PVCs: The Good, The Bad and The Ugly (Fermin C. Garcia, MD) February 7, 2019

LIVESTREAM RECORDING
February 7, 2019
“PVCs: The Good, The Bad and The Ugly”
Houston Methodist DeBakey Heart & Vascular Center, Grand Rounds Conference featuring Fermin C. Garcia, MD as he discusses “PVCs: The Good, The Bad and The Ugly".
Introductions: Miguel Valderrábano, MD
Speaker: Fermin C. Garcia, MD
_______________________________________________________________
HOUSTON METHODIST DEBAKEY HEART & VASCULAR CENTER
GRAND ROUNDS
STATEMENT OF NEED
This program is designed, in light of reviewing quality data retrieved from weekly evaluations, to provide physicians, faculty, fellows and residents access to topics in current basic and clinical research to improve patient care.
TARGET AUDIENCE
The target audience for this activity is: Cardiology and Cardiovascular Surgery Physicians, Fellows, Residents, NPs,
PAs, Nurses, Radiologic Technologists, Sonographers and Research Coordinators.
EDUCATIONAL OBJECTIVES
At the conclusion of this activity, the participant should be able to:
• Discuss updates on diagnosis, treatment and management of cardiovascular disease.
• Integrate data and available technique in order to reach appropriate treatment decisions.
• Describe research models, methods and statistical tools.

Пікірлер: 37

  • @kountchev1
    @kountchev124 күн бұрын

    great talk! thanx for sharing!!

  • @RAMONA3118
    @RAMONA31184 жыл бұрын

    Thank you very much.

  • @djp1234
    @djp123411 ай бұрын

    I get PVCs and palpitations from acid reflux. When I get my GERD under control, the PVCs go away. Can anyone explain why this happens and is it dangerous?

  • @glendacoleman3691

    @glendacoleman3691

    3 ай бұрын

    I go through this to

  • @gregthegroove
    @gregthegroove11 ай бұрын

    For some reason no Drs or cardiologists want to seem to listen to me explain that my stomach/indigestion/gurgling issues triggers PVCs for me. Now, if I’m not in a situation where I’m in a PVC attack time frame (because they come and go), it’s fine. But when my heart is excited or irritated or however you describe it, I get tons and tons of PVCs and does no doctor see this connection at all? Even in a holter, I’d document and press the button to generate an incident and document “eating” or indigestion or whatever, still no correlation? I really hate PVCs. I’d love to have an ablation for benign PVCs like this however, even then, I try to explain that I can’t be “scheduled” for ablation because I may or may not have them. It has to be one of those things where when I have a run of PVCs, I have to run to the lab to be able to have them map and find the area where it’s coming from. I’m not even sure they could trigger them as I’ve read. Thoughts?

  • @kleiner3838

    @kleiner3838

    8 ай бұрын

    i kinda too suspect me having kinda stomach problems that iritated my heart more to pvcs but not all the time is kinda wierd,

  • @kentdavies1988
    @kentdavies19882 жыл бұрын

    This is a great talk and i hope my doctors will refer me to have ablation

  • @dodgydave3962
    @dodgydave3962Ай бұрын

    So more than one pvc morphologies means sudden death may occur even with a normal echo and stress test? Caught a few pvcs on my watch that looked different, I guess I'm screwed.

  • @ajanecdr
    @ajanecdr8 ай бұрын

    Watching this while taking my verapamil😶

  • @johnnyflores1978
    @johnnyflores19784 жыл бұрын

    What does a sinus arrhythmia without any abnormalities mean on a ekg?

  • @johnnyflores1978

    @johnnyflores1978

    4 жыл бұрын

    Attila C i had that show up on my first ekg then my last two ekgs came out normal should i be worried?

  • @johnnyflores1978

    @johnnyflores1978

    4 жыл бұрын

    Attila C I believe my palpitations come from my belching and acid reflux

  • @johnnyflores1978

    @johnnyflores1978

    4 жыл бұрын

    Attila C my first ekg came out with sinus arrhythmia without any abnormalities my last two came out normal i have no heart disease in the family I believe my palpitations come from too much acid reflux from not absorbing my nutrients well enough i never feel faint or dizzy and can exercise without any problems my cardiologist says they are benign i never have a high resting heart rate actually my sleeping heart rate is around 55

  • @bensfiaouadia8131

    @bensfiaouadia8131

    4 жыл бұрын

    I have 2000 pvc

  • @sameekganguly5496

    @sameekganguly5496

    3 жыл бұрын

    @@bensfiaouadia8131 how are you now

  • @davidpowell3347
    @davidpowell33472 жыл бұрын

    At about 8:00 ,that rhythm of a pvc following each normal ventricular beat seems to waste energy.

  • @mustachesally4134
    @mustachesally4134 Жыл бұрын

    Drs really need to stop following the whole "benign" nature of pvcs. If you had all the tests done that confirms your heart is healthy and you're symptoms are not that bad, patients need education and assurance that all is safe. However, If you are healthy but have symptoms to the point it ruins your life and not driven by anxiety, it tells us that there is something very wrong and it may predict an issue later on. Just because others have thousands a day and normal - it does not mean it applies to all patients well that they are well too. Cardiologist and EPs tend to easily disregard pvcs. I once asked by cardiologist question "have you had pvcs? If so, how do you feel?". Answer is usually "once in awhile I have a pvc or two...". That doesn't answer the question lol!

  • @juliodelrio1737
    @juliodelrio17372 жыл бұрын

    I have at least 10 pvcs or more per one minute but have inadequate experience doctors and that scares me most!!

  • @iamlegend9781

    @iamlegend9781

    2 жыл бұрын

    How are you now ? Did you see a doctor ?

  • @d3stroyah

    @d3stroyah

    2 жыл бұрын

    Yes, update?

  • @juliodelrio1737

    @juliodelrio1737

    2 жыл бұрын

    @@iamlegend9781 doctor said although I have lots of pvcs infact he said I had 26 percent pvcs they'll like to ablate you're heart at 23 percent 🤯 holy crap..so Dr is going in on August 26th 2022 for a heart ablation..heat or freeze them out is unknown at this time....will keep you updated sorry been very busy 😉

  • @iamlegend9781

    @iamlegend9781

    2 жыл бұрын

    @@juliodelrio1737 keep fighting bro 💪🏼| Keep us updated | best wishes ❤

  • @paulabiemann7084

    @paulabiemann7084

    Жыл бұрын

    Was at 44% here :) second avlation was successful in bringing my pvc's under control