They're Just Premature Atrial Contractions... Or ARE They?
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- čas přidán 17. 08. 2018
- How do you recognize Premature Atrial Contractions or PACs? Easy, right? In this lesson I present a case of an elderly patient who was on telemetry and was having frequent premature beats that were labeled as PACs. We will discuss how to use your knowledge of physiology to look critically at so-called "Basic" rhythm strips. You may be surprised!
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I appreciate the time taken to put together content on PACs with the use of ECGs and explanations tied to the structure of the heart and the electrodynamics involved. I have been battling for two and a half years over many different diagnosis without a single intervention. I finally resorted to the purchase of a Kardia 6L ECG device in order to record and keep a record of my ECGs and for providing them to PCPs, PAs, Interventional Cardiologist who up until Sep 2021 have done absolutely nothing; but, toss out one diagnosis after another from a Wandering Atrial Pacemaker, to PVCs, PACs, SVE, etc. It took the results from the Kardia 6L being sent into doctors to finally get them moving to providing some type of intervention with an Electrophysiologist. It is that doctor who finally responded with the expediency that I expected and now Ablation Therapy for PAC with RHYTHMIA and ORION has been scheduled.
I had resorted to courses and CZcams videos on ECG interpretation to try and unravel what exactly is taking place in my heart. It is video's like this that help to explain what I am seeing on my own ECGs. I am not an MD and I know the it takes yers of training to become an electrophysiologist; but, my need was immediate because of the inaction being experienced with providers where I live (Oklahoma). At least now, I am treated with some degree of respect and agreement and things are now moving forward as I would expect thanks to videos like those from the ECGDoc. THANK YOU !!!
You're welcome, Glenn! Good luck with your ablation!
This is awesome, keep it up. Thank you for the material.
Thank you for the lesson. Watching from Trinidad & Tobago. Love in the house.
This was fascinating! Thank you for explaining everything so clearly! I’m currently wearing a Holter monitor to track what appear to be PACs (or ARE they?😂) and will be seeing a cardiologist later this week. So, it was cool to watch this video and get a little primer on how to interpret this stuff.
Well, thank you for watching! I'm glad you appreciated the information. Good luck to you!
Love it ! thank you so much !
Thanks, Laure!
Good job and thank you for helping me with my homework! :)
Sarah -- you're welcome!! :-)
Hai, i get pacs daily...life threatening?
Need to be smoother. It is distracting to to me to hear your comments on mouse troubles or computer troubles. I then want to help you with the computer troubles instead of the subject.
"Wow, how cool" - people suffering kinda disagree.
What are you saying?
I’m 26 and I’ve had 52 PACs in 24 hours according to a holter test?
Is that ok?
Hi, MJ -- that's well within the norm for a Holter monitor. Hopefully they don't bother you too much...
@@ECGDoc Thanks.
Maybe you can figure this out?
Beginning in March this year I had an incident where I got really anxious and then felt very sharp intermittent pains right where my heart is, on my chest.
After that I had a persistent resting tachycardia of 90-130 bpm (pulse oximeter) that wouldn’t go away until 3 weeks later. The pain and palpitations got less intense right about there at ~3 weeks.
During this I couldn’t sleep well because my heart was just contracting much harder (jerking my entire upper body on every beat) and any movement at all would cause it to speed up, or would cause sharp chest pains.
I got in the shower and didn’t realize hot water can make your heart work harder, which caused serious left chest pain in shower.
Then after it all improved over 3 weeks, the same thing happened again 2 days later (sharp pains, tachycardia) and the same horrible symptoms occurred for 3 weeks.
I let it improve again, and now my heart is somewhat better, but I still have a hard heartbeat that jerks my entire chest, and movement induced tachycardia.
So I went to the doctor after the 2nd episode and I got an echocardiogram and the 24 hour Holter monitor, which came back normal.
So my cardiologist says I am fine.
3 days ago I was playing a video game that gave me a momentary adrenaline rush, which sent me into 90-130 bpm resting tachycardia for the last 5 days.
Now the constant tachycardia has died down but my heart is still messed up.
I’m laying down and my heart will be resting at 66 bpm (I can even get it to 56 bpm), and then I will move/adjust slightly, still laying down, and my heart will shoot up to 100+ bpm, then fall back down to ~73 bpm.
I have no idea what is wrong with my heart.
Was reading stuff about coronary artery vasospasm from too much adrenaline?
Now I’m afraid to exercise, and have to stay really really calm.
On my echo I had trace/physiologic regurgitation in 3 valves but that’s normal.