History of PVCs

[Flying-fanatic]

Good morning all! First time poster but a long time listener. I have had a history of PVCs in the past. Back in 21’ I went to a cardiologist for a holter and echo, and had 10,000 PVCs/day. The doctor prescribed toprol and we brought that value down to about 100/day. I reported it to the FAA back in 21’.

Fast forward 3 years later, I received a certified letter from AAM-300 requesting that I undergo a full cardiovascular evaluation to include a 2D echo, 24hr holter, and a nuclear stress test.

I have completed all of the tests with a very favorable result from my cardiologist. I’m 26 so the doctor wasn’t concerned. My holter showed 1 PAC, 14 PVCs (2 couplets), and no pauses/symptoms. Echo showed good function with estimated ejection fraction of 60-65%. Nuclear stress test for just over 9 minutes and achieved 96% of MPHR, both EKG (no arrhythmias) and images negative for ischemia.

Wondered if one of our awesome AMEs like @bbchien could chime in and see if they think that the FAA will be okay with results or if they will require additional testing?

PS: I’ve never had chest pain, and my cardiologist documented that as negative. However, when they ordered the holter they put under indications for monitoring “palpitations, chest pain”. I’ve called and corrected them, and the tech said “oh yeah, we always put that so insurance covers it”. I had them write an addendum saying to disregard that on the report. Should that be okay? The actual cardiologist report shows negative for chest pain.

Thank you!

 

[jordane93]

I’ve been dealing with PVCs as well and have been working with AMAS to send all my stuff to the FAA. The only thing they may want to see in addition to what you’ve done already is blood work, specifically cholesterol and full lipid panel and fasting blood sugar.

 

[bbchien]

This should be reviewed favoroably unless there is what is called "ventricular discompaction". Read the echo report CAREFULLY for those two words. Unless there is a history and certification diagnosis of Coronary disease, the lab should NOT be required.

 

[Flying-fanatic]

This should be reviewed favoroably unless there is what is called "ventricular discompaction". Read the echo report CAREFULLY for those two words. Unless there is a history and certification diagnosis of Coronary disease, the lab should NOT be required.

Thank you guys! I will double check the echo, but I don’t remember that. The FAA did require me to undergo lab work up as well. Everything normal with H1AC and Lipids. Cholesterol normal as well.

There was

1. physiologic tricuspid valve regurgitation.
2. Trace of pulmonic valve regurgitation.

Is that something to be concerned about? The cardiologist said it was pretty common/normal.

Thankful for the community and @bbchien. (Looking forward to hopefully using you in the near future if you have availability!)