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Medical Forum / General / General / September 2006Premature Ventricular Contractions and Sleep Apnea
I am 40 years old. My GP had me on Seroquel to help me fall asleep and to help with my anxiety, but I have no other [health] issues. I stopped taking the Seroquel because I developed heavy PLMS during sleep, which is a side-effect. I recently got a copy of my sleep lab results from a few years ago from my GP. It showed that despite CPAP titration, I had a number of PVC's. No periodic limb movement (PLMS) or Restless Leg. I did take Zopiclone the night of the sleep study. Since my one and only titration, I could only use an oral appliance to help with my sleep apnea. Unfortunately, several incidents of anxiety, body flushes, and chronic fast heart rate of around 100 bpm during the day has made me reasses the effectiveness of the oral applance. As a result of the anxiety, I have developed insomnia. For years, I felt my heart rate is too high. I recently got some CPAP software and it showed I was still having a lot of obstruction. As I suspected, the oral appliance was doing almost nothing to treat my apnea. It only alleviated my snoring. I have been experiencing slight muscle and body jolts during the day when sitting and in the evening when trying to fall asleep. Just yesterday, a small area in my right forearm was itching. Immediately after, I felt numbness in a small area of my right upper lip. I have been receiving treatment for severe muscle spasm in my right shoulder from a chiropractor. I can't help wonder if I had a mild stroke? I havent told my GP about this numbness. He did have me use a Holter Monitor but apparently, didn't mention that I should be referred to a cardiologist. Should I be considered about all this, especially the PVC's? Can these jolts I am experiencing be related somehow? > I am 40 years old. My GP had me on Seroquel to help me fall asleep and > to help with my anxiety, but I have no other [health] issues. I [quoted text clipped - 30 lines] > Should I be considered about all this, especially the PVC's? Can these > jolts I am experiencing be related somehow? Would suggest you seek a referral to consult with a cardiologist. May GOD continue to keep your heart beating, dear neighbor Justin whom I love unconditionally. Prayerfully in Christ's amazing love, Andrew <>< -- Andrew B. Chung Cardiologist, Atlanta, Georgia, USA http://HeartMDPhD.com/HolySpirit As for knowing who are the very elect, these you will know by the unconditional love they have for everyone including their enemies (Matthew 5:44-45, 1 Corinthians 13:3, James 2:14-17). http://groups.google.com/group/sci.med.cardiology/msg/d3b7b57d0fbf89ed? I'm sure you've had this checked but a lot of your issues sound familiar to me and a lot of them went away when I got my thyroid checked and got on meds.....I'm still not totally fine after 4 years but a lot of things have cleared up and I'm sure its because of the thyroid meds. > I am 40 years old. My GP had me on Seroquel to help me fall asleep and > to help with my anxiety, but I have no other [health] issues. I [quoted text clipped - 30 lines] > Should I be considered about all this, especially the PVC's? Can these > jolts I am experiencing be related somehow? Thanks Andrew for the prayers and Bimbo for post. I had my thyroid checked before but maybe it should be checked again. I left a message with my GP today, but his office hasn't called me back. I don't know why I missed adding to my previous post, but I started taking NSAID (Naproxen) for a bad shoulder, muscle spasm. How do I insist on gettting a referral to a cardiologist since my GP doesn't feel it is necessary? > Thanks Andrew for the prayers and Bimbo for post. You are welcome. All thanks and praises belong to GOD, Whom I love with all my being. > I had my thyroid > checked before but maybe it should be checked again. I left a message [quoted text clipped - 5 lines] > How do I insist on gettting a referral to a cardiologist since my GP > doesn't feel it is necessary? No need to insist. Simply ask for the referral. If he refuses to give you a referral, proceed by asking why. If you are unconvinced by his explanation, simply ask him to put it down in writing. If he asks why, simply explain that you have a cardiologist friend who suggested you do this :-) Yes, the Holy Spirit guides me here. Laus Deo ! May GOD continue to heal our hearts, dear neighbor Justin whom I love unconditionally. Prayerfully in Christ's amazing love, Andrew <>< -- Andrew B. Chung Cardiologist, Atlanta, Georgia, USA http://HeartMDPhD.com/HolySpirit As for knowing who are the very elect, these you will know by the unconditional love they have for everyone including their enemies (Matthew 5:44-45, 1 Corinthians 13:3, James 2:14-17). http://groups.google.com/group/sci.med.cardiology/msg/d3b7b57d0fbf89ed? >> > How do I insist on gettting a referral to a cardiologist since my GP > > doesn't feel it is necessary? [quoted text clipped - 10 lines] > If he asks why, simply explain that you have a cardiologist friend who > suggested you do this :-) Thanks Andrew. What would a cardiologist do as far as diagnostic procedures and options available, depending of course on the findings? I read that the drugs used to treat PVC's are not safe, since all antiarrhythmic drugs display the property of proarrhythmia (i.e., they can make dangerous arrhythmias more likely.) My GP is downtown and he refers me to other specialists in the area and it's always a nightmare going to an appointment because of traffic and distance. > >> > How do I insist on gettting a referral to a cardiologist since my GP > > > doesn't feel it is necessary? [quoted text clipped - 12 lines] > > Thanks Andrew. You are welcome. All thanks and praises belong to GOD whom I love with all my heart, soul, mind, and strength. > What would a cardiologist do as far as diagnostic > procedures and options available, depending of course on the findings? A cardiologist would simply have a lot more experience than the GP in both the diagnosis and treatment of what is underlying your cardiac symptoms. > I read that the drugs used to treat PVC's are not safe, since all > antiarrhythmic drugs display the property of proarrhythmia (i.e., they > can make dangerous arrhythmias more likely.) You are crossing a bridge you have not and may never reach. > My GP is downtown and he refers me to other specialists in the area and > it's always a nightmare going to an appointment because of traffic and > distance. Then ask him to refer you to someone more local to you. The AMA docfinder can help you pull up a list for your GP to review. May GOD continue to heal your heart, dear neighbor Justin whom I love unconditionally. Prayerfully in Christ's amazing love, Andrew <>< -- Andrew B. Chung Cardiologist, Atlanta, Georgia, USA http://HeartMDPhD.com/HolySpirit As for knowing who are the very elect, these you will know by the unconditional love they have for everyone including their enemies (Matthew 5:44-45, 1 Corinthians 13:3, James 2:14-17). http://groups.google.com/group/sci.med.cardiology/msg/a77da2d26da0ab97? > >> > How do I insist on gettting a referral to a cardiologist since my GP > > > doesn't feel it is necessary? [quoted text clipped - 12 lines] > > Thanks Andrew. You are welcome. All thanks and praises belong to GOD, Whom I love with all my heart, soul, mind, and strength. > What would a cardiologist do as far as diagnostic > procedures and options available, depending of course on the findings? A cardiologist would simply have more experience in the diagnosis and treatment of what is underlying your cardiac symptoms than your GP. > I read that the drugs used to treat PVC's are not safe, since all > antiarrhythmic drugs display the property of proarrhythmia (i.e., they > can make dangerous arrhythmias more likely.) You are crossing a bridge that you have not reached. > My GP is downtown and he refers me to other specialists in the area and > it's always a nightmare going to an appointment because of traffic and > distance. You could asked to be referred to a cardiologist more local to where you reside. The AMA Docfinder can help you pull up a list for your GP to consider. May GOD continue to heal your heart, dear neighbor Justin whom I love unconditionally. Prayerfully in Christ's amazing love, Andrew <>< -- Andrew B. Chung Cardiologist, Atlanta, Georgia, USA http://HeartMDPhD.com/HolySpirit As for knowing who are the very elect, these you will know by the unconditional love they have for everyone including their enemies (Matthew 5:44-45, 1 Corinthians 13:3, James 2:14-17). http://groups.google.com/group/sci.med.cardiology/msg/a77da2d26da0ab97? > > >> > How do I insist on gettting a referral to a cardiologist since my GP > > > > doesn't feel it is necessary? [quoted text clipped - 7 lines] > > > If you are unconvinced by his explanation, simply ask him to put it > > > down in writing. I went to a walk-in clinic today because my GP was booked. Apparently, I am "healthy" and young. If anything, I have anxiety which is causing these symptoms. I guess they want me to have a stroke or heart attack first!!?? I tend to "fool" my doctors because they have "tunnel vision" and always look at the stereotype....younger, healthy [looking], etc. What they dont realize that I tend to more of an exception. In fact, my sleep doctor said a while ago that I have anxiety, not any sleep issues....until the overnight sleep study results were given to him. He ate his words! That seems to be how it goes for me. Any other recommended [approach] I should use before the doctors where I live get me killed?
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