Hi everyone, I am new to this site as a member, but have been reading many of the posts for awhile. I have to say that the idea of having an ablation scares me to death, given many of the comments about healing difficulties and repeat procedures.
Here is my story: I have had PVCs for over 30 years. They were bothersome and scary to me but never really life altering. They were somewhat attenuated by beta blockers, but really improved about 20 years ago when I had thyroid surgery for Hashimoto's Thyroiditis. Since that time, I have been taking levothyroxine and my lab values are always within normal range. about 3 years ago, I was discovered to have moderate to severe aortic insufficiency, and have had serial echocardiograms that have showed little change. about 5 to 6 months ago, the palpitations increased with a vengeance. I have always ignored them fairly successfully, but I began to have unexplained falls. which is very dangerous for me as I have 2 artificial knees. I have also had some periods of altered consciousness - feeling muzzy headed - hard to explain, and some minor chest pains. I went to my cardiologist and he said the EKG showed PVCs but no big deal. We tried a trial of atenolol, but it made me feel worse and more lightheaded so we quit that one. After I fell again, I pushed him for some additional evaluation. He did a Lexiscan stress test which revealed little: baseline EKG with sinus rhythm with PVCs with increased PVCs during test and recovery. Some couplets. No other specific findings. An echo done immediatelt after the stress test showed mild L atrial and L ventricular dilatation, moderate aortic regurgitation, mild to moderate tricuspid regurg, mild pulmonic regurg, but the technical quality was only fair. Later, we did a 24 hour Holter which showed that I was having >19,000 PVC s day, average 820/hour. The majority were single PVSc but thyere were 146 paired and 1075 trigemy The majority of these were ventricular ectopies, with only a few supraventricular ectopies - about 1/hr with only 1 run of 4 beats. A fill-in doc who provided me the results said it was nothing to worry about because I have had a history of PVCs (note to this cardiologist: maybe I had had them before but never to this extent)! My regular cardiologist is now sending me to an electrophysiologist for an ablation. I havent seen him yet, but I am worried about whether this will help or make the worse. A couple of questions: My isolated systolic blood pressure is ofyen high with a wide margin between systolic and disatolic (like 150/57).could this be caused by the arrythmias? Are the dizzy spells related? My cardiologist isnt so sure that the falls/dizziness are related. Any thoughts or advice on ablation? Thanks so much in advance.