Doctor insights on:
Causes Of Atrial Bigeminy
• 1 have been diagnosed as atrial trigeminy 6 months ago, occurred most of the time, one month ago, it alternates with atrial bigeminy. • I am a 45?
While premature: Atrial contractions may be bothersome in creating palpitations they are benign. ...Read more
On diltiazemCD, Flecainide, xarelto to prevent recurrence Afib. Atrial bigeminy at rest and sinus rhythm with any exertion. Any concerns. Asymptomati?
Fib: Yes fib is a concerning disease. Follow your Drs suggestions. They know you best. ...Read more
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
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
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
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
Could infectious disease/autoimmune (eg Lyme, EBV + parvo) cause PVC bigeminy in 30 y/o female w/ clear Echo & xray??
Possibly: Lyme can cause a myocarditis which can cause an problem with the electrical system of your heart. 2/3 of patients with lyme can get myocarditis of some type (if memory serves, I didn not look that statistic up). I would look into electrolyte abnormalities. Other idea would be severe anemia from parvo mediated marrow suppression and subsequent anemia. ...Read more
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
Having frequent pvc's again. Feeling bigeminy and trigeminy pvc's. Is it normal to feel the impact of them? It feels like chest slightly jerks to side
Go to ER: Or contact your cardiologist immediately.Get a more detailed answer ›
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
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
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
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
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
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
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
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
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
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
Ventricular bigeminy. At age 29yr. Old female, following a cone biopsy, I had a reading of ventricular bigeminy. A stress test was normal. Treatment?
See below.: Best treatment is evaluation to make sure you do not have underlying structural or physiologic heart disease (sounds like that has already been done) then to leave you alone if no abnormality is detected. Medications can suppress the extra beats but do not improve survival. ...Read more
Have dysautonomia. Flecainide&nadolol for lots of arrhythmia. Bigeminy, tach etc. 2 failed ablations. Had ST under gen anesth. Would PM/ICD help?
Discuss it with doc: You've given me a lot of information but more is needed. Sometimes the cardiac electro physiologist (sub specialty trained cardiologist) will consult with a subspecialty neurologist in difficult cases. Get more than one opinion if you feel uncomfortable with the situation. ...Read more
My father 70yr, diagnosed ventricular bigeminy. Is it dangerous? Can amiodarone help controlling it? Treatment options for ventricular tachycardia?
Depends: The underlying cause for the rythm needs to be worked up and treated. If all correctable conditions are fixed., then eps may be indicated and ablation if reasonable. A defibrillator if poor heart function. Otherwise amio is reasonable but has its issues. It can affect the lungs, liver and thyroid to mention a few. Close monitoring is reccomended. ...Read more
I went to urgent care yesterday for right shoulder pain. First ekg showed supraventricular bigeminy. Should I worry for some chest pain this morning?
Not related: In all likelihood but see a cardiologist ...Read more
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. Anxiety can exacerbate the symptoms but are not the cause. ...Read more
Holter 48 hr showed 31 xtra beats from atria. If they cause premature ventricular contractions is it dangerous? Read that prexcitaion can cause death??
Cardiologist said premature ventricular contractions were causing me to pass out. BP 118/100 HR 105 at appt. Does Pvc cause high BP? Is PVC result of high BP? Is it bad my system and dia are so close together?
PCPs NOT RELATED/BP:
Pcps are not caused directly due to high blood pressure and pvcs do not cause high bp. Your systolic and diastolic are not that close together, but you do have highbp
discuss your concerns with your cardiologist as you do need to get your BP controlled and rhythm taken care of as you are passing out and that is a serious symptom/sign and needs to be taken care of. ...Read more
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