Premature atrial contractions: Anyone have any helpful info on this?

Posted by lolly906 @lolly906, Aug 17, 2018

I was now just recently told I have Premature Atrial Contractions, or P.A.C, after being on a holter monitor for 48 hrs. I was told this after my higher then normal calcium score, and was told p.a.c. is benign., but im still worried. I was put on monitor after I felt my heart pounding hard in my left neck area. Im wondering if anyone has any helpful info on this? Im really worried acutally, even cancelled my colonoscopy due to the laxative saying it could cause irregular heartbeat. it seems I can feel my heart skip beats at times or speed up! very scary to me. Im wondering if anyone else has this? I am 58 yrs old and am on lovastatin for high cholesterol thanks

Interested in more discussions like this? Go to the Heart & Blood Health group.

I am 66 and in great health. My AFIB started about 5 years ago. It was out of the blue as I go to the gym every day and have been working out for most of my adult life. Skip forward to 2018 I got my first ablation. It cured my AFIB but now I get constant PACs. Bigeminy the doctor calls them. They come in bunches, then subside for a few days. I've tried everything to get rid of them, including a 2nd ablation. Of course as soon as I went under anesthesia, my heart beat steady as a rock, sinus rhythm (my luck). A total waste of time. Doc says they are benign but they are SO annoying. I'm on a low dose of Sotelol which seems to help, but they are so unpredictable. My cardiologist says he will try another ablation, but I don't want to risk what happened the last time.

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@amandaburnett

Hi @sqwiz welcome to Mayo Clinic Connect. Thanks for deciding to join the conversation. You will see that I moved your question to a discussion that is already talking about Premature Atrial Contractions and Complexes. I did this so that you can connect with members that are going through your same situation and so you could benefit from what they have already shared and ask any additional questions you may have. People in this group like @danab, @cj66 and @slynnb may have more recommendations.
I thought you might also like to read an article that pertains to your diagnosis.
-Left Atrial Enlargement: Causes, Symptoms, and Treatment: https://www.healthline.com/health/left-atrial-enlargement
Does your physician currently have you on any maintenance medications for treatment?

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Following an episode where my wife passed out, my wife's doctor recently did a ECG 12-Lead test in his office and the impression stated::Sinus Rhythm, RSR (V1) nondiagnostic, left atrial enlargement and old anterior infarct. ABNORMAL. Should she see a heart specialist ASAP? What does the test reveal? Is she at risk of heart failure? Thx!

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@jimcullen

Following an episode where my wife passed out, my wife's doctor recently did a ECG 12-Lead test in his office and the impression stated::Sinus Rhythm, RSR (V1) nondiagnostic, left atrial enlargement and old anterior infarct. ABNORMAL. Should she see a heart specialist ASAP? What does the test reveal? Is she at risk of heart failure? Thx!

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Hi @jimcullen and welcome to Mayo Clinic Connect. Connect is not made up of Mayo physicians, but rather community members and patients just like you and your wife. I would definitely call the physician's office that ordered the ECG so that you can talk with the medical team and determine if they think she needs to see a specialist.

@truus1106, @danab, @predictable and @oldkarl have also participated in this conversation and have had experiences of their own.

After you received the results did anyone call you to talk about the report? Is she currently having any symptoms.

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@amandaburnett

Hi @jimcullen and welcome to Mayo Clinic Connect. Connect is not made up of Mayo physicians, but rather community members and patients just like you and your wife. I would definitely call the physician's office that ordered the ECG so that you can talk with the medical team and determine if they think she needs to see a specialist.

@truus1106, @danab, @predictable and @oldkarl have also participated in this conversation and have had experiences of their own.

After you received the results did anyone call you to talk about the report? Is she currently having any symptoms.

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My situation is a bit complicated at the moment and I'm not sure if I'm of any help. My medical background is: *mechanical aortic valve at the age of 49 * permanent atrial fib for about 26 years now * ablation didn't work * I (and my cardiologist) gave up after 7 cardioversions as the Afib returned every time * right now a leakage in the mitral valve (is causing breathing problems and fluid built-up), for which I'll be getting a few tests next week to determine what (if anything) can be done about it. If anybody can relate to this and offer any suggestions, I would be very grateful.

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@jimcullen

Following an episode where my wife passed out, my wife's doctor recently did a ECG 12-Lead test in his office and the impression stated::Sinus Rhythm, RSR (V1) nondiagnostic, left atrial enlargement and old anterior infarct. ABNORMAL. Should she see a heart specialist ASAP? What does the test reveal? Is she at risk of heart failure? Thx!

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@jimcullen Hi and Welcome to connect. I've had many 12 lead ECGs and the results are usually handed to the Doctor immediately. But based on the information given I can't say if it's a urgent situation but I can let you know that most technicians giving the test are a little knowledgeable about what is urgent and or can wait to be evaluated by a specialist . I thru my experience when I would ask how it looks would get the response "well I'm not allowed to say as I'm not a doctor but if I run out of here urgently might give you a clue. Even EMTs are trained enough to recognize life threatening verses is not an issue or can wait for a follow-up at a later time. I would have some confidence that if the Doctor hasn't either said anything yet or has not called for a follow-up it's probally not urgent.
Now as for the passing out I would tho follow-up and maybe seek an appointment with a cardiologist. Never hurts to know for sure. I hope that sets your mind at ease. Please let's us know how things turn n out and I went thru years of Heart issues so if I can help with any questions please let me know.
Have a Blessed Day

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@amandaburnett

Hi @jimcullen and welcome to Mayo Clinic Connect. Connect is not made up of Mayo physicians, but rather community members and patients just like you and your wife. I would definitely call the physician's office that ordered the ECG so that you can talk with the medical team and determine if they think she needs to see a specialist.

@truus1106, @danab, @predictable and @oldkarl have also participated in this conversation and have had experiences of their own.

After you received the results did anyone call you to talk about the report? Is she currently having any symptoms.

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I wish someone from Mayo would call me to talk with me about my experience with Mayo in Phoenix. Certainly 5 years is long enough to wait. oldkarl

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@danab

@jimcullen Hi and Welcome to connect. I've had many 12 lead ECGs and the results are usually handed to the Doctor immediately. But based on the information given I can't say if it's a urgent situation but I can let you know that most technicians giving the test are a little knowledgeable about what is urgent and or can wait to be evaluated by a specialist . I thru my experience when I would ask how it looks would get the response "well I'm not allowed to say as I'm not a doctor but if I run out of here urgently might give you a clue. Even EMTs are trained enough to recognize life threatening verses is not an issue or can wait for a follow-up at a later time. I would have some confidence that if the Doctor hasn't either said anything yet or has not called for a follow-up it's probally not urgent.
Now as for the passing out I would tho follow-up and maybe seek an appointment with a cardiologist. Never hurts to know for sure. I hope that sets your mind at ease. Please let's us know how things turn n out and I went thru years of Heart issues so if I can help with any questions please let me know.
Have a Blessed Day

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Thanks, we have scheduled an appt w/ cardiologist.

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@jimcullen

Thanks, we have scheduled an appt w/ cardiologist.

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Awesome, I hope all goes well.

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@oldkarl

I wish someone from Mayo would call me to talk with me about my experience with Mayo in Phoenix. Certainly 5 years is long enough to wait. oldkarl

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@oldkarl if you need to speak with someone about an experience you had, I would suggest calling the Office of Patient Experience.

Mayo Clinic Office of Patient Experience
Phone: 844-544-0036 (toll free)
Email: opx@mayo.edu

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Was diagnosed with atrial fib in October. Two hospital stays since then because of abnormal rhythm, fluctuationg BP and a pulse rate that has quite highs and lows. Recently changed cardiologists. My main concern is that I don't enough to even ask any questions. My main worry is that my health ahs been compromised and although death is probably not imminent it will probably occur earlier than if I did not have AF. Am I unduly concerned? I am quite active, 81 years old and do long distance traveling by myself. Is that wise or should I be 'shielding' myself from probable/possible problems? Thanks. I am a worry wart and have never had any health issues (other than severe arthritis). I thank anyone who can respond to this with an opinion/idea/thought.

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