of these results indicate anything serious? Thanks for your  input.

[CCFHeartMD11]

The ECG is very nonspecific and not terribly concerning. If you had documented atrial fibrillation while in the hospital, then it is possible, and even likely, that your episodes of heart pounding are atrial fibrillation. The left atrial enlargement on ECG goes along with this, because the incidence of atrial fibrillation increases with enlarged atria. You should see your doctor, and if you are in normal rhythm when you see him/her, then you should probably have a Holter monitor to assess your heart rhythm and see how frequently you are in this rhythm (or look for another cause of the symptoms). If it is atrial fibrillation, there are medications that can help control your heart rate, and you may need to be on a blood thinner.

[md33]

Thank you for your response, I am already on blood thinners due to hx of DVT x2 and PE.  I did have a 24 hr monitor and it showed a rare PVC/PAC, and daytime tachycardia.  The Dr. thought it could be autonomic and asked me to increase my salt, water and wear DVT stockings.However, when I stand my BP will sometimes drop dramatically but most times will go very high. I have lower BP readings when I'm sitting doing nothing (96/63 lowest BP, 66 lowest pulse) but today when the therapists came to attempt therapy (didn't do anything bc results) they took it and got results below:                                                      BP               PULSE

before session                                        134/89           85

stood for @10 sec. long enough for BP 137/99         110--got dizzy and hot
                                                                                             then when I sat  
                                                                                             down I was cold
sat 5 min                                                 127/90           82

stood @10 sec- long enough for BP       132/105       115----dizzy & hot

sat 5 min                                                  132/90          86

at end of session                                     139/88          85

Last week they had me walk 3 steps and I got dizzy so I sat and rested, then took 3 more steps and rested.. about 5 min later they took BP it was 150/100. I've never had a problem with my BP before, but now I can't seem to do anything without in going up and its affecting my ability to do therapies.  The therapists today are trying to get a tele monitor for me so it will automically go to the system and my PCP can be made aware,
They also suggested my PCP look at all of my medications as a lot of them have dizziness, lightheadness, fast heart rate as side effects but because I've been on the same doses for years I don't see how this can be causing it.  Any more insight given this new information???  Thank you for any help.

[md33]

Also wanted to add that apparently I became very pale after I sat down because they kept asking me if I felt OK.... paleness lasted for quite a while..