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← Return to LVOT Bigeminy with NSVT/PSVT
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Thank you for posting this interesting question, @paula3166. First of all, I'm so glad to hear that you have an appointment at Mayo Clinic. Mayo has a reputation for being exceptionally good at hard-to-treat problems.
While we wait for other members to respond to your concern about left-sided heart ablation, I'm wondering if you could share a bit more information about yourself as you are comfortable doing so. You mention that you have no known heart or blood pressure issues. Is there any family history of heart problems? What meds have been tried to correct this problem?
I would like to tag some members who have had heart rhythm problems and see if they can offer some support for you at this time, @predictable, @thankful, @danab, @mayofeb2020 @scottij .
Replies to "Thank you for posting this interesting question, @paula3166. First of all, I'm so glad to hear..."
I probably should mention my ejection fraction is at 55% down from 60% a year and a half ago. I am borderline they have described to me that the LV issues are believed to be the result of the arrhythmia causing heart muscle over working.
Here is an example of my arrhythmia from my watch the pattern is not consistent it used to be the exact same every time but after the ablation in June 2020 it is no longer consistent they vary and this is one of 6 patterns
@hopeful33250, paula3166- Greetings! I'm not sure if I can help much in your situation Paula. Until my HA back in 5/2014 I never had any heart issues. My cholesterol has been a bit high and I've been on statins even before my HA. I have been exercising regularly for many years, doing 45 minutes of cardio and 30 minutes of strength training 3x a week. Even the day of my HA, I had just arrived home from exercising. I view all of this as somewhat of a fluke, but it got my attention and has caused me to consider everything I eat and how I exercise. I have dropped my overall Cholesterol to 137, LDL down to 52, HDL to 38 and my Triglycerides down to 124
My experience with Mayo in Scottsdale, AZ. was excellent! I would definetely plan on going there again for any 2nd opinions that I may need in the future. Jim@thankful
Welcome to Mayo Connect @paula3166. I wish I could be helpful to you, but your complication of symptoms is not in my experience. A-fib has been my problem, but not to the extent that my medical team has recommended either cardioversion or ablation -- so far, at least. We just identified a blockage in my heart's Right Bundle Branch, but it will be a few weeks before we will know whether it needs treatment. For now, you are in the excellent hands of Teresa @hopeful33250, and if she concludes that I can be of help on any part of your current challenge, I will eagerly respond. Best wishes for your ablation next month. Martin
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No one in my family had this particular issue others had high blood pressure and my mom died of Congestive heart failure but she had Parkinson’s.
My blood pressure is and has always been low 100/60 and is that way as we speak. The ectopic arrhythmia was first noted in my 30’s and I am currently 55. The last two years it is symptomatic and I have frequent near fainting episodes with pulse dropping into the 30’s. Original ablation was done in RVOT because that is where they originally thought the signal problem was coming from. However during that procedure as they were mapping they started to believe it was high on left side near valves. After the ablation I had new arrhythmia’s begin NSVT and PSVT. Recently a pattern which was not originally seen has emerged on exercise recovery and I can have either Bigeminy or the tachycardia. Last echo showed left ventricle wall remodeling and my ejection fraction was down 5%. Local cardiologist no longer felt he was able to handle my case and referred me.
They tried flecanide but I was allergic and the other beta blockers lowered my already bradycardia and hypotension too much and I could not stay awake.
I used to feel the palpitations and it just felt like a blip and after 20 minutes they resolved. These days those episodes feel different like my heart is tired and struggling. I am hoping the MRI will show something that local cardiologist was unable to define. I have two to three episodes of the low dips a day. I have about one to two episodes of tachycardia a week.