How many PACs or PVCs are considered too many to require treatment?

Posted by sundancekid @sundancekid, Aug 23, 2022

I have at times having up to 6 ectopic beats per minute, or an average of 800+ ectopic beats per day. Is it time to be concerned?

If not, at what number of ectopic beats would need medical treatments?

Thank you.

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800 per day is nothing, if heart beats approx 100000 times per day, your PVC load is less than 1%.
Mine is 15%, 15000 per day....now on meds for it....
Talk to your doc, maybe try magnesium
Good luck

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@nash123

800 per day is nothing, if heart beats approx 100000 times per day, your PVC load is less than 1%.
Mine is 15%, 15000 per day....now on meds for it....
Talk to your doc, maybe try magnesium
Good luck

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Nash, curious...what medication are you on for the PVCs?
I have been on amiodarone for a long time for atrial fibrillation, which brings my heartrate down; it's my belief that the lowered heart rate creates favorable conditions for PVCs. My load is around 10%. I am seeking the right combination of medication for these two conditions and it feels really daunting. The PVCs disrupt my sleep and cause extreme anxiety.

Anyone out there with similar experiences?
Jennifer

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Have a regular heartbeat most of my life and I'm 62 years old. Some days I feel like every 10th beat is a regular heartbeat. I feel like I wasted my time for 4 years with this loop recorder in my chest and I would transmit several recordings every day of my heart fluttering and jumping and skipping beats yet the loop recorder never red flagged any of it and always said my heart was in a normal heart rhythm during all the times I transmitted recordings. My doctors had me on metoprolol for about 20 years and I'm beginning to think this metaprolol is causing my heart to have more irregular heartbeats

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I have a rare heart birth defect, for which my Electrophysologist
implanted a special $25,000 loop heart recorder. From what you’ve described it sounds like you have a faulty SA Node which is your heart’s natural pacemaker. I get all kinds of symptoms like yours but are not recorded by my loop recorder either. My recorder is set to map out my defect which is a 1 in a million birth defect. Your doctor must have your recorder programmed for something he is looking for, like mine is. So that any symptoms you spoke of are not needed. Your symptoms indicate your SA Node is faulty and most likely you’ll end up with a implanted pacemaker/ defibrillator. The pacemaker will set for a normal heart rate. The defibrillator will shock the heart into rhythm and the pacemaker will take over. I’m not a doctor but have a faulty SA Node myself from my birth defect. Hope this information helps you because stress and anxiety are the key to your symptoms.
@becky1024

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@jenrev

Nash, curious...what medication are you on for the PVCs?
I have been on amiodarone for a long time for atrial fibrillation, which brings my heartrate down; it's my belief that the lowered heart rate creates favorable conditions for PVCs. My load is around 10%. I am seeking the right combination of medication for these two conditions and it feels really daunting. The PVCs disrupt my sleep and cause extreme anxiety.

Anyone out there with similar experiences?
Jennifer

Jump to this post

Wondering if anxiety, adrenal, causes snowball effect..at least, this is my theory...You always see anxiety listed right...so, when the PVC's start up, noticable, first response is in my case, kinda a mini panic attack, I get anxious about them, and bam...of course, more follow..Vicious cycle..Anyone with same theory? ( Also have BP issues, so they say that contributes overall)...and of course, then you read, some of the BP drugs can cause heart irregularities!!!

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I have an advanced case of Cardiac Sarcoidosis. I have experienced it all (sustained VTach/Vfib/Cardioversion) take 1 amiodarone 100mg/day, but still have 20,000 PVCs a day. They just added mexiletine and it seems to help some. I have had two ablations and they say we're running out of options. The last holter monitor showed the PVCs originate from all over my heart. Transplant has always been said to be in my future. Seems like it's coming sooner rather than later - but not today!

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