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Ask Dr .Saeed ahmed Your Own Question
Dr .Saeed ahmed
Dr .Saeed ahmed, Doctor
Category: Cardiology
Satisfied Customers: 4403
Experience:  MBBS/FCPS/MRCP U.K(R), Senior Registrar Cardiology
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I am having constant PVCS and I am dizzy. I do have heart

Resolved Question:

I am having constant PVC'S and I am dizzy. I do have heart disease. Should I be concerned?
Submitted: 4 years ago.
Category: Cardiology
Expert:  Dr .Saeed ahmed replied 4 years ago.

Dr .Saeed ahmed :

Hello, Thank you for your question.

Dr .Saeed ahmed :

I am sorry for your problem, i will try to answer your questions.

Dr .Saeed ahmed :

I have few questions initially... So that i can help you in more detail.

Dr .Saeed ahmed :

Q.. how these PVC's were detected ?

Dr .Saeed ahmed :

ECG or holter test ?

Dr .Saeed ahmed :

Q.. How many PVC's are you having in one hour ?

Dr .Saeed ahmed :

Use reply button to send the reply.....

Dr .Saeed ahmed :

Q... What other tests are done until now for this problem ?

Customer:

holter test 20 no other tests

Dr .Saeed ahmed :

How many PVC's were present on holter ?

Customer:

30

Dr .Saeed ahmed :

And these were seen in one hour ?

Customer:

yes

Dr .Saeed ahmed :

Some more information i need before i can proceed with suggestions, if you do not mind my questions ?

Dr .Saeed ahmed :

Q... Do you have some previous medical issues ?

Customer:

no

Dr .Saeed ahmed :

Q.. Are you taking some medicine recently ?

Customer:

heart disease

Customer:

no

Dr .Saeed ahmed :

Ok, when was this diagnosed ?

Customer:

last week

Dr .Saeed ahmed :

What other tests were done ? Echocardiogram ? or stress tests were done ?

Customer:

echo

Dr .Saeed ahmed :

What it showed ? do you have the results ?

Customer:

no

Dr .Saeed ahmed :

Ok, i will give you some suggestions with this limited information available.

Customer:

ok

Dr .Saeed ahmed :

These PVC's can be due to many reasons and one main cause is ischemic heart disease which you are having, so in your case most likely cause of these PVC's is ischemic heart disease.

Dr .Saeed ahmed :

Now there are 5 gradings of PVC's

Dr .Saeed ahmed :

Actually 6 grades and 0 being the mild and 5 being the most severe form of PVC's

Dr .Saeed ahmed :

You are in grade 2 which is a mild form.

Dr .Saeed ahmed :

in this case we use medicine like beta blockers to control these PVC"s.

Dr .Saeed ahmed :

Main risk of uncontrolled PVC's is that they cause symptoms of dizziness and can cause run of life threatening arryrhmias.

Dr .Saeed ahmed :

So you need to be started on betablockers to control these PVC's.

Dr .Saeed ahmed :

You have more questions ? let me know.

Dr .Saeed ahmed :

I will try my best to help you out.

Dr .Saeed ahmed :

One more thing if you have diagnosed ischemic heart disease, you should also be taking medicine like aspirin, statins, ACEi

Customer:

Are u there?

Dr .Saeed ahmed :

as these have shown to decrease mortality upto 25%

Dr .Saeed ahmed :

Yes, i am here have you not received my replies.

Dr .Saeed ahmed :

I have typed my answer and i can see it on my screen.

Dr .Saeed ahmed :

If not i will type them again for you.

Dr .Saeed ahmed :

I am copy pasting my replies again.

Dr .Saeed ahmed :


These PVC's can be due to many reasons and one main cause is ischemic heart disease which you are having, so in your case most likely cause of these PVC's is ischemic heart disease.






Now there are 6 gradings of PVC's









0 being the mild and 5 being the most severe form of PVC's









You are in grade 2 which is a mild form.




 

Dr .Saeed ahmed :

And in this case you need to be started on beta blockers.

Dr .Saeed ahmed :

Main risk in these PVC's is symptoms like dizziness and run of life threatening arrythmias.

Customer:

life threatening arrthmias, u mean like my heart my stop

Dr .Saeed ahmed :

Yes this means that heart rate can go up so much that heart will not pump adequate blood to the vital organs like brain, kidneys and heart itself.

Dr .Saeed ahmed :

You have some more questions in your mind.... Let me know.....

Customer:

Could i have a heart attack or a stroke?

Dr .Saeed ahmed :

Yes, it can happen, because when the heart rate increases the oxygen demand of the heart also increases and it may not get enough blood with very high heart rate.

Dr .Saeed ahmed :

stroke can also occur as heart is not pumping adequately.

Dr .Saeed ahmed :

Your questions ? queries ?

Customer:

I recently had a heart rate of 130.

Dr .Saeed ahmed :

It needs to be lowered to around 60s

Dr .Saeed ahmed :

to lessen the risk of heart attack and PVC's.

Dr .Saeed ahmed :

Your questions ?

Dr .Saeed ahmed :

Have more questions ? let me know......

Customer:

Should i go to the er?

Dr .Saeed ahmed :

Well, if you are having constant feeling of PVC's and dizziness then ER visit is best option.

Dr .Saeed ahmed :

As i have mentioned that one major cause of PVCs is ischemic heart disease so this may be worsening and needs an immediate evaluation.

Dr .Saeed ahmed :

Your questions ? queries ?

Dr .Saeed ahmed :

You have more questions ? let me know. I am waiting for your replies.

Customer:

are u there?

Dr .Saeed ahmed :

Yes,

Dr .Saeed ahmed :

You have not received my replies.

Dr .Saeed ahmed :

I will type them again.

Dr .Saeed ahmed :

If you have symptoms of dizziness and feeling of frequent PVC's

Dr .Saeed ahmed :

then you need to go to ER right away.

Dr .Saeed ahmed :

as this may be symptom of worsening ischemic heart disease.

Dr .Saeed ahmed :

Have you received my last post. ?

Dr .Saeed ahmed :

you have more questions ? let me know...

Customer:

if you are there i am not receiving anything.

Dr .Saeed ahmed :

I have typed my answer multiple times.

Dr .Saeed ahmed :

i am not sure why are you not receiving the replies.

Dr .Saeed ahmed :

Try to refresh this page.

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