Hello,
I am new to the community and have seen a cardiologist at the Mayo Clinic in Jacksonville, FL. I have a loop recorder implanted due to NSVT, so I know when my PVCs are triggered (I feel everything anyway) and can vouch that at night PVCs/PACs can be worse. I wish this were studied more, especially regarding whether it occurs more at night or simply due to body position. I can be fine, but as soon as I lie down, they become very bothersome. There is data on my loop recorder, so at least for some people, this can be true. I also go through phases where I can barely feel any PVCs, and then for months at a time, they are relentless. Nothing I do in my lifestyle has changed to make them flare up or go down, and this is the part that is most frustrating to me. I do not drink caffeine, have been a lifelong athlete and work out every day, eat as healthy as possible, and even my professional life is in health promotion and disease prevention. I take 12.5 mg of metoprolol daily (sometimes 25 mg if they are really flared up, per my doctor), and I am not sure this really helps me any. I take magnesium, C, D, and iron (since I can be anemic) and hydrate well, etc.
I wish there were an answer or solution for those of us who are so bothered by these things. My burden is still around 1 percent on average, so the doctors have not thought an ablation is necessary. When they are in a flare-up, it is higher than that, but it evens out to 1 percent over time.
It is nice to find this page.