How many PACs or PVCs are considered too many to require treatment?

My PAc's and PVC's started when I was 26. I'm 73 now. It seems I go through periods when I have very few, almost none, then there are times when I feel I have so many in a day. I'm on Metoprolol ER 12.5 mg daily more for blood pressure then the beats. My life is very stressful. My husband has dementia, along with other mental conditions and I believe that has alot to do with them. When I am upset so is my heart. After all these years I find I can control them better with thought and concentration. A positive mind set can help. There are times when they become bothersome and I'm all the way down the rabbit hole.

Dear blue717,
So sorry to hear about the difficulties that are bringing on stress. I'm also someone who has had irregular heart beats for nearly 50 years. I used to think stress was just a normal way to live, but find that my irregular beats are definitely more likely to occur in times of severe stress. I've been doing meditation and exercise regularly to see if it helps. I just started wearing a smart watch to do ECGs as well.

I wish you well on your journey.

I have had metoprolol for over three year, which never reduce my PAC and PVC in any meaningful sense. My recent Holter indicates I had a burden of 40% and my EP put me on Flecainide 50mg bid along with 25 metoprolol daily. After one week, I just dropped metoprolol completely without approval of my EP, but almost immediately gets back my regular heart beats. So I share your thought that it is metoprolol that has caused my heart to have more irregular beats

I am not quite sure but I am having between 9500-10,000 PVCs a day, it's a pain and I have been told that's a lot of PVCs. At this point, I can barely function. I am waiting to have an ablation, but places are so booked! One thing that the EP doctors have told me was that if the heart itself is structurally okay, you have less things to worry about so I am just keeping my fingers crossed!