PVCs can be terrifying and hard to deal with. So you are not alone in your feelings. I have had them for over 20 years now. I had ablation on right ventricle which helped stop them from that location. However the left ventricle was the worst side and the most PVCs.

A recent holter monitor test showed 3 different areas causing the PVCs. I would have like to do ablation again but electrophysiologist wanted to try medications first. Now I am talking hundreds of thousand of PVCs and some what they call 3 in row which can really bother you with the feelings.

I was put on Mexiletine to see if could reduce them. I had a 2% overall reduction with it.

I am not a doctor but have had a ICD/Pacemaker since 2006 and on my 3rd device. How is your weight? Losing weight can help according to my electropysiologist especially if Atrial. You mentioned high stress job. A really trigger according to my doctors. Has anyone mentioned therapy for that? Breathing exercises really help. Just the deep breathing from stomach can really calm you down.

The problem I have expressed to my care team is that stress does affect the amount of PVCs I get. So when you get a lot your stress goes up and then your PVCs go up. That is why some therapy can help with that as much as medications.

Do you have and ICD/Pacemaker? If you have a ICD it will monitor your heart and abnormal rhythms. It is like having your own EMT in your chest. Now I know this may not help but when you realize that your ICD will kick in if your heart gets to far out or rhythm I can help you relax and help reduce the stress over it. And yes I have been shocked about 10 times in the 17 years I have had one. Usually my care team can adjust ICD/Pacemaker and or medications and it helps. You mentioned magnesium Were you told 400 mg? It is suppose to help reduce PVCs.

Where are you being treated? Is it Mayo? If so have excellent patient care on this. I do want you to know what you are feeling I have been dealing with it for 20 years. When I get my 3 month pacemaker results I see 250,000 (just an example) PVCs since last test and goes into 3 at a time and 2 at a time, etc. I have learned when they act up (PVCs) to try and breath deep. And address my stress. Do you exercise? Simple walking can help. I think you can probably feel stress building up prior to PVCs and that is the time if you can to do some deep breathing.

I would also asked about medications that can reduce the amount and be really honest with your health provider how much it is affecting you mentally.