Thank you in advance for any help, information or suggestions that may be made. I've read so much about benign PVC's but how do you really tell there is a problem and what are the stats of PVC-induced cardiomyopathy?
I went to my pcp not feeling so great; he said he was concerned about my heart. He did a few EKG's in his office and said I was having PVC's and he thought I had damage to the valves in my heart due to previous use of Phentermine.
Background on phentermine:
I started in April 2006 went off after 6 mths; lost 47 lbs, and kept with my rountine until December 2008. I wanted to lose an additional 25 lbs so I went back on Phentermine, but only stayed on 1 month (Jan 2009) because they made me extremely "sick" feeling. I went off Phentermine in Jan 2009 and kept my routine 5-6 days a week for a bit, but kept getting worse.
ln April 2009 I was so tired and sick plus alot of other symptoms I could barely drive. Blackouts, fatigue, breathing problems, swelling in my left leg/ankle, palpations, dizziness etc. I went from walking & running 5-6 days a week for 18 mths straight, plus taking care of my youngest children, school, family & business to barely able to do anything.
I have had 3 workups including CBC's, diseases and genetic testing. All of my bloodwork came back within the normal limits with the exception of Sodium (135) & EGFR (59 & 73) lvs being alittle on the lower side
My PCP sent me to a Cardiologist and an EP. They each did ekg's, plus cardio did ECG, stress test & holter monitor so far, and they did extra EKG's because they think my others are wrong :P I passed out on the treadmill stress test due to 5 VT's/Pvc's (one of them, my head is still swimming from all the medical terms) in a row.
They all conclude that my heart beats an EXTRA 54,000 times in a 24 hr period, even during rest & sleep. If my heart is healthy and there is no other cause can this be happening; Could Phentermine be the cause? Could I really have valve dmg and not know it, how do I tell?
They say I have VT, SVT's and PVC's and that every third heartbeat (Bigeminy) 24/7 is one of these "abnormal" beats and ruining my life. These specialists are wow'd and speechless when they read my reports. They told me it's amazing I am sitting in their office because at this rate I should have gone into heart failure.
The electrophysiologist wants to do ablation surgery, which makes me very uncomfortable. He also said if it doesn't work and they remain or come back there's no reason to redo surgery at my rates - and the meds are toxic so I would have the same problem all over and in a "very short period of time" go into heart failure and cardiac arrest with NO reasoning. There must be some cause or reason they are missing....maybe it's something they are missing or not looking for?
I do not have copies of my tests, they were a bit miffed to say the least that I wanted a second opinion and I'm fighting with them to get my records from their office.
My previous EKG's have said this -
4/27/2007
Sinus Rhythm, rate 51[Normal P Axis, rate]
Multiple Ventricular premature complexes [Short R-R, wide QRS]
Incomplete right bundle branch block [QRS 110ms, terminal forces right]
QT interval short for rate [QTC ,360 ms]
11/21/2008 (3rd EKG in a row)
Normal ECG except for rate [Sinus Bradycardia] vent rate 58
6/25/2009
Sinus rhythm with frequent pvc's
Poor R wave progression
Septal T wave changes are nonspecific
6/25/2009
Sinus rhythm with PVC's
Septal T wave changes ar nonspecific
PLEASE help me...has anyone heard of this, what can cause an EXTRA 54,000 beats? what can cure it...will it really turn into heart failure and damage from it beating so much in a short period of time like he is saying?
Is there any correlation between Endometriosis (severe) Adenomyosis and PVC's - that's the only thing I know is wrong with me - and I have a suspicion I have mild sleep apnea - which I am going to do a sleep study for next month.
BTW can you have sleep apnea if you sleep on your side? silly question but I thought it was when you slept on your back?
This discussion is related to
Could my doctor be missing something with my PVCs?.