Managing and Living With PACs and PVCs

How much do you take daily? Does Amazon carry this or do you only order this from the above?

Not available on Amazon, Have to get from China. (website above). I did two 5 mg packs (sugar free of course) twice a day 30 minutes before lunch and dinner. Instructions come with it and I think they are also on the website. In a month or two, I will update this post on how its going and what I have learned works best for me.

Thanks

I’ve had good results from Flecainide (100mg BID) in suppressing PVCs for about 8 months. No noticeable side effects. However, symptomatic PVCs have recently returned. I had 2 ablations to no improvement. Trying to learn to live with it.

I hope you are feeling better now. Did you EP say why they returned? Do you have SVT now. Best regards.

I have recently been having severe palpitations and numerous PACs to point I couldn’t sleep or even function it was so uncomfortable. I am on thyroid hormone replacement and although my hormone levels were normal, reducing my thyroid dose one notch has helped a great deal. I hope you all have had your thyroid levels checked for hyper ( excess) thyroidism and if on medication, a dose reduction may be worth a try, with Dr approval of course. I also am getting relief from Bystolic, a newer beta blocker that has beneficial effects on blood sugar and lipids compared to the older beta blockers. It doesn’t lower heart rate as much but is suppressing the PACs and palpitations.

Thanks for your comment, slkanowitz. Everyone's experience shared here can contribute something, including something novel. I have not heard of Bystolic, and it is encouraging that you have profited from its use.

@waitec I logged in/joined to see if anyone else was in my boat! I’ve been super healthy forever with just occasional SVT. Cardiologists indicated it’s completely benign so I went on with life. In August I had an SVT with syncope (new word for me), I fainted while driving!!!! So, my benign boring SVT became an emergency. I had the ablation surgery which every one claims is the easy fix and I’m good to go. Only now, I have PAC’s and SVT’s every day almost all day. I feel every single early beat. My Kardia Mobile shows Premature Ectopy all day long. ZIO monitor reports back excessive PACS.
Is it possible/likely the ablation fixed one thing and created another? I’m exhausted. Ugh.

I am 75yo female. I have had arythmias for about 15 years or longer. First noticed them when I had stents placed. Have hardly noticed them until lately. I do have a very stressful life taking care of my husband who has dementia, and now this stupid election. They have been bad off and on for a month. I've worn a monitor twice but the times I was wearing them were not heavy with arythmias. So cardiologist says no problem. Well, they ARE a problem. Scary. Mine are worse at night, maybe because I'm reading or doing crosswords, so more noticeable. I do notice that they are worse when I don't eat regularly. I have what seems to be hypoglycemia, but not sure. Do not have diabetes, but have low thyroid. When I don't eat for more than 2 hours they get very bad. But I need to eat protein when I do, not sugar, so not sure what the problem is. I decided yesterday to be very careful about what and when I ate. Very careful. And last evening I had absolutely no arythmias! I was so elated, hoping I'd solved it. But today, as I was about to eat my well scheduled lunch, my husband did something to make me freak out. So, no matter that I ate well, I've been having terrible difficulty all evening. I read that that is due to adrenaline release. Anyway, it is driving me crazy. Oh, and I take Hydroxyzine. Used to take it very infrequently, but finding I need it more and more. It does calm me down and allows me to sleep.

Usually the ablation stops the unwanted arrhythmia, but flutter is one example that can be 'substituted' when an ablation is performed for AF (atrial fibrillation). Also, you can get PACs resulting from an ablation, and yes, SVT as well. It is usually the fault of insufficient mapping in my opinion, although the electrophysiologist who performed your procedure might disagree with me, maybe even for very good reasons.

Over on afibbers.org, we stress constantly that one must do research to find the very best, most experienced, and most skilled EP in one's area, even if one must travel for up to a day. Just as there are mediocre teachers and piano players, there are mediocre EPs.