@mmst4 Hello, I was diagnosed with an incomplete RBBB. I’m a healthy 72 year old female and have had PVC’s since I was in my 30’s. No other heart issues. Was on Atenolol for a long time until the PVC’s became more frequent. I was switched to Dilitiazem 120 mg daily which didn’t help much. My cardiologist added Metroprolol 25 mg daily. I was hesitant to take it, but I’ve been taking it a few weeks and I believe it’s helping and so far no side effects. I still get PVC’s but not as many. I’m not saying that Metroprolol will work for you, but I wanted to give you my input and I hope it helps.

@mmst4 Metoprolol is a beta blocker. Specifically, it blocks the beta-adrenergic receptors in the heart and prevents your heart from racing, especially when you are emotionally or physically stressed and your adrenal glands, which sit atop each kidney, secrete more of the fight-or-flight hormone called adrenalin (epinephrine in some medical circles). The results are two: slower rate and less forceful contractions when they happen...at that slower rate. Accordingly, metoprolol is a 'rate control' medication, and it is also sometimes prescribed for 'incipient hypertension' because of that one property, less forceful contractions.

Your physician must have done a pretty comprehensive assessment of you and decided that metoprolol, at least initially, and for now, is worth trialing to see how it works for the desired effect, but also that it doesn't make you truly miserable and not want to live anyway...or at least to continue to take it voluntarily. If you find that your spidey sense is telling you the metoprolol is degrading your performance in some measurable way, let him/her know!