Managing and Living With PACs and PVCs

Posted by rr1967 @rr1967, Aug 14, 2023

Hello all. I have posted in this forum before and I thank you for your advice. I appreciate more support please.

I am about to turn 56 and I have dealt with PACs and PVCs for the past 20 years. The come and go and now they seem to be getting worse. My cardio, regular doc, and electrophysiologist all say that I am fine and that I have too much stress and anxiety (which I do..I suffer from GAD and depression.) They all say that PACs are benign and that most PVCs are benign.

I had an exercise stress echo in 2019 (all normal). Several EKGs this year...all normal. Another Zio Patch Heart Monitor that I wore for a week. Normal sinus rhythm with PACs. My PAC/PVC burden hovers between 1.5 to 1.8 percent. I have had a recent chest xray and plenty of blood work. All normal. I am borderline type 2 diabetic and my cholesterol and triglycerides are all normal. I do take blood pressure meds and it is well controlled. I try to be active almost every day and I do practice CBT for my anxiety. My resting heart rate is about 55 and my cardio says that is normal.

What else can I do to reduce the PACs and PVCs or manage them? Some days they are fast and furious and some days they simply come and ago. But they are ruining my daily life and causing more depression and fear. They are awful in the morning, reduce a bit in the afternoon, and reduce a bit more in the evening.
My cardio again states that they are fine and to not worry.

I have tried a beta blocker (made my heart rate too low and I was too tired) and a pill called Diltiazem. Really had no effect and made me too tired. I don't qualify for any procedure and the one pill they are still offering me is Flecianide but that one has WAY too many side effects and I have had at least two cardiologists warn me from taking it.
What are you experiences, advice, etc?
Thank you!

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@campbob2

Is taurine working for you? I am taking metoprolol and am still having PACs

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I used to have thousands of PACS and PVC's. They are now all gone. Arginine and Taurine. Throw in some Rutin, vitamin d, qoc10, and Quercetin for good measure. Or suffer.

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@janepaskvan

I'm having issues with my cardiologist, also. I'm having some scary beats that only come occasionally. The few days he let me have a monitor of course they didn't happen. Now is telling me I'm fine. But my primary is very into listening to me, and will do what I ask, within reason. He is here (Minnesota) on a visa from Canada, where evidently they treat patients better!

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@janepaskvan
When I read post like this any only mentioning cardiologist I always inquire if seeing a electrophysiologist (EP).

And EP is a cardiologist that specializes in in electrical problems of the heart. That is there expertise and can do many things to help lesson the problem with ablation, medications, etc.

I have a EP and heart failure doctor who work together with my PCP as a team.

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@rr1967
The PACs and PVCs can be very mentally tacking. The stress and anxiety they cause can affect the number you get because you are under stress and anxiety.

There are some excellent medication to help with anxiety. I see a pyschiatric medication specialist at Mayo who works with my heart failure (HF), Electrophysiologist (EP) and my primary care doctor (PCP).

Asked your cardiologist and I strongly suggest seeing a EP about magnesium. When my PVCs really started up they suggested 400 mg of magnesium citrate. Eventually they put me on a medication that I take 3 times a day (lowest dose) that helps reduce PVCs, PACs, and tachacardia. It really has worked well for me.

From me personally if not getting help from your MDs having anxiety and stress only adds to having more and more PACs, and PVCs. My EP confirmed that stress and anxiety will create more PACs and PVCs.

Getting your stress and anxiety down (mental health) is just as important as physical health. Working with all my doctors they really stress to me what I have been doing to help my mental and physical health. That is finding an exercise (with doctors approval) that you like to do and do it. It will help both physically and mentally.

Or find a hobby you like doing and do it. Doing something in life that brings a smile to you is going ot help tremendously. Reading many history books on FDR the all stated he reduced his stress and anxiety of dealing with WWII by working on his stamp collection every day. You will also read he tried to swim as much as possible also.

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I started experiencing PVCs after having the ablation procedure due to Afib. I was told that it was not dangerous but there was nothing much to do for it. Last December I learned that taking a magnesium supplement could be beneficial. I am happy to say that as of today I am no long wakened every couple of hours during the night and rarely have an episode duing the day. It works! I take 2 200 mg capsules before going to bed. Works for me.

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For me, it has been lifesaving that holistic and naturopathic medicine has been so transparent.
That we can teach ourselves through the generosity of those who came before is the opposite of allopathic medicine. Our traditional docs want control and payment for everything these days. (Alas, it is also quite expensive to see a Naturopath).
ANYWAY-Thank you for the recommendations. Rutin seems beneficial for many things. Arganine and Taurine also sound great. I feel like I may want to check with my doctor if I am already on blood thinners or have coagulation concerns.
Thanks again.

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Hi all, I’m having PAC’s with ventricular tachycardia and super ventricular tachycardia. I am waiting to see an electrical specialist and a cardiologist after having an echocardiogram and halter monitor. I’m so discouraged by the fact that I have to wait more than two months for an appointment. The doctors are busy here. My anxiety and stress are very high. My only option is the ER, and I have been. So I try to lay low like my cardiologist suggested. Any suggestions or advice is appreciated.

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@sarahzah

Hi all, I’m having PAC’s with ventricular tachycardia and super ventricular tachycardia. I am waiting to see an electrical specialist and a cardiologist after having an echocardiogram and halter monitor. I’m so discouraged by the fact that I have to wait more than two months for an appointment. The doctors are busy here. My anxiety and stress are very high. My only option is the ER, and I have been. So I try to lay low like my cardiologist suggested. Any suggestions or advice is appreciated.

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Hello. Your dilemma caught my eye. I have had the same problems and want to add a suggestion. Call your insurance company, if you are not insured, look up the affordable care act and get coverage! Call your insurance and ask them for a list of Cardio professionals. You need an EP doctor aka Electrophysiologist. Call them all and see who can take you sooner. My advise is to become your own advocate. Don't wait on them. I'm not sure what state you are in but there must be a better avenue for you. Drive as far as you have to to get a diagnosis. Good luck and god bless.

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@sarahzah

Hi all, I’m having PAC’s with ventricular tachycardia and super ventricular tachycardia. I am waiting to see an electrical specialist and a cardiologist after having an echocardiogram and halter monitor. I’m so discouraged by the fact that I have to wait more than two months for an appointment. The doctors are busy here. My anxiety and stress are very high. My only option is the ER, and I have been. So I try to lay low like my cardiologist suggested. Any suggestions or advice is appreciated.

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@sarahzah
I have had the same electrical problem you were having. I saw a EP back in 2006 at Mayo Jacksonville and still have same EP today. What I got was a ICD/Pacemaker. Along the years with addition of medications and fine tuning of ICD/Pacemaker my PACs, VT have been dramatically reduced.

Please contact the EP office you are going to see. Explain your anxiety and stress and asked to be put on a cancellation list.

When you go to ER and the issues is electrical you probably are going to see a EP there or a referral to them. I hate ERs. The stress of being in there with all the comotion and waiting is far more stress and anxiety I can stand. It makes my PVCs go up dramatically.

Has anyone suggested OTC supplements to you as you wait? My EP (and this is to me so might not be applicable to you) to use Magnesium as helps wiht PVCs and irregular heart beats. Also asked about being given an anxiety medication. A lot of anxiety medications affect the heart so really make sure you see know your total diagnosis.

In addition to HF, PCP, I see a EP, and a phyciatric medication specialist that works with my other doctors as a team all coordinated together.

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