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Managing and Living With PACs and PVCs

Heart Rhythm Conditions | Last Active: 12 hours ago | Replies (226)

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Profile picture for sandrah2024 @sandrah2024

I am in my early 80s. I have been dealing with AFib and AFlutter since 2015. I’ve had 4ablations. The most recent in April 2025 The first ablation cured the AFib but shortly thereafter I experienced many episodes of flutter. HR would zoom up to 160bpm with deep chest pressure. Episodes last upwards of 40 minutes. Each one leaves me tired and anxious and then the PACs and PVCs start. After my last ablation I went into AFib twice with a visit to the ER. Fortunately I converted on my own. Since April my heart always feels “wobbly”. My cardiologist says it’s nothing to worry about. Really,, I would like him to experience it and then see what he says
The next phase of my journey through this wobbly heart, PACs and PVCs has been a total knee replacement just completed 6 days hence. WOW! Pain, fear, mind numbing pain meds and oh yes here come the palpitations. I can take the pain but the wobbly heart has been the most scary I’ve stopped the pain meds resorting to just plain Tylenol but the thing that helps me most is Lorazepam. I take a half dose .5mg and it calms me and the Wobblies diminish. My GP however is so reluctant to prescribe Lorazepam. I was given 30 pills and told to make them last for 3 months
I am not an old 80+. I have been fit and exercised my whole life but I sure would like to free my mind and my body of this fear that locks me down. I am writing all of this to see if anyone out there can relate. When arrhythmia strikes we all are on different journeys. Thanks for listening.

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Replies to "I am in my early 80s. I have been dealing with AFib and AFlutter since 2015...."

@sandrah2024 Yes, I can relate. I am highly symptomatic with AF, but fortunately my second ablation has me stably in NSR for 33 months now. Before the second ablation, people told me I looked gray. I felt it, too.

We all have one, two, several triggers that set off our AF. For me it's adiposity and stomach distension, but also unique stressors such as purchasing a vehicle. That experience is what set me off the last time.

You might wish to investigate Vagus nerve tonality and the Valsalva maneuver. There are two kinds of AF, Vagus and adrenergic (really, they're just two arms on the same body). The adrenergic response gets us wound up, ready to deal with danger. It's more widely known as the sympathetic response. The parasympathetic response is managed by the Vagus nerve, and it's the calming effect. Some people's Vagus nerve loses tone and this encourages arrhythmia.