Strong PVC with bending over --The Doctors Lounge(TM)

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Forum Name: Congenital Heart Disease in Adults

Question: Strong PVC with bending over

stephy - Thu Mar 24, 2005 2:14 am

Hello Doctor,
I have ASD or PFO (they not sure yet). When I bend over to put on shoes or put cake into stove or sit in car or sometimes when trying to deficate. I get what seems to be PVCs like 3 in a row...this started about 3 weeks ago ..now the pvc also come with stress also. 1 does having them when I bend or strain mean something like I am developing a problem in my heart..2 is my asd causing this with the pressure change in my heart when I bend or stran or is it unrelated. ( the things that I think are pvc - feel like I have a skipped beat and then like getting punched in the chest (my heart hurts) and it is heard to breath ..I cant talk when they happen...but when they are gone I feel normal...I had an Echo and tee..and besides the asd or pfo..they said slight right heart enlargement due to asd or pfo, but all else is normal.
Thank you.

Dr. Yasser Mokhtar - Thu Mar 24, 2005 5:47 am

Dear Stephy,

Besides potential heart causes, extra beats can have other causes including:
1. An overactive thyroid gland.
2. Electrolytes disturbance.
3. Smoking.
4. Drinking alcohol.
5. Drinking too much caffeinated beverages.
6. Not getting enough sleep.
7. Stress.

I would recommend a thyroid blood test and electrolytes. If you smoke or drink alcohol or caffeinated beverages, try to cut down or even stop if you can. Try also to get enough sleep and rest.

These extra beats that you are feeling might as well be premature atrial contractions as much as being ventricular contractions. These might be due the asd/pfo that you have.

The best way to find out is to have a 24 hours heart monitor (called a Holter's monitor) to find out the nature of those beats. Patients with asds can have an atrial Arrhythmia called Atrial fibrillation. Please, mention these extra beats to your doctor.

Thank you very much for using our website http://doctorslounge. com and I hope that this information helped.

Yasser Mokhtar, M. D.

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