Managing and Living With PACs and PVCs

Posted by rr1967 @rr1967, Aug 14, 2023

Hello all. I have posted in this forum before and I thank you for your advice. I appreciate more support please.

I am about to turn 56 and I have dealt with PACs and PVCs for the past 20 years. The come and go and now they seem to be getting worse. My cardio, regular doc, and electrophysiologist all say that I am fine and that I have too much stress and anxiety (which I do..I suffer from GAD and depression.) They all say that PACs are benign and that most PVCs are benign.

I had an exercise stress echo in 2019 (all normal). Several EKGs this year...all normal. Another Zio Patch Heart Monitor that I wore for a week. Normal sinus rhythm with PACs. My PAC/PVC burden hovers between 1.5 to 1.8 percent. I have had a recent chest xray and plenty of blood work. All normal. I am borderline type 2 diabetic and my cholesterol and triglycerides are all normal. I do take blood pressure meds and it is well controlled. I try to be active almost every day and I do practice CBT for my anxiety. My resting heart rate is about 55 and my cardio says that is normal.

What else can I do to reduce the PACs and PVCs or manage them? Some days they are fast and furious and some days they simply come and ago. But they are ruining my daily life and causing more depression and fear. They are awful in the morning, reduce a bit in the afternoon, and reduce a bit more in the evening.
My cardio again states that they are fine and to not worry.

I have tried a beta blocker (made my heart rate too low and I was too tired) and a pill called Diltiazem. Really had no effect and made me too tired. I don't qualify for any procedure and the one pill they are still offering me is Flecianide but that one has WAY too many side effects and I have had at least two cardiologists warn me from taking it.
What are you experiences, advice, etc?
Thank you!

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@gja

Your burden is very slight. My suggestion is to take prozac or some other thing that will take your mind off fixating on them, or find some natural way of dealing with it. With such a small %, I definitely wouldn’t take flecainide or other antiarrythmic drug. I am 77.

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Thanks for your reply

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@713j

Thanks for your reply

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I take carvedilol for my PVCs and PACs. It’s a beta blocker

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@rr1967
Stress can make both PVCs and PACs worse. Weight can also cause it to worsen.
Was magnesium suggested to you by your EP? If not asked about it. My EP at Mayo asked me to take it to help with PVCs but was already taking it.

I too took medications that lowered my pulse rate. This caused mor PVCs. My EP raised my pacemaker to 70 BPM to help raise resting heart rate from going so low. It did help but PVCs are still in my opinion a pain in the butt.

I can deal with single ones but the sensation of them happening 2 or 3 at a time is stressful and I am sure I tense up which does no good for PVCs. It is the old fight or flight and we do neither so stress and adrenline stays in our body.

Speak to your EP about anti anxiety medications and if okay to take magnesium supplement. The magnesium is being seen by a lot of EP as helpful

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@jc76

@rr1967
Stress can make both PVCs and PACs worse. Weight can also cause it to worsen.
Was magnesium suggested to you by your EP? If not asked about it. My EP at Mayo asked me to take it to help with PVCs but was already taking it.

I too took medications that lowered my pulse rate. This caused mor PVCs. My EP raised my pacemaker to 70 BPM to help raise resting heart rate from going so low. It did help but PVCs are still in my opinion a pain in the butt.

I can deal with single ones but the sensation of them happening 2 or 3 at a time is stressful and I am sure I tense up which does no good for PVCs. It is the old fight or flight and we do neither so stress and adrenline stays in our body.

Speak to your EP about anti anxiety medications and if okay to take magnesium supplement. The magnesium is being seen by a lot of EP as helpful

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I take magnesium on occasion. 100mg of glycanite. What kind do you take and what dosage? I would agree slower heart rate seems to increase PVCs and PACs. I just started to take banana cinnamon tea at night for sleep seems to help for better sleep which in turn might reduce PVCs and PACs.

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Ubiquinol (made with Kaneka ubiquinol). Note do not confuse with ubiquinone which is just plain CoQ 10). Ubiquinol is a fermented version of CoQ 10 but is highly absorbable. There is no down side to high doses 400-1000mg per day. It does not interfere with any cardiac drugs.
As we age we cannot absorb ubiquinone. We need the active form which is Ubiquinol. On a side note I cured my dog's heart murmur using therapeutic doses of ubiquinol (200 mg per day for a 40# dog) but that is another story :). I take 400 mg/day.

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If you are taking a statin regularly, you should supplement your requirement for CoQ10, and as stated above, preferentially, by far, with the alcohol form. It's unfortunately quite a bit more expensive, but it's not bad pricewise at Costco.

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@713j

I take magnesium on occasion. 100mg of glycanite. What kind do you take and what dosage? I would agree slower heart rate seems to increase PVCs and PACs. I just started to take banana cinnamon tea at night for sleep seems to help for better sleep which in turn might reduce PVCs and PACs.

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@713j
I take a combination of supplements in one pill. It is Calcium, Magnesium, zinc. The preferred type is Magnesium Citrate. My doctor (EP) advised me to take 400 mg a day.

My EP a world reknown EP is Dr. Kusumoto at Jacksonville Mayo Clinic. He has also stated that weight has a real affect on PACs and PVCs as well as stress.

He has me on a drug called Mexiline (spell). I don't think it has reduced them much but they have me on lowest dose. I am working on the weight portion as pretty well stop watching it for all of 2023 as was undergoing treatment for prostrate cancer and then had MOHS surgery that required 6 stitches. So was not a time to worry about comfort food.

Getting a good night sleep will definitely help!

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@jc76

@713j
I take a combination of supplements in one pill. It is Calcium, Magnesium, zinc. The preferred type is Magnesium Citrate. My doctor (EP) advised me to take 400 mg a day.

My EP a world reknown EP is Dr. Kusumoto at Jacksonville Mayo Clinic. He has also stated that weight has a real affect on PACs and PVCs as well as stress.

He has me on a drug called Mexiline (spell). I don't think it has reduced them much but they have me on lowest dose. I am working on the weight portion as pretty well stop watching it for all of 2023 as was undergoing treatment for prostrate cancer and then had MOHS surgery that required 6 stitches. So was not a time to worry about comfort food.

Getting a good night sleep will definitely help!

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That’s for the info. Do you also take coq10?

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I cannot stress enough do not confuse ubiquinone (CoQ10) with Ubiquinol fermented CoQ10.
As we age the human body metabolizes them differently. When we are younger < 30 we produce ubiquinone type CoQ10 and then we process it internally into the active form called ubiquinol CoQ10. As we age we loose the ability to convert ubiquinone into the active ubiquinol. Hence the need to consume Both are CoQ10 but different versions of it. A Japanese company has trademarked a specific kind of fermented CoQ10 under the name Kaneka. Many many brands use Kaneka and it will be listed on their ingredients. Note stay away from any supplement that uses the emulsifier called carrageenan. I have seen a Ubiquinol using Kaneka CoQ10 also add carrageenan.
Google Kaneka to better understand the differences. this forum does not allow links.
Google for more on the detrimental effects of emulsifiers. This forum does not allow links.

"Carrageenan, one of the most widely studied food emulsifiers, can also affect both the gut and the heart. Carrageenan-induced colitis may reduce the population of the cardioprotective gut microbiome Akkermansia muciniphila."

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