Top
40
Doctor insights on: Atrial Bigeminy

Share
1

1
Heart problems ventricular bigeminy?

Heart problems ventricular bigeminy?

Usually benign: Premature or "skipped" beats frome the bottom chambers of the heart are common; they sometimes occur in fixed patterns. When every other beat is a premature beat, it's called ventricular bigeminy. When every 3rd beat is premature, it's called ventricular trigeminy, and so on. Bottom line: with a normal heart, these patterns are completely benign and don't need treatment unless very troubling. ...Read more

2

2
Ventricular fibrillation fatal?

Ventricular fibrillation fatal?

Possibly..: In ventricular fibrillation, vfib, the heart is quivering and there is no blood flow so the person is clinically dead. If the heart cannot be restored to a rhythmn where there is blood flow, the patient will then be pronounced dead. Treatment for this rhythmn includes electrically shocking the heart as quickly as possible. Performing CPR in the meantime can be life-saving. ...Read more

See 2 more doctor answers
3

3
Can atrial fibrillation with rapid ventricular beat cause ventricular fibrillation?

Can atrial fibrillation with rapid ventricular beat cause ventricular fibrillation?

Not usually: Not typically; however, if you also have an accessory pathway (wolff-parkinson-white syndrome), this is a unique situation where af is known to cause very rapid ventricular activation during af, which can lead to vf. Rapid ventricular response may cause cardiac weakening over time, which in turn may increase the risk of vf. ...Read more

6

6
Why is ventricular fibrillation worse than atrial fibrillation?

Why is ventricular fibrillation worse than atrial fibrillation?

Fibrillation: atrial fibrillation has normal left ventricular contractions put poor atrial function. Ventricular fibrillation has no real ventricular contractions so blood pumping essentially stops. Atrial fibrillation is a rhythm you can live with. Ventricular fibrillation is a rhythm you die with unless it is corrected quickly. ...Read more

7

7
What is Paroxysmal atrial fibrillation?

What is Paroxysmal atrial fibrillation?

Irregular pulse: Paroxysmal atrial fibrillation is an abnormal heart rhythm that is intermittent (or paroxysmal), arising from the upper chambers of the heart (or atria), and is very chaotic, or irregular (fibrillating). It can cause problems because it usually drives the heart rate up too fast (giving symptoms and eventually weakening the heart) and can increase the risk of stroke. Causes of PAF are multiple. ...Read more

See 1 more doctor answer
8

8
Is atrial fibrillation inherited?

Is atrial fibrillation inherited?

Sometimes: There is a gene that makes the tendency to get it more likely, but most a fib is due to environmental and aquired factors such as age, valvular heart disease and alcohol. ...Read more

See 1 more doctor answer
9

9
Atrial fibrillation versus ventricular fibrillation. Causes and cures?

Atrial fibrillation versus ventricular fibrillation. Causes and cures?

VF vs AF: Ventricular is lethal instantly. A fib is not lethal and treated with medications or ablation. ...Read more

See 1 more doctor answer
10

10
Is an irregular heart beat usually atrial fibrillation?

Is an irregular heart beat usually atrial fibrillation?

Not always: It certainly can be. Although there are multiple instances when one can have an "irregular heartbeat'. You should see your doctor so an ekg can be done or possibly a monitoring device ordered to evaluate further. ...Read more

See 1 more doctor answer
11

11
Does atrial fibrillation with rapid ventricular response cause ventricular fibrillation?

Only in a Very Few: Generally, the answer to this is a very solid "no." this is a rare complication of people with another condition (on top of their afib) called wolff-parkinson-white syndrome (or wpw). In certain patients having both conditions, the top chamber is too-well connected to the bottom and can trigger ventricular fibrillation. ...Read more

See 1 more doctor answer
12

12
Compare ventricular vs supraventricular tachycardia?

Compare ventricular vs supraventricular tachycardia?

Atria or ventricles: Supra ventricular tachycardia: from upper chambers of the heart, is due to irritability (increased automaticity) or a short circuit (reentry), heart is usually structurally normal. Ventricular tachycardia: from lower chambers of the heart, due to irritability, can occur in normal hearts but is more often seen in hearts with scar tissue or weak hearts and can be life threatening. ...Read more

13

13
Is atrial fibrillation hereditary?

Is atrial fibrillation hereditary?

No: Congenital heart problems can be inherited and this can lead to afib. But afib itself is not. ...Read more

See 2 more doctor answers
14

14
What is worse: ventricular fibrillation or atrial fibrillation?

What is worse: ventricular fibrillation or atrial fibrillation?

Ventricular fib: Vf is worse; it usually causes cardiac arrest which is often fatal. Atrial fibrillation, while not as severe, also has significant health risks. It increases the risk of stroke, which can be disabling or fatal. Additionally, if the af causes a fast pulse for a prolonged period of time, this may lead to weakening of the heart and cause heart failure. ...Read more

See 2 more doctor answers
16

16
What is more dangerous, atrial fibrillation or ventricular fibrillation?

For: Any chances to "recover" from vfib one need to be in an intensive care an hooked to an ekg. And a slim chance to live. If someone collapses on the street, help has to come in minutes to jump heart back to normal rhythm. People who go in vfib have an underlying and severe heart disease. Conclusion vfib kills a afib can be controlled, even normal rhythm may be restored. Big difference! ...Read more

17

17
How are atrial fibrillation and atrial flutter different?

How are atrial fibrillation and atrial flutter different?

Irregular/ regular: Heart rythm problem is more unpredictable in a fib. In flutter the are more predictable and regular rate. The treatment approach differs and risk of intracardiac blood clot also in that context. ...Read more

18

18
Ventricular tachycardia managment?

Ventricular tachycardia managment?

Ep: This is a serious condition and you must see an electrophysiologist. If normal heart, it is possible at your age to manage with medication but often can have an ablation and cure it. ...Read more

See 1 more doctor answer
19

19
What is atrial fibrillation?

Irregular rhythm: Af is an irregular heart rhythm caused by uncoordinated electrical activity in the atria, or top chambers of the heart. Sometimes it is fast, other times it isn't. ...Read more

See 1 more doctor answer
20

20
What is atrial fibrillation?

Arrhythmias: Atrial fibrillation (afib) is the most common sustained rhythm abnormality. It's characterized by an irregular heart rate. The upper chambers of the heart (atrium) do not beat but quiver. Many people don't notice it. But many do. It can lead to strokes in some patients so blood thinners are important. It can be treated with medications, ablation thru iv's in the groin or surgery. See a cardiologis. ...Read more

See 1 more doctor answer
23

23
I have been told that I have atrial and ventricular bigeminy. Can they occur together or always separate?

I have been told that I have atrial and ventricular bigeminy. Can they occur together or always separate?

Atrial means the: top part of your heart. Ventricular means the bottom part of your heart. Bigeminy means every other beat is early. Since the electrical activity of the atrium is separated from the ventricle by the AV node it is potentially possible to have both atrial and ventricular bigeminy simultaneously. I would imagine it to be more likely that these rhythms would occur independently. ...Read more

Dr. Hamid Hai Dr. Hai
4 doctors agreed:
24

24
What can cause bigeminy arrhythmia?

Dr. Hamid Hai Dr. Hai
4 doctors agreed:
What can cause bigeminy arrhythmia?

Caffeine, Stress: Many healthy people have a type of irregular heart beat called pvcs (premature ventricular complexes) which are almost always harmless. When a premature beats occurs after each normal beat, it is called bigeminy. In susceptible people, caffeine, stress, and low potassium or magnesium can bring out bigeminy arrhythmia. ...Read more

25

25
What? Can cause bigeminy arrhythmia?

What? Can cause bigeminy arrhythmia?

Arrhythmia: Usually this means ventricular bigeminy and that relates to irritability on the bottom of the heart. Can be because of things such as stimulants like caffeine, nicotine, cocaine. It can also be related to heart disease so you should discuss with your doctor. ...Read more

26

26
What is a "bigeminy arrhythmia" and is it serious?

What is a "bigeminy arrhythmia" and is it serious?

Maybe: This is a rhythm where the natural pacemaker is causing a beat and then the ventricular innate pacemaker causes a premature beat giving a normal beat followed by a PVC and repeating this process over and over. This is sometimes present and not issues are identified and tolerated well. Others may have underlying cardiovascular disease and this could be a harbinger of a significant problem. C pcp. ...Read more

See 2 more doctor answers
27

27
What are some things that cause bigeminy arrhythmia?

What are some things that cause bigeminy arrhythmia?

Many: Bigeminy means that every other beat arises prematurely causing a regularly irreglar rhythm in a cadence similar to 2 eighth notes followed by a rest and repeating. Electrolyte imbalance, caffeine, excess thyroid hormone, xs alcohol, decongestants, nicotine, stress, lack of sleep are typical. Ischemia and cardiomyopathy should be ruled out. Often no cause can be found. There are also rare causes. ...Read more

28

28
I can purposely cause bigeminy PACS and pauses when going from standing to soon as I lay down. Know this from palps and viewing Alivecor. Any ideas?

I can purposely cause bigeminy PACS and pauses when going from standing to soon as I lay down. Know this from palps and viewing Alivecor. Any ideas?

PAC's: Probably NOT a good thing to be doing this. and as to why you are having these - I would make an appointment with your doctor for labs and an EKG. While PAC's are generally benign - the ability to cause them needs to be assessed as it may mean you can cause other arrythmias which could be lethal. Get yourself checked out ...Read more

30

30
I am 40 and healthy. I have new onset of PVCs (20-30/min) bigeminy and trigeminy. And new HTN (180/120) The ED sent me home with no answers. What now?

I am 40 and healthy. I have new onset of PVCs (20-30/min) bigeminy and trigeminy. And new HTN (180/120) The ED sent me home with no answers. What now?

New arrhythmia: If this is truly all new May be numerous causes all of which are dangerous. This could be a problem with the gland like your adrenal gland, a problem with your blood supply to your heart, thyroid problem and others. You need to see your physician right away and if you can't, go back but to another emergency room. You need a heart and endocrine evaluation. Do not take no for an answer. Get care now. ...Read more

31

31
What can be done about bigeminy?

What can be done about bigeminy?

Cause: There are some reversible or underlying causes of bigeminy and ventricular ectopy which should be evaluated first. If none can be identified, betablockers or other antiarrhythmic drugs may be helpful. Electrophysiologic evaluation may be able to offer alternative treatment. ...Read more

32

32
Please explain why does ventricular bigeminy occur?

Please explain why does ventricular bigeminy occur?

V bigeminy: Bigeminy can occur in pathologic and in otherwise normal conditions. It can be seen with biochemical abnormalities and with structural and physiologic abnormalities. In short, there is no single cause. ...Read more

33

33
Bigeminy 8 mnths post MI, lasts 6 to 8 hrs/day. No PVCs after wakin up in mornin but gets triggered soon after lunch, disappears on exercising. 64yr M?

Bigeminy 8 mnths post MI, lasts 6 to 8 hrs/day. No PVCs after wakin up in mornin but gets triggered soon after lunch, disappears on exercising. 64yr M?

PVCs after MI: Premature ventricular contractions are common after myocardial infarction; in some cases they indicate a higher risk of future problems. If there are many 1000s PVCs per day, heart function may worsen. After a heart attack almost all patients should be taking beta blocker, aspirin, a statin drug, and an ACE inhibitor. Discuss with your cardiologist or get a consult here on HealthTap. ...Read more

34

34
Can bigeminy or trigenimy be dangerous in a heart with normal echo ? Is there ever a time it can be ?

Can bigeminy or trigenimy be dangerous in a heart with normal echo ? Is there ever a time it can be ?

Rarely, but yes: Bigeminy or trigeminy can occur in people with healthy hearts in which case they are not dangerous but can cause palpitations which can be nerve racking. Your cardioligst is the best person to advise you in managing this problem. Sometimes it occurs due to excessive use of alcohol or caffeine. In that case cutting on caffeine(coffee/tea and coca cola) and alcohol can resolve this problem. ...Read more

See 1 more doctor answer
35

35
I have a pacer for sick sinus syndrome and have been in a constant rhythm of bigeminy PVCs for four days. My cardiologist is not concerned?

Need more info: While bigeminy is generally considered a benign rhythm ( a normal variant), you need to know if your pacemaker reveals excessive activity with regard to premature ventricular contractions ( their interspersing with normal beats in 1:1 pattern is bigeminy). There may be a need for medication. More information is needed about your heart to provide a better answer. Consider a concierge consult. ...Read more

36

36
Heart problems ventricular bigeminy?

Usually benign: Premature or "skipped" beats frome the bottom chambers of the heart are common; they sometimes occur in fixed patterns. When every other beat is a premature beat, it's called ventricular bigeminy. When every 3rd beat is premature, it's called ventricular trigeminy, and so on. Bottom line: with a normal heart, these patterns are completely benign and don't need treatment unless very troubling. ...Read more

37

37
Is high cholesterol and palpitations (pvcs , bigeminy ) typically related ?

Is high cholesterol and palpitations (pvcs , bigeminy ) typically related ?

Not necessarily: There is not a direct connection between high cholesterol and heart rhythm disorders, though atherosclerotic heart disease due to high cholesterol can be a trigger for rhythm disorders. ...Read more

See 1 more doctor answer
38

38
Been in bigeminy PVC for few weeks and had a stress test that put me into SVT with rate up to 210. Is that a problem?

Been in bigeminy PVC for few weeks and had a stress test that put me into SVT with rate up to 210. Is that a problem?

YES: You should make an appointment to see the cardiologist asap, and get an ECHO. Many times, these irregular heart rates can be benign, but when they are long standing and exacerbated or modified with exercise, they can change the heart architecture and weaken the muscles causing severe problems. ...Read more

See 1 more doctor answer
39

39
Can a pacemaker suppress the naturally occurring heart rate and be used for treating bigeminy if extreme weakness is present?

Can a pacemaker  suppress the naturally occurring heart rate and be used for treating bigeminy if  extreme weakness is present?

NO: A pacemaker will not suppress bigeminy - you'll get fusion beats (beats that occur from both the pacemaker and from the irritable focus in your heart). There are meds that can help but ultimately, an ablation can suppress incessant ventricular ectopy if meds fail. Are you seeing an electrophysiologist? (you should be). ...Read more

See 1 more doctor answer
40

40
Can cardiac stimulants like atropine be given in ventricular bigeminy?

Can cardiac stimulants like atropine be given in ventricular bigeminy?

No: In the absence of any other evidence of heart disease, particularly coronary or ischemic heart disease, ventricular bigeminy is a benign rhythm that usually causes neither symptoms nor problems, and often comes and goes. There is generally no reason to treat it. If your doctor has concern, a holter monitor can be applied for 24 hours to see if there are any truly worrisome arrhythmias. ...Read more