Long Term PAC and PVC Suffer. Need your support and guidance

Posted by rr1967 @rr1967, May 23, 2023

Hello everyone. Thank you for reading this below is my story:

I have been dealing with PVCs and PACs for almost 20 years. They flare up once per year usually. I have had Zio Patch monitors, tons of EKGs, a stress echo four years ago, two heart CT scans two decades ago, many ER visits, etc, etc. All results were normal with the exception of showing PACs and PVC. My burden has always been below 2% when they flare up.
25-e some stats:
1. I am 55 and in good health
2. Borderline blood pressure: usually around 120-130/75-85 most normal days.
3. Borderline type 2 diabetic.
4. I do suffer from chronic anxiety and depression. Twenty years ago I suffered many panic attacks for the course of a year. But they have gone away. Mostly I deal with almost daily anxiety and worry.
5. Non smoker, no drugs
6. I do drink alcohol ( wine or beer) on weekends with my wife, only at night.
7. I am at a healthy weight. Cholesterol and Triglycerides all normal.
8. Resting heart rate: 50-60. Cardio doc states that this heart rate is normal for me.

Well my most recent flare up started two weeks ago and they seem worse. I feel the extra beat the moment I wake up they go on all day until I go to bed. I went to the ER and they did another EKG and ran a bunch of blood work. Of course...all normal. Diagnosis: PACs. Electrolytes also all normal.

In the last week, I have noticed my skipped beats increasing when I move around, go grab groceries, go for a walk, even exercise. This has me more scared than ever. My regular doctor told me not to worry, but I am seeing an electrophysiologist (EP) tomorrow. I did see an EP two years ago and he told me I was fine and prescribed Flecianide to take as needed. I saw the side effects and they scared me off so I never tried them. Eventually, the extra beats went away.

I have also tried Metropolol and they did not work. They also made my heart rate slower so my cardio doc told me to stop taking them.

But as stated, they extra beats are back and I am more scared then ever, especially with them increasing with movement or exercise. I have never fainted or felt dizzy from these. I only catch my breath and feel extra alerted.

Finally, my palpitations also seem to increase considerably after I eat a meal. Is this normal?

Any advice, recommendations, encouragement, support please.

Thank you and my apologies for any typos or writing errors.
RR

Interested in more discussions like this? Go to the Heart Rhythm Conditions Support Group.

I finally figured out that my afib is triggered by meals. I eat small meals and also never after 6pm, 5 in the winter. It seems many people experience sensations from their heart after a meal, also depending on the position of their body. I do worse when reclining after eating. Everyone is differentt. And you have times when things are fine so that is a bit of a mystery

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Hello
You might want to ask your EP/Cardiologist if Magnesium would help. Magnesium really helped me with PVC's/PAC's...might need to work on dosage & frequency until you find what works for you.

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Ask your Cardiologist if you can take Heart Calm ( it’s Triple magnesium .. 3 diff kinds & Q-10 and a bit of potassium in it ). It’s saved me from ER ( which I had many trips to since my 20’s w/ PVC’s .. now I’m 61 ). I’ve had so many times my heart ♥️ pvcs / PAC’s had gone so close together and crazy but this stuff I found works during flare ups .
I haven’t gone to ER in 8 years . I take 2 ( can take 3 ) only when I get bad . It’s made with excellent ingredients in USA . Go to http://www.vitalbiologics.com to read up on it ( Heart Calm ) .
It’s $30 for 90 capsules.
I have very major digestive disorders 10 years daily and yes that Gastro cardiac syndrome.
Just wore the Zio monitor too . Through 1000’s of pvcs / PAC’s . Dr.s always say it’s normal . No way it’s not normal!! I agree w/ you . It’s scary . Best wishes.

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I agree with you. It is so scary. If only we can relax during those extra beats but that's easier said then done. But I think you should get great consolation out of the fact that all your tests are normal. If you took nice deep breaths and slowly exhale it might help you..it is great that you don't get weak or dizzy. That too is consoling. But I hear you. It is so scary but if doctors are not worried about you maybe you should keep that in the back of your mind. Please keep in touch.

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I know what you’re going through. I’m a lady who has had so much anxiety in my life and panic attacks. I started with PVCs when I was in my late 30’.They scared me so much I went to the ER thinking I was having a heart attack.They always said it’s anxiety,gave me something to calm me down and sent me home.My doctor would try to give me something for the anxiety but I was so afraid of medication that most of the time I would throw it in the trash.He then gave me a fast acting medication that helped a lot when I had a panic attack.It was Valium.It’s
diazepam a fast acting medicine, that calms you down a lot faster then ssri meditation but can be addictive. I sometimes take Xanax if I get too anxious or to help with sleep.The PACs started getting so bad when I got close to age 50. I had test done on my heart,always saying my heart was fine. I n 2001
he put me on beta blockers.That helps calm my heart down most all the PVCs went away but over time he years the medication didn’t seem to work as well then we tried another.Now I’ve been on metoprolol for 13 years it has be a very good drug but hasn’t been working as well lately.The ssri work well if you give them a chance.I’m in my 70’’s now.Please let your doctor help you. I believe you can live a lot calmer life and find some peace and happiness. I’m a Christian,if it were not for the Good Lord helping me to listen to my he doctor’s and trusting in him . I believe my life would be a lot worse.God I’d good

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Hello!
I appreciate so many replies! Thank you! I did see a new EP yesterday. Super nice guy and sympathetic. They ran another EKG and did listened to my heart. He did see the PACs and heard them as well. Basically he told me that if they did a EKG in every employee in the hospital, most of would have them. I am one of the rare people in the population that feels everyone. He did prescribe a low dose of Propanolol to try. This takes about two weeks to work so we shall see what happens. However, he did state again that my heart is fine and that I am in good health. He also told me to keep exercising and eating healthy. Finally, he encourage me to work on anxiety as this will keep the PVCs and PACs coming and going. I will start to work on that. I have asked about magnesium and potassium and may or may not work. Every person is different. My mag and potass levels are good as take a supplement every day and I eat lots of veggies. Right now, I simply feel sad and scared over these constant palps during the day and I am trying to ignore them and feel happy again. Just difficult.
Thank you!

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@cphillips1300

I know what you’re going through. I’m a lady who has had so much anxiety in my life and panic attacks. I started with PVCs when I was in my late 30’.They scared me so much I went to the ER thinking I was having a heart attack.They always said it’s anxiety,gave me something to calm me down and sent me home.My doctor would try to give me something for the anxiety but I was so afraid of medication that most of the time I would throw it in the trash.He then gave me a fast acting medication that helped a lot when I had a panic attack.It was Valium.It’s
diazepam a fast acting medicine, that calms you down a lot faster then ssri meditation but can be addictive. I sometimes take Xanax if I get too anxious or to help with sleep.The PACs started getting so bad when I got close to age 50. I had test done on my heart,always saying my heart was fine. I n 2001
he put me on beta blockers.That helps calm my heart down most all the PVCs went away but over time he years the medication didn’t seem to work as well then we tried another.Now I’ve been on metoprolol for 13 years it has be a very good drug but hasn’t been working as well lately.The ssri work well if you give them a chance.I’m in my 70’’s now.Please let your doctor help you. I believe you can live a lot calmer life and find some peace and happiness. I’m a Christian,if it were not for the Good Lord helping me to listen to my he doctor’s and trusting in him . I believe my life would be a lot worse.God I’d good

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I’m at the point of ignoring most of the heart palpitations. They happen when I go to bed so I read my Bible for half an hour.
Say my prayers and turn out the light. The beats calm me to sleep. ( my daughter and husband died of cancer a year apart.) I’m alone now so the Lord is my focus. Hard to get here! Two years now.

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@rr1967

Hello!
I appreciate so many replies! Thank you! I did see a new EP yesterday. Super nice guy and sympathetic. They ran another EKG and did listened to my heart. He did see the PACs and heard them as well. Basically he told me that if they did a EKG in every employee in the hospital, most of would have them. I am one of the rare people in the population that feels everyone. He did prescribe a low dose of Propanolol to try. This takes about two weeks to work so we shall see what happens. However, he did state again that my heart is fine and that I am in good health. He also told me to keep exercising and eating healthy. Finally, he encourage me to work on anxiety as this will keep the PVCs and PACs coming and going. I will start to work on that. I have asked about magnesium and potassium and may or may not work. Every person is different. My mag and potass levels are good as take a supplement every day and I eat lots of veggies. Right now, I simply feel sad and scared over these constant palps during the day and I am trying to ignore them and feel happy again. Just difficult.
Thank you!

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Yes it is very difficult. When they happen you can think of nothing else. But if you Dr's say there is nothing wrong with your heart & they are not worried, that is huge consolation. How about trying some yoga, meditation etc. Can be of huge benefit.

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@rr1967 Omg....I could have written this. Same thing. I have had PVC's for years. My cardiologist says everyone has them, even him, it's just that I'm very aware of mine. I went to hospital Monday, memorial day, because they were coming faster than normal. I had 2 PAC'S before I got to hospital. One occurs in upper chamber of heart, the other, the lower chamber. I do not drink or smoke and drink limited, diluted coffee. My resting heart rate is also in the 60's. Borderline diabetic too. I have internal vibrations since 2019. Thought maybe the metoprolol was causing them since it crosses blood brain barrier. I am also one of the rare people that can call them spot on. I had an EMS tech tell me, while hooked up to leads and having them, he has seen lots of people with them but has never met anyone that can call them spot on like I do. If I have to stay in hospital the cardiologist will tell the nurses "she has PVC's and is very aware of them". My cardiologist said unless I am having other symptoms as well like shortness of breath, sweating, dizziness, anything other than just the palpitations, it's not that big of a deal. I have had stress test, heart cath, echocardiogram, worn a monitor and all we know is I have heart arrhythmia. My mom as tokasuba( spelling) which is sympathy heart attacks. She's had 5 but has no heart disease. It's an adrenaline issue. Our adrenaline pump doesn't turn off so that fight or flight feeling just keeps coming. I also take a half mg xanax for anxiety to try and keep heart calm. It is a very weird feeling and unless someone has experienced it, it is hard to explain.

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@rozy288

Ask your Cardiologist if you can take Heart Calm ( it’s Triple magnesium .. 3 diff kinds & Q-10 and a bit of potassium in it ). It’s saved me from ER ( which I had many trips to since my 20’s w/ PVC’s .. now I’m 61 ). I’ve had so many times my heart ♥️ pvcs / PAC’s had gone so close together and crazy but this stuff I found works during flare ups .
I haven’t gone to ER in 8 years . I take 2 ( can take 3 ) only when I get bad . It’s made with excellent ingredients in USA . Go to http://www.vitalbiologics.com to read up on it ( Heart Calm ) .
It’s $30 for 90 capsules.
I have very major digestive disorders 10 years daily and yes that Gastro cardiac syndrome.
Just wore the Zio monitor too . Through 1000’s of pvcs / PAC’s . Dr.s always say it’s normal . No way it’s not normal!! I agree w/ you . It’s scary . Best wishes.

Jump to this post

If you have digestive issues, like diarrhea, be careful when taking magnesium. It can cause diarrhea.

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