Thank you for your reply most times they call these ectopic beats until they start a Bigeminy or trigeminy pattern the. They reclass them to a tachy although it is slow if you have more than 3 in a row. I have episodes that every beat is followed by a misfire that can last 3-4 hours. My mother had AFIb at the end with a pacemaker so I understood lots of the heart at the point I started having problems. There are drugs to slow the heart down and most arrhythmia meds target slowing it down. They don’t work on someone dropping to the lows I see it makes it worse. I had to do a lot of research and understand what was the issue. The multi focal part means several signal origins which means the left ventricle may be unstable snow I say may because not all the signals might originate in the left ventricle. I have seen tachy though which when it showed up was two years into the Bigeminy and the thought from local cardiologist not Mayo is that the Bigeminy triggers it. I am no heart expert but I have learned enough over the last few years. I know dehydration, certain meds like Valium class drugs, tired, exercise, not eating enough, weather change, and many other things bring on an episode. I also have a standard low pulse in the 50’s for unknown reasons.

Thank you for telling me you have had several ablations and did just fine I know you didn’t state if they were left ventricle or not I know the first one I have in right ventricle sent me into Bigeminy for two straight days I was miserable.