Ask a doctor on the topic of Internal medicine

VES bigeminus, trigeminus couplets, and perceived salvo of 3 to 4 extrasystoles in a row.

December 21, 2015 | 15,00 EUR | answered by Dr. med. Frauke Gehring

Dear Sir or Madam,

I have already written my medical history with findings at this link:

http://frag-einen.com/arzt/innere_medizin/extrasystolen---erklaerung-befund---etwas-ngstlich-nun-501863.html

I have the following question regarding extrasystoles and salvos:

I was switched from Inderal to Bisoprolol 2.5mg... 1/2 in the morning and 1/2 in the evening.

In the first weeks, only single extrasystoles were noticeable, but currently several extrasystoles have occurred as described in the link above. This is very unsettling and naturally causes fear. Yesterday, I felt a salvo which made me very anxious. However, my performance on the exercise bike is okay and disturbances occur rather infrequently. Should the extrasystoles or salvos be ignored? Are salvos dangerous in my case?

Or should I just live with the disturbances, since they are harmless? I would appreciate tips and further assistance. Nutritional supplements have only had limited success so far...

Thank you.

Sincerely

http://frag-einen.com/arzt/innere_medizin/extrasystolen---erklaerung-befund---etwas-ngstlich-nun-501863.html

Dr. med. Frauke Gehring

Good day,

It is simply impossible to feel a salvo! What feels like one is not necessarily one, and since your long-term ECG was fine except for occasional premature atrial contractions, there is no reason to think there is a salvo at all.
Salvos can be dangerous, but why would you suddenly have them now!

Everyone has premature atrial contractions, but they are felt more when one is anxious (usually not at all otherwise). So: continue exercising, learn autogenic training, and feel free to try magnesium, calcium, and potassium (such as Magnesium Verla plus).

Warm regards,
Dr. Höllering
Specialist in Internal and General Medicine