premature heart beat

So this patient had some very mild, patchy delayed enhancement, kind of in the basal, infralateral, anterolateral wall.

And this is very important in looking at their scar burden, and especially in this patient who had high PVCs, extra heartbeats.

We're looking for this whole syndrome of the mitral valve where he had prolapse of the anterior leaflet, he had mitral annular disjunction, and he had a scar.

which kind of all goes along to this mitral annular disjunction, this mitral regurgitation, mitral valve prolapse, prolapse syndrome.

Right.

The statement clearly shows that caffeine increases the frequency of premature ventricular contractions, or PVCs.

And these are those extra abnormal heartbeats that feel like a flutter or a skipped beat in your chest.

Exactly, those skip beats.

Okay, but how can one beverage actively protect you against one electrical issue like AFib in the top half of the heart, but simultaneously increase another electrical issue like PVCs in the bottom half? Isn't that completely contradictory?

It sounds contradictory, but it comes down to the specific cellular targets caffeine interacts with in different types of heart tissue.

Okay, lay it on me.

Okay, so you have this sudden surge of cellular calcium and sympathetic adrenaline.

You just wear it and it tracks your heart rate.

But it would look for premature beats, which are essentially PACs and PVCs.

Uh, you might have heard about this before, but these are oftentimes the thumps that you do feel, and if that ends up being the case, well, we need to look at what's the underlying root cause.

So we could look l- at electrolyte imbalance, right? Imbalances between sodium, potassium, uh, magnesium, uh, sodium, as well as calcium and magnesium as well.

He's had, he had four grafts to six vessels 25 years ago.

He sh- he went to his doctor because his Apple Watch said his heart rate was slow, and he was having a bunch of PVCs, and so they sent him to the, to the, to the ER because he had, you know, three, four beats in a row, and non-sustained VT, technically.

Can't argue with that.

Uh, so he's ended up in the cath lab, and, you know, three of his six grafts are closed, but the guy's fine.

No, I've had heart issues for 10 years now.

I have PVCs, premature ventricular contractions from... taking my heart to max four times a week for 25 years.

The heart is an interesting organ.

It's a demand organ.

And then the ring says, no, you got 62 or whatever it was.

I'm like, whoa, whoa, what do you mean? You know, I didn't have any deep sleep.

What, my REM was this? To what end are we taking this information and then incorporating it into our lives? I have PVCs.

So my HRV always looks good because I got big gaps between heartbeats.

Then it could reduce your rates of stroke, and it could have no effect or reducing your rates of heart failure.

There may be an increase in the number of PVCs that you have.

Now, there's a lot of bias in these studies.

Like I was mentioning before, it's really hard to disconnect drinking coffee from just, you know, feeling well, and so you get to drink more coffee.

Registered voters

collected PVCs.

But you also know that in...

Well, and also remember that in the North, if you are not taking, even cattle will vote.

sanitize that.

Until we sanitize that.

But for now, the voting population, the voters register, collected PVCs.

You have them

I have changed from Metroprolol to Carvadilol.

I also take Mexiletin for PVCs.

I have an ICD defibrillator implant on my side under the arm due to the PVCs.

I have a Platinum LED Red Light Biomax 450 panel.

I would like to use this red light therapy for the hair loss and on the face.

... you can do the EKGs or there's some other devices, like the KardiaMobile, I think, is one.

You can obtain rhythm strips that will show the PVCs.

Hmm.

It's just, it's not something that's validated as a medical tool.

So really when I have somebody who's coming in complaining of a lot of heart palpitations, my first step is, well, let's figure out what's going on.

So number one, I do an EKG.

If I start to see these extra heartbeats or PVCs on an EKG, that tells me that they're probably happening with some frequency because I'm just obtaining one snapshot in time.

And then my next step is to do an actual ambulatory heart rhythm monitor, where we can monitor anywhere from, you know, 24 hours to two full weeks while do- they're doing all of their normal activities.