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what kind of palpatation is it when u feel a thump in ur ...


Sent to Health Experts August 05, 2006 11:42 p.m.

what kind of palpatation is it when u feel a thump in ur chest or throat and at that time u check ur pulse and u feel a long pause in ur heart beat(as if it skipped a beat or two) and it can sometimes make u cough or take a deep breathe? and are these dangerous for u?, and what if u have them a few times a day everyday is this ok? if a person had a eps study w no findings , why would these still happen?

Optional Information:
Female , Age: 28

Customer (name blocked for privacy)
Status: Closed   Value: $2   
Answer
August 05, 2006 11:48 p.m. (5 minutes and 50 seconds later)
REPLIED Check Mark

These are probably PVC's or "premature ventricular contractions." They are the ones most likely to cause the pause you describe. Other thing they could be is a run of a fast rhythm that doesn't allow you to feel the pulse as easily as usual. The faster heart beat doesn't give the heart enough time to fill between beats and so the cardiac output/blood pressure drops for a few seconds.
Sometimes ablation doesn't really get all the foci of irritable cells.

You should see the cardiologist for a rhythm check, and a review of the meds you are on. Stay away from all caffeine (coffee, tea, soft drinks, chocolate, etc.) and see if that helps. You may need to wear a Holter monitor for 24 hours to evaluate the frequency and length of these runs.

If you are feeling dizzy with them, you should go to the ER for a cardiogram. If you can, contact the doc this weekend, they always have someone available through the answering service.


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Reply to Judy
Sent August 06, 2006 12:35 p.m. (12 hours and 46 minutes later)

i see the cardiologist on the 8th... i had the eps study but no ablation cuz he said he didn't find anything wrong. i'm on no meds b\c the electrophysiologist said i do not need it right now. i had ALOT of holter monitors including the 30 day one which caught an irregular ventrical beat for 5 beats that they do not kno why it occured. his conclusion was that my palps are not dangerous just uncomfortable to deal with. this is not a good enough answer for me, i want to kno why they are occuring. is it possible for them to occur when ur are due for ur period. and i notice they happen more after i eat.   are these kinds of palps dngerous to have frequently?
Customer (name blocked for privacy)
Answer
August 11, 2006 4:40 p.m. (5 days and 4 hours later)
REPLIED Check Mark

Were the five beats all in a row? This could have been ventricular tachycardia, one of those runs I mentioned above. If you weren't having the firing from that area at the time of the eps, they wouldn't have ablated the area.
Electrolytes can cause these ventricular premature beats to occur. In isolated beats they are not dangerous, but if in runs that last more than a few seconds, that can cause dizziness and you could have a more serious rhythm result.
Best idea is still to follow up with a 24 hour monitor and see your cardiologist!


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PictureJudy  -- Nurse (RN) -- 100% Positive Feedback on 850 Health Accepts
RN in ICU for 34 years
Reply to Judy
Sent August 14, 2006 4:14 p.m. (2 days and 23 hours later)

thank u for ur response... i have just seen my cardiologist on the 8th and he said everything looks fine. that i have had more tests than many people double my age w more problems. i asked for another holter but he says insurance won't pay and it was not necessary. i told him about the palps and he said that they were ok unless i get dizzy and pass out. that i just may be more sensitive to them when they occur. that no matter how many i get or how often they occur that nothing dangerous is going to happen. that unless i get dizzy or fall down not to worry. BUT i am still concerned for it does not seem normal. anyway thank u for ur answers... still confused.....
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Answer
August 15, 2006 1:58 a.m. (9 hours and 44 minutes later)
ACCEPTED Check Mark

"Normal" and "not pathologic" are two terms that come to mind - while your tachy rhythms may not be normal, they are not pathologic. I don't think the doc is trying to brush you off as much as he's reassuring you that there is no immediate danger. We don't treat PVCs either unless they cause symptoms. Keeping the electrolytes at an optimum level is a good way to cut down on hypokalemic induced PVCs. Check with the doc about your potassium, etc. levels!
PictureJudy  -- Nurse (RN) -- 100% Positive Feedback on 850 Health Accepts
RN in ICU for 34 years

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