I'm new onset afib with a lifetime of PVCs that come and go. The worst PVC rate I've had is 5 per minute, the entire time I was awake, and probably when I was sleeping, 7 days a week, for a few months. Anyone experiencing PVCs for the first time should consult a doctor for advice, as should anyone that gets PVCs that suddenly have a significant increase in frequency or symptoms. I've been to the ER on several occasions over the years, better safe than sorry.

A premature ventricular contraction (PVC) occurs and almost assuredly is not felt, but there is a compensatory pause - "These pauses are long enough to balance an incomplete or premature extrasystole, thereby the short cycle and the pause together equals two regular cycles". The heart filling for an extra amount of time produces the "Thump" we feel as the extra volume is discharged.

Although with Afib I have more than my share of PVCs, most of the Afib activity initially felt like the entire top of my heart was quivering. Some of the things I thought were PVCs by the feeling in my chest are not reflected in my pulse, i.e. taking my pulse when the feeling occurs, no change in the pulse is felt, it must be occurring in the Atrium. My symptoms have gone now principally to the left atrium, or more correctly are felt in the left side only, a strong quivering. This is where 4 pulmonary veins return to the left atrium, and these pulmonary veins are often the source of the Afib. I am otherwise, at this time, asymptotic, no shortness of breath, dizziness, etc. I do get short runs of relatively fast heart beats on occasion, at rest, despite being on 200 mg Metoprolol Succinate TWICE per day, but overall the rate is fairly well controlled.

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This is the most helpful comment so far for me. I was diagnosed 2/2022 with Afib and I have a Mitral Valve Prolapse with mild to moderate regurgitation. I was in the ER with a resting HR of 160. I was put on Metoprolol Succinate 12.5 mg daily with 2 baby aspirin. To come off any prescription medication, I agree, one has to be very pro active. Diet, exercise, stress reduction all need to be a priority. I stopped stimulants, i.e. alcohol, caffeine ( although I have an occasional cup of Earl Grey Tea and a small piece of dark chocolate), sugar (including processed carbohydrates), marijuana. I cook my own meals with organic and local produce. I have wild fish and pasture raised meat 1-2 times weekly. I go easy on the whole fat dairy, I do have a daily cup of whole milk yoghurt. Most important is I have been a wild craft herbalist for the past 38 years. I am taking Hawthorn leaf, flower, and berry infusion (strong tea) daily and also the tincture. This herb is a reputable heart tonic and there has been a lot of research on it, done mostly in Germany. I am nervous coming off the Metoprolol, since I have tried twice before and when my heart started to pound and race a bit, I went back on it. I think one needs to be on herbal remedies for at least several months before weaning and going off the medication. It's now been 6 months and I am going to try to stop the Metoprolol again. Wish me luck! By the way . . . I have had invasive Breast Cancer twice and declined chemotherapy and hormonal therapy. I did have surgery and radiation. The first time was in 1999 and the second in 2009. I strongly believe the Herbs, Diet, Exercise, Meditation, Singing, and being in Nature pulled me through. I hope this comment is helpful.