Are 84 pvcs an hour excessive?

Posted by gram0322 @gram0322, Apr 4 8:42am

My pacemaker report showed I was having 84 pvcs an hour. Is that an excessive amount? I am feeling palpitations but not excessively.

Interested in more discussions like this? Go to the Heart Rhythm Conditions Support Group.

How did you get your report that showed you were having 84 PVCs

REPLY
@sr123pontevedra

How did you get your report that showed you were having 84 PVCs

Jump to this post

My pacemaker clinic report showed those results along with all the other parameters set.

REPLY

Do you have a regular pacemaker or Payless pacemaker
🧐.

REPLY

@gram0322
I don't know anything about pacemakers but what was your total heart rate? If the average heart rate is 72 I would think it would be considered excessive but as I say, I don't know anything about pacemakers.
This would be a question for your physicians. I hope you share what they say with us.
.Jake

REPLY

That figure represents about a 0.2% burden, which is very small. It works out to just over one PAC /min, which, although noticeable, and perhaps objectionable, is really nothing to worry about at this point. This is not to say that it doesn't bear monitoring, or that it won't slowly rise in time....it probably will as you age and acquire a condition or two that encourages the progression...but for now it should not pose a problem.

That typed, you really ought to consult your physician to get an educated estimate of your potential for harm in the short term.

REPLY
@gloaming

That figure represents about a 0.2% burden, which is very small. It works out to just over one PAC /min, which, although noticeable, and perhaps objectionable, is really nothing to worry about at this point. This is not to say that it doesn't bear monitoring, or that it won't slowly rise in time....it probably will as you age and acquire a condition or two that encourages the progression...but for now it should not pose a problem.

That typed, you really ought to consult your physician to get an educated estimate of your potential for harm in the short term.

Jump to this post

Thank you for your input. I have an appointment next week with my EP. I plan to discuss this with him.

REPLY
@gram0322

Thank you for your input. I have an appointment next week with my EP. I plan to discuss this with him.

Jump to this post

You really need the cardio telemetry used from the pacemaker to determine what your burden is. Burden is based on how many heart beats and how many PVC events over a period of time. So you cannot have some here suggest that your burden is "0.2% burden" based on guessing 72 BPM and also guessing how long the PVC is. That is not acceptable to just guess someone's HR and determine their burden. There is a big difference between 2% burden and 0.2% burden. A simple way to present this is 20 cents is 20% of a 100 cents. Which makes 2 dimes 20%= 0.2 X 100.I didn't finish. So .2% of 20%(20 dimes) would = 4 cents. So the example given to you is not the methodology of describing %s correctly. It is a confusing.
My recent monitor for 30 days had my burden @ 21% with a HR of 50 BPM. So that is scary high burden. Fortunately my heart has reset itself and the the burden has dropped dramatically. I am now using a Kardia mobile device checking it regularly. I can also feel the difference. My energy is so much better and I feel so much better. This results in better perfusion. Real high sustained burden ratio of PVCs and or PACs decreases perfusion and increases stress to the heart much like Afib can also do. Also I would be careful about listening to contributors here predicating that this will get worse as you "age and acquire a condition or two that encourages the progression." That is really not true and if it is then let your cardio doc be the one to determine what you might be faced with in the future.

REPLY
@harveywj

You really need the cardio telemetry used from the pacemaker to determine what your burden is. Burden is based on how many heart beats and how many PVC events over a period of time. So you cannot have some here suggest that your burden is "0.2% burden" based on guessing 72 BPM and also guessing how long the PVC is. That is not acceptable to just guess someone's HR and determine their burden. There is a big difference between 2% burden and 0.2% burden. A simple way to present this is 20 cents is 20% of a 100 cents. Which makes 2 dimes 20%= 0.2 X 100.I didn't finish. So .2% of 20%(20 dimes) would = 4 cents. So the example given to you is not the methodology of describing %s correctly. It is a confusing.
My recent monitor for 30 days had my burden @ 21% with a HR of 50 BPM. So that is scary high burden. Fortunately my heart has reset itself and the the burden has dropped dramatically. I am now using a Kardia mobile device checking it regularly. I can also feel the difference. My energy is so much better and I feel so much better. This results in better perfusion. Real high sustained burden ratio of PVCs and or PACs decreases perfusion and increases stress to the heart much like Afib can also do. Also I would be careful about listening to contributors here predicating that this will get worse as you "age and acquire a condition or two that encourages the progression." That is really not true and if it is then let your cardio doc be the one to determine what you might be faced with in the future.

Jump to this post

deleted

REPLY
@harveywj

You really need the cardio telemetry used from the pacemaker to determine what your burden is. Burden is based on how many heart beats and how many PVC events over a period of time. So you cannot have some here suggest that your burden is "0.2% burden" based on guessing 72 BPM and also guessing how long the PVC is. That is not acceptable to just guess someone's HR and determine their burden. There is a big difference between 2% burden and 0.2% burden. A simple way to present this is 20 cents is 20% of a 100 cents. Which makes 2 dimes 20%= 0.2 X 100.I didn't finish. So .2% of 20%(20 dimes) would = 4 cents. So the example given to you is not the methodology of describing %s correctly. It is a confusing.
My recent monitor for 30 days had my burden @ 21% with a HR of 50 BPM. So that is scary high burden. Fortunately my heart has reset itself and the the burden has dropped dramatically. I am now using a Kardia mobile device checking it regularly. I can also feel the difference. My energy is so much better and I feel so much better. This results in better perfusion. Real high sustained burden ratio of PVCs and or PACs decreases perfusion and increases stress to the heart much like Afib can also do. Also I would be careful about listening to contributors here predicating that this will get worse as you "age and acquire a condition or two that encourages the progression." That is really not true and if it is then let your cardio doc be the one to determine what you might be faced with in the future.

Jump to this post

I feel my heart needs to settle down a bit. I had an ablation in January and a pacemaker implanted in February. A lot going on. I mostly certainly will discuss this with my EP. Prior to January I was tachy/ brady. Hard to know what my heart rate is.

REPLY

I have had PVCs for many decades. They got really bad any Mayo upped my pacemaker to 70 beats a minute and it helped.

Recently was having more so put on Mexilene (spell) but had no affect. Then noticed my PVC number went from 1 every 10 beats to 1 every 4 beats. Was told if not affecting my ability to exercise then to just keep monitoring. My ICD/Pacemaker is monitored every 3 months by a system called Latitude. Those results are sent to my EP at Mayo Jacksonville. Once a year I come into Mayo and they do extensive test.

The amount of PVCs you are getting would be welcomed by me. But like others have stated your cardiologist and EP need to be your guidance on what is specifically okay for you or is it of concern. All our hearts are different as well as the causes of our PVCs and our heart fuctions. So what is a problem for one person may not be for another and vice versa. I do Sprint Triathlons so you can see my PVCs are more of an annoying factor and worry factor than affecting me physically.

REPLY
Please sign in or register to post a reply.