Just diagnosed with PACS and I'm scared

Posted by muppet7777 @muppet7777, 3 days ago

Had 24 hour holtor monitor. Results came back...91583 qrs complexes, 1930 isolated supraventricular beats. No runs, no ventriculars, zero episodes of atrial fibrillation. Sinus rhythm throughout with moderately frequent PACs (listed at 2% of all beats). No diagnostic ST segment shifts. Of the 1930 supraventricular beats, 1830 of them were in the first 7 hours of wearing the monitor. Family doc said not to worry but its hard not to. Do these results seem benign or should i worry??? HELP PLEASE

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

No, don't worry. Honestly, every heart produces PACs. Your number is getting high, I won't blow smoke here, but at 2% you have room to go yet before they'll talk about drugs or an ablation.

Both PACs and atrial fibrillation are non-lethal arrhythmias. They may make you feel like you wish you'd die, but they won't kill you. Instead, the burden is what matters when it gets close to the 3% mark, and that is when they should ask you if you would like an ablation or some other intervention. Also mattering....a lot...are the symptoms. If they seriously erode your quality of life, it's time to act, and that is when you should see an EP and look toward his/her help.

Here is a good article on PACs:
https://www.verywellhealth.com/premature-atrial-complexes-pacs-1746248

REPLY

Thank you for taking the time to reply. I really appreciate it!

REPLY
Profile picture for gloaming @gloaming

No, don't worry. Honestly, every heart produces PACs. Your number is getting high, I won't blow smoke here, but at 2% you have room to go yet before they'll talk about drugs or an ablation.

Both PACs and atrial fibrillation are non-lethal arrhythmias. They may make you feel like you wish you'd die, but they won't kill you. Instead, the burden is what matters when it gets close to the 3% mark, and that is when they should ask you if you would like an ablation or some other intervention. Also mattering....a lot...are the symptoms. If they seriously erode your quality of life, it's time to act, and that is when you should see an EP and look toward his/her help.

Here is a good article on PACs:
https://www.verywellhealth.com/premature-atrial-complexes-pacs-1746248

Jump to this post

@gloaming other than the random skipped beats, flutters and palpitations i have no other symptoms (hope i didn't just jinx myself). My BP and heart rate are normal. Sometimes my heart pounds strong but not fast. My anxiety is aweful. Ugh

REPLY
Profile picture for gloaming @gloaming

No, don't worry. Honestly, every heart produces PACs. Your number is getting high, I won't blow smoke here, but at 2% you have room to go yet before they'll talk about drugs or an ablation.

Both PACs and atrial fibrillation are non-lethal arrhythmias. They may make you feel like you wish you'd die, but they won't kill you. Instead, the burden is what matters when it gets close to the 3% mark, and that is when they should ask you if you would like an ablation or some other intervention. Also mattering....a lot...are the symptoms. If they seriously erode your quality of life, it's time to act, and that is when you should see an EP and look toward his/her help.

Here is a good article on PACs:
https://www.verywellhealth.com/premature-atrial-complexes-pacs-1746248

Jump to this post

@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".

REPLY

My 2 cents. I was diagnosed with afib, after my Fitbit gave me a couple of warnings. My then electrophysiologist wanted to do an ablation but since am asymptomatic I declined. Fast forward 2 years and since I was experiencing more palpitations I scheduled a visit to Rochester. They concluded I have A-Flutter but found no evidence if A-Fib, but I was only monitored for 24 hrs. They said they'll send me a 14 day monitor to wear after a year passes, and then follow-up with a phone visit. I like "No rush".

Now, since you're concerned with PAC's, they told me not to worry, and mine were measured at 11%. So I think you're good. Now and then while I'm laying in bed and it's quiet I can hear the extra beats, but they don't bother me at all.

REPLY
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

@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

REPLY
Profile picture for lmt1 @lmt1

My 2 cents. I was diagnosed with afib, after my Fitbit gave me a couple of warnings. My then electrophysiologist wanted to do an ablation but since am asymptomatic I declined. Fast forward 2 years and since I was experiencing more palpitations I scheduled a visit to Rochester. They concluded I have A-Flutter but found no evidence if A-Fib, but I was only monitored for 24 hrs. They said they'll send me a 14 day monitor to wear after a year passes, and then follow-up with a phone visit. I like "No rush".

Now, since you're concerned with PAC's, they told me not to worry, and mine were measured at 11%. So I think you're good. Now and then while I'm laying in bed and it's quiet I can hear the extra beats, but they don't bother me at all.

Jump to this post

@lmt1 they do bother me, and it doesnt help that i have health anxiety 😔

REPLY
Profile picture for lmt1 @lmt1

My 2 cents. I was diagnosed with afib, after my Fitbit gave me a couple of warnings. My then electrophysiologist wanted to do an ablation but since am asymptomatic I declined. Fast forward 2 years and since I was experiencing more palpitations I scheduled a visit to Rochester. They concluded I have A-Flutter but found no evidence if A-Fib, but I was only monitored for 24 hrs. They said they'll send me a 14 day monitor to wear after a year passes, and then follow-up with a phone visit. I like "No rush".

Now, since you're concerned with PAC's, they told me not to worry, and mine were measured at 11%. So I think you're good. Now and then while I'm laying in bed and it's quiet I can hear the extra beats, but they don't bother me at all.

Jump to this post

@lmt1 thank you 🙂

REPLY
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

@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.

REPLY

I have an appt with my doctor in 3 weeks to see if he will give me a referral to a cardiologist
I want to ask for an Echo just to put my mind at ease i guess. Are there other tests i should be asking for as well?

REPLY
Please sign in or register to post a reply.