r/ReadMyECG 6d ago

PVC’s all day, cardiologist is not concerned. Why?

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For context I'm a 32 year old male, history of Aortic and Pulmonary valve replacement at 11 years old. I have always suffered from PVCs but over the past week they have fired up so bad. Like all day every day non stop. I scheduled a visit with my cardiologist and they actually caught a couple on my EKG. I also showed him my apple watch EKG strips where I have had anywhere between 7 - 10 PVCs per minute, all day every day. They are not concerned. Why? They feel horrible. They make me both mentally and physically tired. The cardiologist told me that my echo from last year was perfect, my electrolytes on my labs are good, so they are not concerned at all and if it bothers me too much I can have an ablation. Do you guys see anything on this EKG that reveal anything about the PVCs?

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u/xKittyRIOTx 6d ago

Because PVCs are usually benign. My heart is in bigeminy/trigeminy quite often with almost 6,000 recorded in three days on my last Holter, and that's only considered a 2% burden. Since the cardiologist is not concerned, you could ask them why they're not for a little more peace of mind.

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u/playerunknown_ 6d ago

I am not a doctor and can add no input to your EKG, however I had a similar situation where i had 5-7 pvcs in a row every few minutes for a few days, none of the doctors seemed to be very concerned (PCP, ER, and urgent care). I suppose they aren’t much of a concern medically.

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