Patient's Query
Hi doctor,
I have been facing VES extrasystoles for one week. I have experienced many times in the past two days. They appear even more often during light physical strain. I get uncomfortable during sports because it causes high or low heart rates. My doctor started giving me a beta blocker. I am doing a lot of sports (jogging, spinning, and dancing), and I feel blocked due to these extrasystoles. If I get many in a row, I feel unwell and stop training activities. Also, during the day, they appear and feel very bad during normal movement. Next to this, I feel very strongly belching when the extrasystoles pass. I know they are not usually dangerous with VES, but I need to get rid of them somehow to return to life. Please help me. Thank you.
Hi,
Welcome to icliniq.com.
I understand your concern regarding your ventricular extrasystoles (VES). Ventricular extrasystoles (VES) may be triggered by excess tea, coffee, alcohol, or smoking. If you consume any of these, you should cut that down. Exercise, structural heart disease, thyroid disorder, or electrolyte imbalance also trigger that. Your doctor prescribed you a beta blocker at a low dose, and that is the treatment for it initially, but the dose can be titrated up if you still feel uncomfortable.
The next thing is anti-arrhythmic drugs like Amiodarone HCl, which can be tried if up-titration of beta blockers does not help. Exercise may cause electrolyte loss, so you must have fruit juices and fruits regularly to maintain potassium and magnesium balance in your blood. The last resort for symptomatic ventricular extrasystoles (VES) is radiofrequency ablation, in which the heart's origin area causing ventricular extrasystoles (VES) is ablated. Thank you.
Patient's Query
Hi doctor,
Thank you for your reply. I consume very low levels of coffee and alcohol since those symptoms are there. I have not taken any of those. My big question mark is on the appearance of the extrasystoles. During the activity, they should get less, but for me, they are increasing depending on my heart rate. If I stay on the couch or sit on the chair for a while, there is no extrasystole. If I stand up to get some water, take the stairs, or start to move, it starts to bump extra in my chest. And if I start with sports activity even more. In a lecture I have seen, it should have been reversed. The Bisoprolol has been increased to 2.5 milligrams this morning, and I hope it will change something. Are extrasystoles have any relation to the permanent burp? Thank you.
Hello,
Welcome back to icliniq.
A dose increment should help with your symptoms. Yes, burping and acid reflux may cause palpitations sometimes. If you feel that often, you can take over-the-counter antacids or acid-reducing drugs to prevent burps. Consult with your doctor and take the medicine with their consent. Thank you.
Patient's Query
Hi doctor,
Thank you for your answer. I had a bit of light jogging for some meters, and immediately I had several VES (ventricular extrasystoles) within a minute that made me stop. Also, during walking I had them many times. When I rest without moving, I do not feel any ES (extrasystoles). Once I get up, they start again. Is there any additional advice from your side? Is there a medical risk or something else when I try to do sports? Thank you.
Hi,
Welcome back to icliniq.com.
Usually, in ventricular extrasystoles (VES), it is recommended to do exercises like aerobic exercise and yogic breathing exercises. But if you are having exercise-induced VES, then structural causes must be ruled. You are advised for which test, a 2D echocardiography or cardiac (magnetic resonance imaging)? Thank you.
Patient's Query
Hi doctor,
Thank you for your answer.
A 2D echocardiography was done without any sign of abnormalities. A cardiac MRI was not done and was not advised by my doctor. Thank you.
Hi,
Welcome back to icliniq.com
You should continue with Bisoprolo fumarate 2.5 milligrams, with up-titration slowly. And if you still feel uncomfortable with the symptoms, ablation should be planned. Because according to the research and reports, exercise induces VES (ventricular extrasystoles) may become problematic in the future and carry a poor prognosis as far as cardiac health is concerned. Maintain your healthy lifestyle and diet. Do deep breathing yoga to enhance the vagal response in your heart. Thank you.
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Answered byDr. Yash Kathuria
Medically reviewed byDr. K. Shobana
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