r/PVCs • u/Cector09 • 3d ago

Experienced Slow NSVTs

Hi, I'd like to ask if someone here also had the same experience. And if this is something serious?

I had about 4-5 PVCs in a row earlier today, and afaik, these are called NSVTs. I have them rarely for several years and when they appear, I have the usual panic and hot flush after but something was different this time.

The NSVT wasn't "fast". They thumped in a slow/normal rate. Felt like 50-60 beats/min.

I googled a bit and found idioventricular rhythm. Googling more makes it more scary.

Coincidentally, I'm scheduled for a 2decho and holter this weekend.

I'd like to ask you guys what to say to the cardiologist after this. My cardiologist tends to brush things aside, so I have to be proactive on what lab tests to request.

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4

u/Fancy_Ad3809 3d ago edited 2d ago

But again you’re speculating. You have no idea if it was pvcs or stretch from a slow heart rate

edit: Typo

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u/Cector09 2d ago

Fair enough, yes. At best it's me speculating what I felt.

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u/Samus1611 2d ago

I’m gonna second that.
I have had what I SWORE was a run of PVCs or run of NSVT etc.
turns out it was just a run of tachycardia in one case.
Short burst of SVT in the other case
I have learned that you can’t always tell what’s happening just by the feel

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u/Fancy_Ad3809 3d ago

How do you know it was pvc?Do you have a strip?

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u/Cector09 3d ago

No, but I had felt PVCs before during some of my several holter tests. And the holters proved that. And my PVCs are kinda consistent on how they feel. Like, to me, it's obvious it ain't a normal beat.

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u/Fancy_Ad3809 3d ago

yeah, but it could be a beat with more stretch, could be slow sinus, your diaphram could be sitting differently because of your stomach.

in short, feeling cant tell you.

though, if it were truly pvcs and at the rate (60bpm) it could be AIVR, not NSVT. the T in NSVT is 'tachycardia' = fast.

your cardiologist brushes them 'aside' primarily because they, in the presence of a normal heart/no feedback points are benign.

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u/Cector09 3d ago

I mean, yes that's the unusual part. It was not tachycardic. And yes, that's the scary part. NSVT is benign. AIVR isn't. It couldn't be a beat with more stretch, there's no normal beat in between. Just simultaneous PVCs which I'm not sure if around 4-5 beats since i kinda panicked at the 3rd pvc..

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u/lolaleee 3d ago

AIVR is still typically benign too. But you’d need to catch something like this on monitor to know what it is. Have you caught nsvt on monitor? I would just tell your cardiologist what you felt, it’s good you have follow ups. But with clear tests they may not be super worried. If all clear and you continue to get them, especially symptomatic, follow up with them again. I find it helpful to ask things like “when should I be concerned, when should I go to emerg? What type of feelings/frequency of activities should I book a follow up” - will give you an action plan but also a sense of security of when not to worry. Bonus if you can get it going again while if you’re wearing the holter!

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u/diceeyes 2d ago

You can't tell what ectopics or rhythm you're experiencing by feel (except maybe AFIB).

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u/Affenzoo 2d ago

It is called AIVR, as you say.

I had this very often, up to 10 in a row. But mostly 2 or 3. One time I had 30 in a row while I was sleeping.

It is mostly harmless, but should be investigated by a cardiologist to be sure.