Help...PAC and PAT runs driving me nuts

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bigben7tony
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Location: Kettering, Ohio
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Help...PAC and PAT runs driving me nuts

Post by bigben7tony » December 27th, 2010, 7:42 pm

I have had the return of pacs and pats-my heart goes from 60 to 70 to 80 to 90 to 100 and then reverses order back to 60. My normal pulse from the Coreg is 60. They are happening every 4 or 5 minutes and I am at my wits end. tanty

I went to rehab today and they showed up on the monitor during my light workout. The cardiac nurses weren't too concerned and said they would fax the pictures to my ep tomorrow.

When I got home they continued and I called the doctor on call, who happened to be my ep! What are the odds of 6 docs and him being on call tonight dancee
I told him what was going on and he said they usually stop just as quick as they started and to ride it out for a couple of days. He will look at the pictures when he is at the hospital tomorrow and he said to call the offfice Wed if they are still bad.
He wasn't too concerned and said that these are more of a bother than a danger.

Of course "nervous nellie" is having a hard time wrapping his head around this expert advice. offwall offwall

Sorry to wine for so long but any thoughts would be appreciated.

BTW, I deleted my picture to put another one in and neither would work...so you don't have to look at my ugly mug :xmaslaf:

Thanks,
Tony
SCA August 3,2009
ICD August 6, 2009 St. Jude, exchanged for a Medtronic Consulta BiV on March 29, 2013
Shocked on Aug 25, 2009 and May 6, 2011 Amio added for the 2nd time
Artificial Aortic Valve
Afib, Slow Vtach, V-fib, CHF
Atrial ablation 2/24/11
Heart Failure and low EF 2013
Drugs: Amio 200, Coreg 12.5, Coumadin 2.5, Crestor 10, Lasix 80, COQ10 200, magnesium, ativan 1, dexilant 60 and potassium(the giant pill)40 meq, Methotrexate 15 mg once per week

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ladyheart
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Re: Help...PAC and PAT runs driving me nuts

Post by ladyheart » December 27th, 2010, 9:52 pm

Tony, I understand. I think I overdid it while shopping a lot before Christmas and ended up with lots of pitter patters and feeling weak and several other unusual symptoms. Last Thursday, it so happened that I was at the lab getting my monthly blood draw just two doors down from my doctor's office last Thursday. So I stopped and asked them a few questions (have never done that before, but I still know they consider me a nervous nellie---I've heard them say it when they thought I was far enough away)! Anyway, they were not concerned in the slightest and sent me away with no reassurance whatsoever. Just told me to go to the ER if I felt I needed to (as it was quitting time for them).

As it turns out, they were right. I've been sleeping long hours at a time since Christmas morning, so I'm sure I was just completely worn out. No more symptoms like I was having. But, I'm just saying that I understand your concerns.

I've decided to switch doctors though. Don't like that aloof and demeaning treatment.

Hope you feel better. Let us know.
Lori
Idiopathic Cardiomyopathy & CHF 1996
Mitral Valve Replacement 1997
first ICD 2005, Guidant
second ICD 2010, St. Jude
Sudden Cardiac Arrests: 1 in 2005, 10 in 2009

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ladyheart
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Re: Help...PAC and PAT runs driving me nuts

Post by ladyheart » December 28th, 2010, 2:58 am

By the way, what do PAC and PAT stand for? I should know all of this, but my mind is blank.

And your mug is not ug! lol
Lori
Idiopathic Cardiomyopathy & CHF 1996
Mitral Valve Replacement 1997
first ICD 2005, Guidant
second ICD 2010, St. Jude
Sudden Cardiac Arrests: 1 in 2005, 10 in 2009

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Suzanne
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Joined: October 1st, 2009, 8:42 pm
Location: Toronto, Ontario, Canada

Re: Help...PAC and PAT runs driving me nuts

Post by Suzanne » December 28th, 2010, 9:04 am

I think, what Tony is referring to, means PAC- premature atrial contraction and PAT- premature atrial tachycardia.
~ Suzanne ~

St Jude ICD and Lead Implanted Feb.20/09
8 Shock Storm March 21/09
Lead Dislodged, so Replaced with Medtronic Lead June 16/09
ICD and Lead Explanted Nov.23/09
Medtronic Reveal XT (Cardiac Monitor) Implanted Jan.25/10...explanted and new one reinserted on July 21/11

Cardiac Monitor explanted Sept.9/14

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freckles1880
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Re: Help...PAC and PAT runs driving me nuts

Post by freckles1880 » December 28th, 2010, 9:07 am

Postural Orthostatic Tachycardia.

Paroxysmal atrial tachycardia
Bob

Medtronic-Visia AF implanted 7-8-2016 stayed with the with 6947 Sprint Quattro Secure lead. Original ICD implant 2-4-2009. ICD turned off 10-6-17 as stage 4 lung cancer taking over.
Major heart attack, carcinogenic shock and quad bypass 10-13-08 post myocardial infarction, old inferior MI complicated by shock and CHF, combined, Atherosclerosis, abdominal aortic Aneurysm, Seroma 7 cm, left leg. Stent in the left main vein 10-7-2014

My "Wardens" are my bride of 54+ years and my daughters.

bigben7tony
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Re: Help...PAC and PAT runs driving me nuts

Post by bigben7tony » December 28th, 2010, 2:14 pm

Suzanne wrote:I think, what Tony is referring to, means PAC- premature atrial contraction and PAT- premature atrial tachycardia.
I think this is what the rehab nurse said.

I went to the Internal Med doctor for my sinus infection and we discussed the heart situation as well. She said the choices were to "ride it out", go to the er or increase my coreg by 12.5 as needed to see if that works. Is anyone on 25mg of coreg twice a day?
She also took blood to do a metabolic panel to find any problems or rule things out.
Tomorrow I check in with the ep to see where we go from here...
Thanks for you help :hugg:
SCA August 3,2009
ICD August 6, 2009 St. Jude, exchanged for a Medtronic Consulta BiV on March 29, 2013
Shocked on Aug 25, 2009 and May 6, 2011 Amio added for the 2nd time
Artificial Aortic Valve
Afib, Slow Vtach, V-fib, CHF
Atrial ablation 2/24/11
Heart Failure and low EF 2013
Drugs: Amio 200, Coreg 12.5, Coumadin 2.5, Crestor 10, Lasix 80, COQ10 200, magnesium, ativan 1, dexilant 60 and potassium(the giant pill)40 meq, Methotrexate 15 mg once per week

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