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Doctor insights on: Unifocal Couplet

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What causes PVC couplets? Why do they make you feel so bad?

What causes PVC couplets? Why do they make you feel so bad?

PVC couplets: The most common causes can be narrowed down based on a normal or abnormal heart structure (should be reported on your echocardiogram).
The heart pump is interrupted for a few seconds with a couplet causing a transient lack of blood flow & bad feeling. See your cardiologist & consider holter, stress, or EKG testing. Call 911 if pass out, chest pain, or breathless. ...Read more

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Are PVC couplets common in healthy population and are they dangerous in themselves?

Uncommon: PVCs (premature ventricular contractions) are beats that originate from the ventricles. An occasional single PVC can certainly be seen in normal hearts. Couplets (two pvcs in a row) r unusual, especially if frequent. They can be seen in a normal heart. Nonetheless, I would recommend a noninvasive workup (ECG, echo. 24 hour monitor, and stress test) to be sure everything is ok. Good luck. ...Read more

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Ii have pvcs frequent, multifocal and form, couplets, and big ad trig. Are pvcs mote common in lv. Or rv? Is one more dangerous than the othee?

Ii have pvcs frequent, multifocal and form, couplets, and big ad trig. Are pvcs mote common in lv. Or rv? Is one more dangerous than the othee?

Freq, multifocal PVC: Pvcs mainly originate from the rv outflow tract, but some originate from the lv outflow tract, mitral and tricuspid valve annulus. A major concern is that pvcs may initiate vt, polymorphic VT and ventricular fibrillation. This risk associated with pvcs is usually limited to patients with significant underlying heart disease or at risk of developing heart disease. Need to see a cardiologist. ...Read more

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I get couplet pac feel like fast bursts of beats, woke up today to a kinda long one and freaked, started coughing heart raced for secs & settled?

I get couplet pac feel like fast bursts of beats, woke up today to a kinda long one and freaked, started coughing heart raced for secs & settled?

Arrhythmias: It is conceivable that you are experiencing episodes of Svt, fast, spontaneous heart rate and that coughing as part of a vagal reflex terminates the arrhythmia. The fast heart beat after coughing may be a rebound seen after vagal stimulation. At any rate perhaps this should be evaluated by wearing an event recorder ...Read more

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Are couplet PVCS anything to worry about in a normal heart?

Are couplet PVCS anything to worry about in a normal heart?

No but: They don't usually occur in normal hearts. I see you've had MRIs of your heart. If they are normal and you have a normal stress test, then some couplets are of no significance. Be sure that your total PVC burden is ...Read more

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48 hr holter recorded 6 pvc's, 26 pac's but they seem to come with low HR, minimum HR 36, avg 65 pac's come in couplets mostly. I have MVP/trivial MR?

48 hr holter recorded 6 pvc's, 26 pac's but they seem to come with low HR, minimum HR 36, avg 65 pac's come in couplets mostly. I have MVP/trivial MR?

No worries: Your question makes me smile, because I have a personal connection with it. I also have mitral valve prolapse with slight mitral regurgitation, and a lifelong history (50 years) of Holter monitor studies showing PACs and PVCs in far greater numbers than you. I'm doing fine at age 72. So will you. Follow your cardiologist's advice but otherwise no worries. Best wishes. ...Read more

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Echo sag of anterior mv leaflet & trivial regurgitation, 3 day holter 22 pac 4 couplet 3 pvc. Sometimes I feel runs of extra beats. Can l go to gym?

Echo sag of anterior mv leaflet & trivial regurgitation, 3 day holter 22 pac 4 couplet 3 pvc. Sometimes I feel runs of extra beats. Can l go to gym?

Results are yours: It's a good question. In general, the results of tests that you had done should be available to you. Since it sounds like you have already seen a doctor, and are looking for a 2nd opinion, those results would be part of the process, along with a lot more detailed questioning than fits in these little boxes. Consider a second opinion inbox consult on healthtap. ...Read more

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Can pvcs ever be fatal in a structurally normal heart? Even in couplets or runs? Also are they supposed to be painful and feel like a punch?

Can pvcs ever be fatal in a structurally normal heart? Even in couplets or runs? Also are they supposed to be painful and feel like a punch?

Not as such: Pvcs or short runs in a structurally normal heart are very unlikely to persist into a life threatening rhythm. Can be painful.
A potential problem would be in the very rare case if there was a high burden of pvcs as a percentage of normal beats, that a cardiomyopathy occurs.
A holter monitor is a 24 hr device that assesses each beat and gives a pvc%. Number of beats in 24 hours is approx 100000. ...Read more

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Did holter monitor. How could I still have Ventricular & Supraventricular isolated, couplet, bigeminal & run while on pacemaker for complete block?

Did holter monitor. How could I still have Ventricular & Supraventricular isolated, couplet, bigeminal & run while on pacemaker for complete block?

Nonlethal.: After ablation & pacemaker insertion (which is the usual treatment for a complete heart block), the atria & ventricle are isolated but they can still be irritable. The pacemaker is there to "overdrive pace" any dangerous rhythm. Couplets & bigeminy aren't, by themselves, dangerous. Runs may terminate on its own or due to overdrive pacing- check report & TTYD/Cardiologist. Alternative: HltTap Prime ...Read more

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At the er for chest pain hospital monitor says couplet pvcs amd sv rhythm. What does sv rhythm mean? And are couplet pvcs dangerous?

At the er for chest pain hospital monitor says couplet pvcs amd sv rhythm. What does sv rhythm mean? And are couplet pvcs dangerous?

Not necessarily: SV="supraventricular rhythm" which is normal.
PVCs are "extra beats" that sometimes lead to the feeling of a thump or irregular heart beat.
By themselves, extra PVCs or couplets of PVCs are not dangerous. Some people get them when they drink caffeine or smoke cigarettes. They aren't an indicator of a heart attack, but if they happen during a heart attack, they can be a sign of impending problem ...Read more

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A EKG monthly monitor showed i have few PVC & pac with a few couplets. It said over all normal rythmn. I have MVP should I worry? I'm a little scared.

A EKG monthly monitor showed i have few PVC & pac with a few couplets.  It said over all normal rythmn. I have MVP should I worry? I'm a little scared.

ABNL EKG: These extra beats likely reflect MVP. However, could reflect caffeine, stress, or electrolyte imbalance. If truly connected to MVP, then beta blockers help a lot. ...Read more

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I had a holter monitor on for 16 hours. I had 84, 299 qrs complexes, 25 ventricular, supraventricular 18, 367 2 couplets 84 bigeminal cycles, arms hurt.?

I had a holter monitor on for 16 hours. I had 84, 299 qrs complexes, 25 ventricular, supraventricular 18, 367 2 couplets 84 bigeminal cycles, arms hurt.?

See a Cardiologist: Give your doctor a call for directives now. It is important that you see/contact your cardiologist for evaluation/ interpretation and structured management/care. ...Read more

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What are my chances of having a sudden cardiac arrest death? Normal echo. But have lots of couplets, pvcs and sinus pauses.

What are my chances of having a sudden cardiac arrest death? Normal echo. But have lots of couplets, pvcs and sinus pauses.

Probably very low: But a lot depends on family history of sudden death and any more malignant arrythmias.
You may want to have an event monitor placed and get an excercise treadmill test even though you are still youmg this is to look at any excercise induced arrythmias you may develop.
Many young people have arrythmias that resolve as you get older. ...Read more

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I have couplet/triplet skip beats last 48holter 36 PAC 11 couplet, 14 single pvc, I get chest/breath sinking feeling, wakes me up doctor not worried?

I have couplet/triplet skip beats last 48holter 36 PAC 11 couplet, 14 single pvc, I get chest/breath sinking feeling, wakes me up doctor not worried?

Skipped beats cause: The kind of Sx u describe. Tho they can b annoying if there is no evidence of any heart disease, they are not serious. Am not sure from ur description how many are ventricular or atrial. The total number of extra beats is low, good. Tho I think it is unlikely u shud b sure u don't have hyperthyroidism. Try to avoid stimulants; caffeine, smoking & xcessive alcohol to < Sx. If Sx 2 bad meds may help. ...Read more

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14 day loop results states tachycardia up to 140, bradycardia 42 bpm, ventricular ectopic complexes, supra ventricular ectopic complexes and an atrial couplet. Should I be worried?

14 day loop results states tachycardia up to 140, bradycardia 42 bpm, ventricular ectopic complexes, supra ventricular ectopic complexes and an atrial couplet. Should I be worried?

Arrhythmias: You should be talking to your doctor about the situation to get more information. The rhythms alone don't necessarily imply something 'bad'. On the other hand if you were entirely normal they wouldn't be there. The rest of your condition is what tells you whether you should be worried. Your doctor is best positioned to answer that question. ...Read more

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Woke up to a long fastrun of pac, coughed quick to stop it, felt like drums! Holter 62pac majority (couplet), 7 pvc echo mvp/trivialmr cardiac arrest?

Woke up to a long fastrun of pac, coughed quick to stop it, felt like drums! Holter 62pac majority (couplet), 7 pvc echo mvp/trivialmr cardiac arrest?

Palpitations: Likely you have a supraventricular arrhythmia amenable to vagotonic maneuvers, you need a comprehensive assessment including ECG and lab. Documentation via ambulatory 30 day /ILR may be needed. Please seek formal consultation with local electrophysiologists or via Health Tap concierge consultation ...Read more

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Multiform pvcd and multifocal pvcs and couplets. No heart disease heart structually normal. Normal eco and stress. What treatment is recommened?

Multiform pvcd and multifocal pvcs and couplets. No heart disease heart structually normal. Normal eco and stress. What treatment is recommened?

May not need treatin: Depending on your age and risk factors you may need a stress test. If you feel well and no structural heart disease nothing more needs be done beyond making sure electrolytes are normal. Treatment indicated if you are significantly symptomatic and heart pump is weak. ...Read more

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Sag of anterior mitral valve, Trivial MR 48 holter 30 pac (9 couplet)6 pvc but on days kinda more and other almost not there. Can I drink alcohol? Tips?

Sag of anterior mitral valve, Trivial MR 48 holter 30 pac (9 couplet)6 pvc but on days kinda more and other almost not there. Can I drink alcohol? Tips?

Mvp: If there is no other problem than what you mention in your note, then this situation has little likelihood of causing trouble. Without more information, the best advice is to minimize alcohol intake, don't smoke, eat a Mediterranean diet and get at least half an hour a day of aerobic exercise. Your doc who knows your data is the best source for the advice you ask. ...Read more

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I was in ER last night for shortness of breath/lightheadedness. I got fluids/tests and was sent home. The monitor kept saying "couplets" and "vtech" once. The doctor said it was nothing and that they were artifacts from moving. Could it be cancer?

I was in ER last night for shortness of breath/lightheadedness. I got fluids/tests and was sent home. The monitor kept saying "couplets" and "vtech" once. The doctor said it was nothing and that they were artifacts from moving. Could it be cancer?

Changes on Monitor: Monitors are great on picking up changes in your heart beats. They are also great on picking up movement and loose patches. Without looking at your strips, I can't tell if these were "real" or artifact. If there is concern you should see a cardiologist and have a monitor placed for 24 hours or more. If the er obtained printed strips these would be helpful. ...Read more