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ISOLATED PACs with low resting heart rate
Hi...56 year old female, non athletic. Two months ago 24 hour holter monitor came back with results as follows:
98530 qrs, with 1930 isolated PACs. 1830 within the first 7 hours of wearing the monitor. Sinus rhythm throughout, no st segment shifts, zero afib episodes. My average heart rate fir the entire 24 hours was 68 bpm. Just watching tv, my hr is low 60s sometimes dipping into 50s. Should i be concerned? I have no other symptoms...
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Keeping in mind that virtually nobody replying to you here is a medical expert or a physician of some description, your number of PACs is relatively low, but it's nearing the point where the literature says you might be playing with morphology of the heart's substrate and further deterioration or a move toward atrial fibrillation (AF). The typical hear runs between 55 and 75 BPM for most adults, with quite a surprising variation. The is at rest, and calm. So, if we take your figure, 68, multiply it by 60 minutes to get the hour-count, and then multiply that product with the 24 hours of a day, we get a total of approximately 98K beats each day. Your recorded result for PACs was 1930...if I understand your statement above. That represents approximately 2% of your daily beats. If this is truly representative of your day.....these days......you have a relatively modest number of PACs for those who are known to have more than the typical 20-50 each day. So, as I said at the outset, you are getting 'up there', nearing the point where the literature I have seen suggests that cardiologists would want to begin talking about a strategy to at least monitor you more often if not talk about an ablation. Many electrophysiologists won't look at you until you are quite beside yourself with how they make you feel, meaning you're quite adversely symptomatic, and averse to continuing as you are doing. Also, that your percentage represents a 'burden' near 3%, but even that varies from EP to EP. Please read this:
https://www.ahajournals.org/doi/10.1161/JAHA.115.002192
@gloaming i read your link and frankly, its scaring the crap out of me 😔
I do have a doc appointment this Friday and im going to ask if he can send me for a cardiologist referral.
I believe my anxiety started this entire fiasco. My anxiety is 80% better and im feeling a lot better.
I just hoping and praying that everything will be ok.
Over the past couple of days...im hardly feeling any pacs at all. What does this mean?
The cause of my anxiety is gone and im feeling a lot better. Can pacs be brought on totally by anxiety and get better or disappear when anxiety is gone? Im still confused by all of this...