Is I require EP study?

Question

i feel chest pain, palpitation, uncomfort and heaviness in chest. My Echo is normal. ETT test stooped due to bigimini. thyroid is normal , cholesterol is with in range. calcium, magnesium all are normal. My first 24 hour holter report was as Min HR 49bpm , Max HR 106bpm total beats 86045 . ventricular ectopic beats 16659 , BIG 1444, Longest 108 beats, Max HR 145 bpm. Supraventriculars 10. CONCLUSION: 1. Basic Rhythm is sinus.2. High Grade Ventricular ectopy noted.
doctor recommend me Cordarone 200 mg per day. after one month my 24 hour holter report is as 
total QRS: 104100   Min rate:42   Max rate: 134 mean rate: 75
Ventricular Ectopy: single: 434  Couplets:7 total: 448
supraventricular Ectopy: single: 14  couplets:2 total: 18
RR variability: %RR>50:21%  
Pauses: longest RR: 1.76 sec
i am still using Cardorone 200 mg per day
my doctor advice me EP Study. Please Guide me

MichelleP_3811 · Accepted Answer

No one can decide for you whether or not to have an ablation.  That really has to come from you.  You do seem to have a high load of them.  16,000 a day is a lot and I know when I was having that many I felt pretty sick.  How are you feeling with them?  Do you function OK otherwise?  In general most eps hold off doing ablations to around 20,000 a day but the amount you are having is a lot.  I guess there are a few lifestyle things you can try first to see if it helps lessen the amount.  Firstly avoid caffeine, sugar and carbohydrates.  Drink plenty of water to make sure you aren't dehydrated.  Avoid over stuffing yourself at meals and address any stomach related issues especially acid reflux. If you have a lot of stress and anxiety in your life work on reducing it and see if any of that helps lessen the amount of ectopic activity you are having.  If not then ablation may be the only way for you to find relief from the high load you are having.  Unfortunately ablations for pvcs and pacs aren't always successful and can cause further complications so just make sure the EP you have do it is one that has a lot of experience with ectopic ablations.  Other than that it is a matter of deciding for yourself if the risk is worth the reward.  If your life is severely compromised from all the ectopic activity you may want to consider the ablation, if not then maybe wait and see if things get better.  For some they spontaneous go away.  I wish you the best whatever you decide to do.  Take care and keep us posted on how you are doing.

khosa · Answer

now doctor told me that at this stage ablation can bring much more complications and it can be dangerous for me. so doctor advised me to continue cordarone 200 mg.some times i feel heaviness and anxiety very sever.

Is I require EP study?

Atrial Tachycardia and Failed Ablations/Meds

Petrified of supposedly "benign" sklipped heart beats.

Holter results

Results from Heart Holter

Atrial Tachycardia and Failed Ablations/Meds

Petrified of supposedly "benign" sklipped heart beats.

Holter results

Results from Heart Holter

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