Premature ventricular contractions (PVCs)

Posted by MichSophie @mlcheyne, May 6, 2019

Recently diagnosed with PVCs and I’m getting really frustrated and scared at the same time. Taking 10mg propranolol twice per day which does help cut down the intensity. But I’ve also noticed with most PVCs I’m also feeling the flutters in my upper abdomen as well as my throat. I’m going to see my doctor in a couple of weeks but was wondering if anyone else has had the same expression of symptoms. Thanks a bunch!!

@slynnb

Problems with the esophagus, including GERD, can trigger some palpitations. HOWEVER, while you can do whatever you want with drugs – and, yes , PPIs are over the counter and have long been considered safe – I am adamantly against them. In fact, my cardiologist – an arrhythmia expert – also agrees with me. PPIs were hawked as preventing esophageal cancer ( now some researchers think they are the reason esophageal cancer rates are rising, not falling) and can cause arrhythmia because of their impact on magnesium. PPIs raise the risk of serious kidney disease, B12 deficiency, heart attack and possibly dementia and a myriad of other problems that are not immediately evident. Recently, they were found to increase dangers of torsades de pointes,a specific form of ventricular tachycardia in patients with a long QT interval, that can cause sudden death. You can always lose weight, eliminate processed foods and try other approaches or, sure, take the PPIs. But to use them to somehow be the answer to palpitations is not something I would personally do.https://www.cbsnews.com/news/heartburn-drugs-proton-pump-inhibitors-ppi-risks-prilosec-nexium-prevacid/

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Gaviscon is pretty safe. Liquid form works better for some people. I use it. I'm thin, avoid all my triggers for reflux and still have it. Ppis and proton pump inhibitors cause itching and rashes for me (just as well).

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Years ago I had terrible PVC runs. What cured them (proven on before and after Holter monitors) was Hawthorn 3x a day. Now that I am 85, with afib, some PCVs have returned, but no long runs of 30 or so. Care must be taken adding Hawthorn to your diet because it can act as a beta blocker and slow your heart-you have to slowly try it out. It fits well with my calcium channel blocker, Diltiazem, but I began it very slowly.

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You need to check with your doctor and pharmacist about drug interactions. I was having runs of PVCs – back then in the 90s, doctors didn't give drugs for this-just said it was okay. I began taking Hawthorn, 3 times a day. It completely got rid of all PVCs, proven by a second Holter monitor test, in which the first had said I had "many." I was free of them until 10 years later, 81 years old and got afib. But I still use Hawthorn-accepted by my cardiologists along with other medications (Diltiazem, Dofetilide, Warfarin.) Hawthorn is a general heart strengthener but you do have to take care with drug interactions, largely by beginning slowly to introduce it.

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Mine started during the holidays this past year. I’ve had several tests ending with heart cath. I had to have a stent. Wow surprised! Not sure if my PVCS are related but they are just as you described and have started up again the past few weeks. Mine seem to be worse when I’m eating. Is that weird?

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Alcohol definitely can bring on PVCs.

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I totally agree Alcohol does affect PVC and arrhythmias

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Listen to York Cardiology doc on Youtube.

This doc helped me rid myself of palpitations and flippy heart beats.
I already told another group, and I know that these issues can ruin your life!
This doc is really a great guy… so much info.
He said use magnesium taurate and vitamin D together.
Vit D, Magnesium must be taken together.

You must take the right magnesium.
My palpitations stopped after conferring with Dr Gupta from York Cardiology.
He suggested Magnesium TAURATE for people with heart palpitations and Afib.
Sure enough…. I got the brand he stated and I am 98% free of palpitations.

So just FYI… this is the magnesium brand he said to use:
https://amzn.to/2XWVoS8
I get it through Amazon and take daily with Vit D 5000 mg.

Hope this helps anyone out there with these issues.
Ask your doctor, but really I would think ANY doc would understand this.

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I am 41 years old and had a stress test yesterday. Went 19 minutes on the treadmill and a minute or two after she slowed the treadmill down I had pvc. She said it was the only one on the test. I read that recovery pvcs are the ones you worry about. Otherwise the rest of the test was normal. Echo shows normal except mild thickening of the trileaflet aortic valve. Had several holiter done. First 48 hour showed 100 pvcs and a couple look to be r on t which concerns me. Second 48 hour showed 6 pvcs. Third 24 hour showed 1 pvcs. Some of the pvcs are multifocal. Also had a echo stress test that was normal and 21 day monitor that recorded a couple pvcs and pacs. Had a 30 day moniter where I would start having episodes of pacs that would last for up to 3 hours and for two hours estraight I would have a pac every couple of seconds which felt terrible. I had three or four days on the 30 day monitor this happened and it’s been over a year and have not had a episode since. Still three different ep doctors tell me I have nothing to worry about and that my heart is normal. i Work out regularly and will randomly feel a pvc during exercise and recovery. Should I be concerned and what should I do being that the eps don’t take me seriously

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@donsmith1959

I’m 59, diagnosed with pvc’s about 3years ago by primary doctor. I run daily and pvc’s go away while running. During hot weather running I experience racing heart and dizziness. Like fluttering. I woke up a couple nights ago with the same fluttering but only lasted a few minutes. My doctor says I’m fine and hasn’t recommended a cardiologist. I alway feel fine otherwise. Should I be concerned?

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Hi, @donsmith1959 – welcome to Mayo Clinic Connect. I apologize for the delayed response. Thanks for the information on your diagnosis with PVCs three years back, how they go away while running, and how you woke up a few nights ago with fluttering similar to what you've experienced when hot-weather running. Sounds like though your doctor has indicated you are fine and not recommended a cardiologist, you have some questions about this occurrence.

Here is some Mayo Clinic information on PVCs you may be interested to read https://www.mayoclinic.org/diseases-conditions/premature-ventricular-contractions/symptoms-causes/syc-20376757.

I'd like to tag @pantherfancm77 @tigertoo @jameck @eileena @balubeje for their insights on your situation.

Have you experienced PVCs in any other specific conditions, @donsmith1959? Is awakening with fluttering something you've experienced before?

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@donsmith1959

I’m 59, diagnosed with pvc’s about 3years ago by primary doctor. I run daily and pvc’s go away while running. During hot weather running I experience racing heart and dizziness. Like fluttering. I woke up a couple nights ago with the same fluttering but only lasted a few minutes. My doctor says I’m fine and hasn’t recommended a cardiologist. I alway feel fine otherwise. Should I be concerned?

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See if you can have your doctor hook you up on a 30 day monitor. Then you can see what is going on when you feel the fluttering. You could also do a 24 or 48 hour holiter monitor if it happens every day.

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@pantherfancm77

See if you can have your doctor hook you up on a 30 day monitor. Then you can see what is going on when you feel the fluttering. You could also do a 24 or 48 hour holiter monitor if it happens every day.

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Actually, that's a good idea. I had short runs of PSVT, had me scared. Never showed on the Holter Monitors, so they did Event Monitoring. When it occurred, and I called it in, I was expecting the worst, but the boredom of the technician saying "You had a little PSVT there" with no instructions to immediately go to a hospital was a relief. LOL.

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@lisalucier

Hi, @donsmith1959 – welcome to Mayo Clinic Connect. I apologize for the delayed response. Thanks for the information on your diagnosis with PVCs three years back, how they go away while running, and how you woke up a few nights ago with fluttering similar to what you've experienced when hot-weather running. Sounds like though your doctor has indicated you are fine and not recommended a cardiologist, you have some questions about this occurrence.

Here is some Mayo Clinic information on PVCs you may be interested to read https://www.mayoclinic.org/diseases-conditions/premature-ventricular-contractions/symptoms-causes/syc-20376757.

I'd like to tag @pantherfancm77 @tigertoo @jameck @eileena @balubeje for their insights on your situation.

Have you experienced PVCs in any other specific conditions, @donsmith1959? Is awakening with fluttering something you've experienced before?

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My experience with PVCs did not really include fluttering sensations. I would feel an enormous boom like when one of those large drums they carry in parades. This is the ventricle pushing a large amount of blood out due to the previous contraction coming far too soon and only pushing out a very small amount. I never seemed to feel the small early beats, only the huge boom on the return to a more normal rhythm. I still feel them, just very small and they occur sometimes about 3/minute more usually 1/minute, but not the 20/minute prior to the ablation I went through.

My cardiologist told me the bradycardia I experience allows the occasional PVC and that was his motivation for wanting to place a pacemaker. My recovery from the quad bypass on 7/24/15 has been so good he finally wants to wait longer before approaching the subject. He is in a wait and see time. He continues to tell me I am one of his healthiest patients and still expresses amazement the tI am still doing much better than most of his other patients.

Mayo Clinic has finally stated PVCs are very damaging to the heart muscle due to the large load of blood the ventricle is forced to push out on the beat that follows a PVC.

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