Posted 5/9/2017 8:57 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.