← Return to Just diagnosed with PACS and I'm scared

Discussion
muppet7777 avatar

Just diagnosed with PACS and I'm scared

Heart Rhythm Conditions | Last Active: 4 hours ago | Replies (18)

Comment receiving replies
Profile picture for nevets @nevets

@gloaming

What I find interesting about the article is that while it suggests that PACs are normal-ish and don't require treatment (mostly), it identifies some rather serious health issues that are associated with PACs, which leaves me to wonder which PAC camp I might belong to: the "not to worry camp" or the "may be a red flag camp".

Jump to this post


Replies to "@gloaming What I find interesting about the article is that while it suggests that PACs are..."

@nevets i know right! Ugh
I have a call in to my family doctor to see if he can get me a referral to cardiologist for an ECHO

@nevets It's your analytical mind at work here, so good for you. The burden is what matters empirically. As the literature I have read suggests, much past 3% and the morbidity begins to increase. So, with listening to the squawking of the patient and the empirical evidence, not to mention other physical indicators of unwelcome advances in the heart's structure, such as signs of stretching/prolapse in the mitral valve, or vessel wall thickening (also called 'enlargement'), the EP should begin to discuss the next step. For many, ablation is an obvious choice, especially in the hands of an EP who can legitimately claim to have a high stoppage rate for PACs, say 80% and higher for a first attempt.

So, it's around the 3% mark that the article: https://scienceinsights.org/what-is-a-high-premature-atrial-contraction-pac-burden/ ..suggests is the demarcation point.