Premature atrial contractions

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

@jddart

For me it wasn't about the caffeine but more the taste. So I don't miss the buzz and decaf has come a long way

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Oh yes me to loved a good Starbucks, but decaf has really improved as you say.

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@lolly906

Karen I was told the atrial was the least concerning because its in lower chambers? Iam confused now. Thank You Keith for all the info, I have been under a lot of stress lately and now this has made me more stressed! It sure helped me with your info! Karen Thank you to!

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Premature atrial contractions are benign. The atrium part of your heart is the UPPER part. Premature ventricular contractions are also usually benign . However, sometimes, they can develop into ventricular tachycardia which can be serious (mostly only if you have structural heart problems). Ventricular refers to the LOWER part of your heart, the ventricles. Atrial fibrillation is a rapid – regularly irregular – arrhythmia that is not life-threatening but can make you feel awful ( or you may not notice it, depending on the person ) but raises the risk fo rstroke. It is NOT the same as PACs . Ventricular fibrillation is a different story and life-threatening – however, it is far less common that atrial fibrillation and associated usually with serious heart disease. Please don't confuse PACs with some kind of serious arrhythmia. They are premature beats of no consequence the vast amount of the time – but they can be frightening. PVCs are also part of a normal heart rhythm – only some people may have more than others.. but occasional PVCs in a normal heart are just part of life.

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@slynnb

Premature atrial contractions are benign. The atrium part of your heart is the UPPER part. Premature ventricular contractions are also usually benign . However, sometimes, they can develop into ventricular tachycardia which can be serious (mostly only if you have structural heart problems). Ventricular refers to the LOWER part of your heart, the ventricles. Atrial fibrillation is a rapid – regularly irregular – arrhythmia that is not life-threatening but can make you feel awful ( or you may not notice it, depending on the person ) but raises the risk fo rstroke. It is NOT the same as PACs . Ventricular fibrillation is a different story and life-threatening – however, it is far less common that atrial fibrillation and associated usually with serious heart disease. Please don't confuse PACs with some kind of serious arrhythmia. They are premature beats of no consequence the vast amount of the time – but they can be frightening. PVCs are also part of a normal heart rhythm – only some people may have more than others.. but occasional PVCs in a normal heart are just part of life.

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Thanks for this informative post. I have the PACs and drive me crazy sometime🥰

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I am currently in Germany and can't find Decaffeinated Tea. I have seen Roobois or South African Red Tea. Has anyone drank this? It's supposed to be both good for your heart, and has no caffeine. Since it is an herb tea, not actually tea, I worry that it could have an interaction with the medication Flecainide that I take daily for Afib. I haven't been able to find any information as to drug interactions for this tea. Does anybody know?

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Hi @kenny48,

As you mentioned, Rooibos tea—also known as red bush tea or African red tea—is an herbal tea made with the leaves of Aspalathus linearis plant.
This plant is native to South Africa and like most teas, contains high levels of polyphenols that are thought to provide an array of health benefits. There are two many types of rooibos tea: red rooibos tea is oxidized and tastes similar to black and oolong tea; green rooibos is unoxidized and tastes more like green tea. Here are two articles I found, about Roobois tea and it’s interaction with medication:
https://www.sciencedirect.com/science/article/pii/S0254629914000726
https://www.medicalnewstoday.com/articles/323637.php
I realize you’ve only recently moved to Germany, but it would be best to consult a doctor about this. Would it be possible to order decaf. tea online?

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@kanaazpereira

Hi @kenny48,

As you mentioned, Rooibos tea—also known as red bush tea or African red tea—is an herbal tea made with the leaves of Aspalathus linearis plant.
This plant is native to South Africa and like most teas, contains high levels of polyphenols that are thought to provide an array of health benefits. There are two many types of rooibos tea: red rooibos tea is oxidized and tastes similar to black and oolong tea; green rooibos is unoxidized and tastes more like green tea. Here are two articles I found, about Roobois tea and it’s interaction with medication:
https://www.sciencedirect.com/science/article/pii/S0254629914000726
https://www.medicalnewstoday.com/articles/323637.php
I realize you’ve only recently moved to Germany, but it would be best to consult a doctor about this. Would it be possible to order decaf. tea online?

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@kanaazperiera what a great article I love Roobois tea I drink alot of different herbal teas thanks

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I have pericardial effusion. It was discovered during my Watchman Implant on 10/2/2020. I have shortness of breath, a heavy feeling in my chest, occasional stabbing pain, but mostly constant aching around my heart. My left shoulder also has chronic pain. My Electrophysiologist put me on a Lasix plus potassium when I saw him on 10/9. It’s not working, plus my right ankle is now swollen. I have an appointment with my cardiologist tomorrow, 10/12. What should be the next step to eliminate the fluid and relieve my shortness of breath and pain?

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@cj66 Hi and Welcome Connect. Just as an introduction being I see this is your first post. We are a group of patients and caregivers who come here to share our experiences and help one another with what we have experienced.
Your post took me back to my journey and im pretty familiar with that condition. Basically fluid has built up around your Heart and Lungs, it's putting pressure on them causing them to work harder. So the first step is to get rid of the fluid which is what the Lasix does. The fact that your ankles are also enlarged indicates fluid retention also. So then it will have to be figured out why your retaining and that can be heart related but many other things also. So the out of breath is the fluid also. I would say if its not getting better i would call the Doctor and let them know when i was having those issues it was common to adjust the dose of lasix quite often.
I see tho that today is the 13th so you probably know some more now. I will be here to help with any questions you may have going forward. Please let us know how the Doctors appointment went. Did they figure out a cause?

Have an Awesome.Blessed Day
Dana

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I was first diagnosed with “severely enlarged left atrium” after an echocardiogram. Looking for causes, I was diagnosed with Premature Atrial Complexes after a 48 hour Holter Monitor test. Also have minor leakage in left valve which may be due to enlarged atrium stretching the valve. I have no other heart conditions or symptoms other than slow heart rate; I did start using a CPAP about two years ago for moderate sleep apnea. My concern is stopping the enlargement and escalating any additional heart conditions. Any other patients been down this path or mentors have suggestions?

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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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Thank you Amanda @amandaburnett , great Healthline article on enlarged left atrium. An update on my post after cardio visit Monday; cardio doctors consensus is that enlargement is result of sleep apnea (silent Afib) which probably contributed to PAC, and enlarged atrium maybe stretching the mitral valve.
I have used CPAP almost two years now and used during Monitor test. No Rx have been suggested, just plan another echocardiogram in a year and report any symptoms like those listed in your Heathline article. If diagnosis is correct, I may be a poster child for not avoiding sleep apnea!

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@sqwiz

Thank you Amanda @amandaburnett , great Healthline article on enlarged left atrium. An update on my post after cardio visit Monday; cardio doctors consensus is that enlargement is result of sleep apnea (silent Afib) which probably contributed to PAC, and enlarged atrium maybe stretching the mitral valve.
I have used CPAP almost two years now and used during Monitor test. No Rx have been suggested, just plan another echocardiogram in a year and report any symptoms like those listed in your Heathline article. If diagnosis is correct, I may be a poster child for not avoiding sleep apnea!

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@sqwiz Hi and welcome to connect, ill see you have some positive word already but so you also can realize your not alone. I too have had the symptoms you mentioned except for me that was the area that was not the main problem. I had Ventricular Tachycardia which was dangerous. But as I've said many times when you start to think about heart issues you become more aware of different things that probably went unnoticed before. I had a pacemaker and during my checkups is when I found out about PVCs since the device recorded them. But my doctor never was concerned about those and he said if I had a long run like im. talking many minutes he may address it but mine was never an issue. But you can feel them and he also said most people have them. but don't notice. Same with skipped beats just a normal occurrence.

Now I also have sleep apnea which can make heart issues worse so keep up with that therapy. Even now since my transplant I still use my CPAP even with a new heart the apnea did not go away and I want to do everything possible to help not have future issues. So even if it's mild it will help keep your heart healthy. Please if you have any other questions ill be around.
Have a Blessed Day
Dana

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@danab

@sqwiz Hi and welcome to connect, ill see you have some positive word already but so you also can realize your not alone. I too have had the symptoms you mentioned except for me that was the area that was not the main problem. I had Ventricular Tachycardia which was dangerous. But as I've said many times when you start to think about heart issues you become more aware of different things that probably went unnoticed before. I had a pacemaker and during my checkups is when I found out about PVCs since the device recorded them. But my doctor never was concerned about those and he said if I had a long run like im. talking many minutes he may address it but mine was never an issue. But you can feel them and he also said most people have them. but don't notice. Same with skipped beats just a normal occurrence.

Now I also have sleep apnea which can make heart issues worse so keep up with that therapy. Even now since my transplant I still use my CPAP even with a new heart the apnea did not go away and I want to do everything possible to help not have future issues. So even if it's mild it will help keep your heart healthy. Please if you have any other questions ill be around.
Have a Blessed Day
Dana

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@danab

Thanks Dana for the wonderful information… I think that after reading your response, I also get PACs as well as PVCs…I too, have a mild case of sleep apnea
I couldn’t handle the CPAP machine……

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Hi Robbie, if my sleep apnea proves to be the CAUSE of my enlarged atrium, PAC and valve leak, I would encourage you to challenge your sleep doctor to find you a CPAP mask that works for you. My heart conditions were discovered after an EKG and subsequent echocardiogram; and doctors initially thought the PACs caused the enlarged atrium because that was all they found during my holter monitor test that could possibly explain enlargement. Since I was using by CPAP during the monitor test, I most likely am not experiencing more severe Afib or apnea irregularities that would better explain the atrium enlargement. Hoping their explanation is correct and enlargement has stopped so valve leakage does not increase, or other issues evolve.

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@robbie1956

@danab

Thanks Dana for the wonderful information… I think that after reading your response, I also get PACs as well as PVCs…I too, have a mild case of sleep apnea
I couldn’t handle the CPAP machine……

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Hello @robbie1956,

I see that you had a difficult time using a CPAP machine. At Connect we have a discussion on the use of the CPAP. Here is the link to that discussion, https://connect.mayoclinic.org/discussion/sleep-apnea-29d741/.

As you read these posts you will see the many changes and accommodations that were made by others to adjust to the CPAP and the masks.

If you care to share more information, how long did you try to use the CPAP?

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