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I appreciate this so much doctor. I never had PVCs before until I developed iron deficiency anemia. After I have iron infusions they go away, but before I knew about the anemia I thought I was having heart problems and its was pretty scary to feel that for the time in my life. Health anxiety is really life altering, then having the anxiety feels like causes even more PVCs. Thank you for explaining and helping ease my brain. 😊🙏

Silly question perhaps but do pacemakers need recharging and if so how ? Thanks in advance

As a first year EP fellow, your videos are extremely helpful. Dr. Cooper, you are a true master teacher and educator. It is the ability to simplify complex concepts along with the willingness to spend time and effort creating solid diagrams and presentations. Also, you know exactly what concepts are tricky and require more explaining, and which ones are straightforward and easy to understand. Many people/attendings lose that sense and once they understand something they can not relate to others who are learning these concepts for the first time. On a similar note, in EP 101, EVERY time you commented during someone else's talk, it was at the exact time and point when I start getting confused and next thing is Dr. Cooper chiming in to make things clear and put us back on track. Thank you so much for everything you do for us, EP fellows.

Hello Dr.Joshua i have the same problem and on January 13 i have the surgery or how u call it ...soo i'm not soo happy :/

My cardiologist recommended I get a pacemaker for my fast heartbeat. I asked him how it would help and he said that the pacemaker would allow him to give me more meds. Is this true? I’d rather not take more meds which is why I have hesitated to get the pacemaker. Why would I need more meds if a pacemaker is supposed to slow down my heart rate? I’m currently on 160 mg of sotalol and 120 mg of cardizem and still wondering whether a pacemaker is the right choice.

Dr. Josh Cooper I was just diagnosed with unifocal PVCs. I’m a mom to a 1.5 year old and I have high anxiety. They are telling me it could be from just being sick with a cold, but I also drink caffeine, stress, and get interrupted sleep. I was sent home from the ER but I’m terrified I’m going to have sudden cardiac arrest. Everyone says these are not harmful, but I feel impending doom.

Really well Done. I’ve been trying to figure out why I cough. Thank you. I feel better knowing more. You’re a very good Doctor.

Thank you so much. Can you please explain, why monomorphic Trichy cordio occurred😢

Thank You So Much Dr Cooper for this wonderful resource in diagnosing SVT in EP lab, greetings from Pakistan.i started my EP fellowship few months ago and found this lecture very very helpful 👍

I have been suffering from heart conditions for the last eight years. This includes a declining ejection fraction, which is now down to 24. I’ve been explaining my conditions to my doctors forever and no one, and I mean no one has given me the proper explanation. All the way from the feeling in my neck to why my blood pressure seems to drop down to 38 to 45 during exercise or anytime I exert myself. Your video meant the world to me. I cannot explain to you what it meant to me. I finally got someone that told me what exactly is going on with my heart. God bless you, my friend thank you.

Excellent layman explanation!! Thanks.

Thank you so much for the great explanation. Is there any evidence to suggest that topical minoxidil can be the factor that triggered pvcs in the first place?

I wound up in the ER with symptoms that turned out to be PVCs. The doctor wasn't even going to tell me except that my husband had gotten out of the nurse what the weird blips on the monitor were when I felt bad. Apparently it wasn't worth knowing?

Hi Dr. Can you explain a T- wave inversion and if and when to worry ?

I went to my primary care because I was having palpitations and they detected I have this. I had a 4.9 second pause while sleeping. I’m really scared and will be going to a cardiologist to figure this all out. I’m only 34

Very useful. God bless you.

Thank you. Very helpful, and explained very well in plain language.

Thanks for the clear graphics on the ECG vs. the Pulse Oximeter plots. I found my PVCs with the PulseOx and a Kardia Mobile confirmed it. Others explained it verbally, but the graphics really show what is going on. I guess I want a watch style ECG now. Anyone have experience with Apple watch or other for monitoring PVCs?

im a med student that enjoys electrophysiology. I needed to make a presentation using many of the presented principles here. Really helped me!! Would particularly be interested in a video about VT-abl and the evolution of the simple circular model to the figure of 8 and finally the hourglass and substrate mapping. Thank you so much!!

It’s been 3 years since I’ve been dealing with this and I’ve noticed some major factors I’d like to share. The more frequent I’d get mine are when I have a major increase in weight, food triggers, and stress. Granted this is if you have no other heart issues and all your tests come back fine. My process that helped the best where light exercise, and supplements coQ-10, magnesium, potassium and l carnitine. I’m 5ft10 and noticed keeping my weight in the 180’s was best also. I had great results, and then let myself go. I started drinking again socially and eating those bad fried foods again in the last 6months gained weight back to over 207lb’s. And now I’m Back to getting those “alarming” scary PVC’s. So I wanted to comment and let ppl know don’t let up even when y think your fine. Health is wealth! Atleast this time around I have a better understanding of what is going on and what to do! Best of luck everybody

Hello Dr thanks for the video it showing all the explanations about WPW , i have WPW the dr gave me concor 2.5 is it good ? until I do the ablation but I’m afraid 😢

Good

Hello Doc. I'd like to ask not sure if its PVCs but ill be sitting, showering or exerting and ill feel like my upper body jolts when i feel the palpitation. Happens more when laying down. Feels like air being pushed out through stomach to chest to throat. Like i lose my breath for a sec. Doctors cant give me an exolanation. Im tired. Ruining my quality of life

I have suffered with these since i was 15, im 39 now and have learnt to deal with them. Im a very anxious person and my Dr told me that mine are due to anxiety and stress. This Dr explains pvc's very well. What i take daily to take away that awful scary feeling in my chest and stomach is magnesium x2 daily and ceyenne pepper 1x teaspoon twice daily in a shot glass with water. If you read up on ceyenne it has great benefits for arteries and the heart. Do not worry too much guys as it can make them worse. ❤

Laat month every few minutes i get a big thud or beat in my chest i feel it coming before i get it its scary anyone else get this?

Marvelous sir.....Sir is there any course u teach for electrophysiology in toto?

I had ablation mapping at 16 and a 3 hr surgery lasted 9 hrs. Not good, as soon as I was taken off blood thinners I had strokes and grand male seizures at 6 months after procedure. I waited til I was 21 to have corrective surgeries for WPW but the damage was done. It has made life difficult and I still deal with all the symptomatology and irritations from what would set my heart off. I lived but it has been a struggle and I have just been homeless most of my adult life because I need a home away from everyone else's stuff and cannot afford this. 😢

People don't want to acknowledge that the sensitivities are still there with ablation so things that would have caused tachycardia still cause significant discomfort and distress. It has been difficult to live anywhere that doesn't affect this condition and I can't afford a medically necessary house. Try so hard to get no where

I am from srilanka. Thank you so much. ❤💐💐💐💐

Can you use induction cooking stovetops or hobs?

I just had to wear a heart monitor for 3 days. Diagnosed with symptomatic PVC'S at a rate of 5.3 % which is moderate. Also I had a 8 second run of tachycardia. I'm already on the max dose of propranolol 160 mg er. Dr. Is deciding if metoprolol would be a better solution. I have general anxiety disorder so that's why the propranolol. But I'm wondering how different these meds are from one another?

Brilliant!!!

What an amazing lecture. Thank you so much for taking the time to also reference the relevant papers. Invaluable!

Thanks Doctor. I get my pacemaker tomorrow morning.

Great information , now I have a clearer idea of what’s happening

Thank you Dr Cooper. My partner is having a pacemaker, so I naturally look for as much information as possible. A balanced, informative and easy to follow post. Thank you.

This was VERY helpful!!! When I workout sometimes my heart rate gets high, I see that and panic some and then PVC’s start. Is that dangerous when the HR is high?

Thank you so much for this thorough explanation. My 10yo was recently diagnosed with WPW after an episode where his heart was beating at 240bpm. This video has helped us understand more completely what is going on. Thank you so much.

How to resolve if it is Mobitz 2 if Holter Ecg strip goes like this: longer PR interval, shorter PR interval, longer PR interval with very little differences in interval longevity among them and then P wave with dropped QRS complex? And it is nocturnal in sleep? Thanks very much in advance for every answer.

Thank you so much for the information you provided. It is very helpful and appreciated. Just got my dual chamber pacemaker 5 days ago.

Amazing presentation! You are a true sensei in arrhythmology !

This was the most amazing video. I have watched on PVCs. Thank you so much for doing this video. I understand what’s going on with me now.

amazing effort Dr. Joshua! i cant thank you enough

Thanks a lot dr. Joshua Cooper for your effort and systematic review of the SVT diagnosis. Really do appreciate. Waiting for more videos.

great presentation !! i hope it would help me with getting specialized in arrhythmia.

Thank you from Thailand.

I have developed atrial bigeminy some months ago and it is terrifying, particularly when you also get PATs concurrently. Not sure what happened to my SVTs since this new arrhythmia.

Are PVC'S the same as Ectopic heart beets? Sorry if this is a silly question, but I really don't know if they same or not

This is an excellent video, thank you so much!!!

Definitely a good explanation! I found out a few months ago that this was what had been going on with me during a long season of high stress. The only thing I still wasn't sure of was if the sensation to cough was related or not but assumed it was, but now I know. Luckily I was able to make some changes in job and lifestyle and I've gone from strong PVCs daily to one or two a month.