Echo insight, dilated IVC with no collapse

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c farl
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Date Joined May 2017
Total Posts : 2
   Posted 5/9/2017 9:57 AM (GMT -6)   
Hi there, I've been stalking this forum and others for awhile and finally need to see if anyone can give me some insight on my ol' ticker.

I am a very healthy 46 yo guy (with no family history of bad hearts) that developed PVCs about three years ago. On January 1 this year, they became continuous, usually bigeminy when near a resting heart rate.
My Holter showed 20% of a normal work day was irregular so 20-25,000 per day. I am on 50mg of beta blocker and going up to 75 but my resting hr is already 60-...

So my question is this, I had a second echo in Feb which showed a dilated IVC without collapse during respiration. I had an echo done in 2014 which did not comment on my IVC size (different Dr).  The echo I had done in 2014 had an estimated RA pressure of <5mmHg (normal), this echo from Feb says RAP of 10mmHg, I don't think that is crazy high (?), I'm not a trained athlete but I am semi-athletic and do exercise regularly. 

My current Dr is not concerned, but I only got these results after I saw him last so I have not gone over them with him. We have primarily been focused on my PVC and trying to get them under control. 

Other echo tid-bits: right to left atrium shunt (PFO), mitral valve thickening with trace-mild regurg (also curious if anyone has insight on the thickening), tricuspid pulmonic also have trace regurg. Other than that I think everything is pretty normal. 

If you have any insights or questions I can take back to my Dr, I'd appreciate it.

c farl
New Member

Date Joined May 2017
Total Posts : 2
   Posted 5/9/2017 10:17 AM (GMT -6)   
Edit, I should add my blood pressure has always been pretty good, even low when I was younger.
Before my beta blockers it was around 130/80 now 120/70 give or take. I'm 46

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Date Joined Feb 2003
Total Posts : 16796
   Posted 5/10/2017 1:40 PM (GMT -6)   
Hello & welcome to Healing Well. I really cannot answer your questions, however, try to rely on your drs expertise in this area. The BP is fine. The trace regurg is pretty common, usually the drs do nothing but monitor that. If your dr finds anything to be concerned about, he will tell you straight up.

Please come back & let us know what your dr has to say. Take care.
Moderator in Chronic Pain & Psoriasis Forums
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