Doctor insights on:
Bigeminy Heart Condition
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
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
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
Will premature ventricular contractions (very infrequent and randomly occurring) put me at a higher risk of severe heart disease in the future?
No: Premature ventricular contractions or PVCs for short are extra beats from the lower chambers of the heart - the ventricles. Symptoms include skip beats and/or palpitations. In your age group, these beats originate from the outflow tracks and have no relationship to future risk of heart disease. ...Read more
Does premature ventricular contractions shorten life expectancy? If heart is healthy and no family history of heart disease, should it be a concern?
If you show no signs of heart disease and have no family history can you live your whole life with premature ventricular contractions? Life expectancy?
PVC: In the absence of electrolyte abnormality, structural or functional heart disease these single events are considered benign occurences ...Read more
Depends: Depends on whether you have symptoms referrable to the rhythm and a structurally normal and perfusing heart. Usually this is evaluated with an echocardiogram and a stress test - or equivalent. If this all checks out, you may be one of those who walks around in bigeminy. The only real danger to bigeminy as baseline is that you will scare the daylights out of anyone who has to do an ekg. ...Read more
What do you advise if I was diagnosed with premature ventricular contractions, meaning irregular heart rhythm.?
Speak to cardio: There are several forms of PVC if you are having several a minute spaced apart then there is little to worry about or do. If they are occurring two or three in a row then you should consider medication or a conduction study. Discuss this with a board certified cardiologist ...Read more
More information: Needed as this is uncommon terminology. ..What test did you have? ...Read more
Many causes: Heart disease can be caused by many things such as genetics or a bacterial infection. Perhaps the most common risk factors are related to lifestyle and thus can be changed. Smoking, excessive alcohol use, obesity, or uncontrolled blood sugars in a diabetic are all important risk factors for cardiovascular disease. ...Read more
To broad: There is sick sinus syndrome which a pt needs a pace maker. There's atheroslcerotic heart disease with cholesterol build up in arteries of the heart. Valvular heart disease is when the valves of the heart are leaking or blocked. Need to be more specfic. ...Read more
Various causes: Cardiomyopathy is a generic term for abnormal heart muscle. It can be caused by infections, poisons, genetics, and physiologic causes. There are both weak heart and 'strong heart' cardiomyopathies. The cause of someone's cardiomyopathy requires more information than the term cardiomyopathy. ...Read more
Yes and No: In 400 words? Well there are lots of things that can go wrong with the heart. The muscle can be weak, the valves can lea. If the arteries bet blocked it can damage the muscle and cause heart failure. There can be infections of the heart or tumors. There can be rhythm problems making it beat to fast or slow. So I am about out fo words but not too bad for four hundred letters more or less. ...Read more
Interactions: Heart disease is often the result of environmental interactions and genetic predispositions. Some forms of heart diease are genetic, like some valvular abnormalities. Some are environmental, like exposure to toxins. Most are the result of some genetic predisposition or liklihood of developing a pathology and exposure in the environment that allows that predisposition to become manifest. ...Read more
Music?: "i left my heart in san francisco" always comes to mind, of course. I assume there's a typo: signs? Same as men with these caveats: premenopausal women don't get heart attacks unless they smoke, have diabetes, or use cocaine. Chest pain in older women may be atypical. In both men and women, there may be no pain at all. Shortness of breath alone may be a pain surrogate. ...Read more
Need more space...: This is not a practical forum for this curious question--you probably better off googling it. But to name a few: coronary artery disease, hypertensive hd, valvular hd, cardiomyopathies (dilated, hypertrophic, tachycardic types), endocarditis, atrial fibrillation, flutter, wolf-parkinson-white syndrome, r or l bundle branch block, pvcs, pat, 1st/sec/3rd heart block, heart failure. Have fun learning. ...Read more
Sometimes: Having a parent or sibling with heart disease can represent an inheritable heart disease not all family risk is the same, though. Men younger than 55 and women <65 are considered to be higher risk relatives. An 85 year old grandfather with a heart attack or a heavy smoking 63 y/o dad with a heart attack may not represent a gene to their thin, frequent jogger grandson/son. ...Read more
Depends: That would depend on what type of heart disease you are talking about. There are things you are born with, there are infections, trauma, and things that are related to risk factors. Coronary artery disease for instance is more common if you have diabetes, smoke, have a high cholesterol, and a family history of the problem. ...Read more
Heart disease: The most common heart diseases are atherosclerosis, or hardening of the arteries and hypertrophy, or thickening of the heart muscle leading to stiffness and abnormal muscle function. At their worst these both can lead to congestive heart failure, or the inability of the heart to pumps the blood adequately, with a resulting pressure buildup causing fluid to leak back into the lungs. ...Read more
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