General Discussion Triathlon Talk » anyone extra atrial contractions Rss Feed  
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2012-09-22 9:52 PM

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Subject: anyone extra atrial contractions
Hi everyone, last year i started having some odd heart rate readings. They went away and the cardiologist didnt seem too concerned. I didnt really have a problem all season. After i ended my season in August i started having more problems. Iwore a Halter monitor. It picked up 1000 extra atrial contractions in 48 hours. I meet with the doc this week to discuss the findings and figure out whats going on. Its a little uncomfortable when the atrium contracts without ample blood. I am a little worried about the cardiac related drownings that occured this season. Has anyone delt with this? I heard It could be so many things. Thyroid isues, cafine, other hormones etc. I want to keep doing tris and i'm a little worried I can 't. Thanks


2012-09-23 12:32 AM
in reply to: #4423677

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Subject: RE: anyone extra atrial contractions

From the sounds of what you are describing you are having what is known as pre-atrial contractions or PAC's.  There are several types of ectopic beats possible in the heart.  This particular one affects the upper chamber (atrium) rather than the lower chamber (ventrical.)  It is an irritable focus in your heart causing the occasional uncoordinated beat between your atria and ventricles.  Nearly everyone has an occasional innocent episode here or there if you were to look long enough, some we may feel or notice, most we won't.   1000 individual episodes in 48 hours is excessive.   All the potential factors you listed could be the etiology of the errant beat.  Do not let any of your Physicians tell you not to worry, and simply disregard this.  While it is true it may never give you any problems, it could also be cause for concern of another greater problem later on down the road.  I dont want to worry you unneccessarily, but, get it checked out fully.  My best advice is seek multiple opinons from multiple independant sources.  Your Cardiologist should repeat the Halter to compare to the previous study, perform a stress test, possibly an echo, and send you for a complete metabolic panel (blood tests.)  If a heart defect is found DO NOT PANIC.  There are many different avenues of treatment that may fit your needs.  It may be something as simple as changing your diet, or you may need medication to stabilize the irritabilty within the heart.  Other therapies exist beyond that, but no need to worry about those yet.  Take one step at a time and get your tests and full cardiac work-up done.  We all have factors that may affect our health, some we can control others we cannot, such as genetics.  My family has a predisposition to hypertension and a heart condition called PSVT which is a disorder not dissimilar to yours.  The difference is that some day my heart will suddenly jump to greater than 180 beats per minute or more without warning due to a problem with the electrical conductivity within my heart.  Once again, there are many different therapies and treatment modalities to follow.  Go see your primary care doctor for a full physical, see your cardiologist and evaluate his/her recommendations.  Don't be afraid to seek second or third opinions.  Ask questions and get informed.  Best of luck to you, I hope there is a simple explanation to your current issue, with an equally simple remedy. 

*Disclosure, I am not a physician.  I am a Fireman and Paramedic with over 13 years of patient care experience.  I've done more CPR than I can to remember and have seen way too many people let simple medical issues become larger problems.

2012-09-23 7:19 AM
in reply to: #4423677

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Subject: RE: anyone extra atrial contractions
Thanks for your response. I forgot to mention, I did have an echo and stress echo 6 months ago and everything came out good. They didn't do any blood work though. They did call it pacs on the phone. Thanks again.
2012-09-23 11:13 AM
in reply to: #4423677

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Subject: RE: anyone extra atrial contractions
To disagree with the previous poster, premature atrial contractions is essentially a benign and harmless condition, especially considering your recent normal echo and stress test. The heart beats 100,000 times per day, and you are having a PAC on average once every 3 minutes. I myself have had days where I'm having several per minute. Your physician was correct in telling you not to worry, especially if you are assymptomatic. Multiple consults and extensive testing are unnecessary.
2012-09-24 12:16 PM
in reply to: #4423677

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Subject: RE: anyone extra atrial contractions
Agreed, if you have had a full work up and everything looked good you have nothing to worry about. It only becomes problematic if you have associated symptoms. It's always prudent to stay on top of issue like this, and it sounds like you have.
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General Discussion Triathlon Talk » anyone extra atrial contractions Rss Feed