PVCs now getting worse with a higher heart rate

Posted by jjs165 @jjs165, 1 day ago

My PVCs are driving me nuts but here’s the new twist they used to go away when my heart rate went up now they’re actually getting worse. My doctor keeps telling me all your tests are perfect. Everything is fine. The burden’s only been at about 4% so they don’t really wanna do anything. I’m kind of apprehensive about antiarrhythmics, anybody else have more PVCs when their heart rate goes up and have been told all their tests are perfect.

Sometimes when they really get to rolling, I find it takes my breath away with just the minimal amount of exercise. I’m 70 years old. I’ve had a clean bill of health. My blood work comes back perfect every time all of my heart tests have been spot on it’s just this stupid Heartbeat weirdness I wish I could figure out a way to make it go away.

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

https://www.ahajournals.org/doi/10.1161/CIRCULATIONAHA.119.042434
The study is a few years old now, but still recent enough that you can get the gist of your circumstances as far as the authors saw it at the time. A burden of between 6-10% is a good time to stave off enlargement of the vessels or valvular problems, but also ejection fraction. The preferred treatment continues to be catheter ablation, just as it is for atrial fibrillation.
It seems that, unless you can find a more sympathetic electrophysiologist, or develop worse symptoms that make your life a living hell, you have two options: lump it or take an anti-arrhythmic drug. The citation above covers drugs.

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@jjs165
It is good your cardiologist are not finding anything. Bad that your PVCS are worse. Did you have a holter monitor test? If not talke to your cardiologist about it. Are you seeing a electrophysiologist (EP)? If not and you are really having stress with this suggest you get an appointment with one or asked your cardiologist to refer you to one. They are experts on the electrical funcion of your herat.

From my experience stress and anxiety will cause more PVCs that was confirmed by my EP. So you are under more stress now with more PVCs. More PVCS cause more stress, and more stress causes mor PVCs. See where this can be a problem espeically worry.

How is your diet? Eating anything that raises your feeling of PVCs going up? What about what you drink? Do you consume caffeine? A known and common cause of PVCs.

Has your doctor talked about OTC supplements like Magnesium to help with PVCs?

How is your lifestyle? Do you have an exercise you like to do? Do you have a hobby you like to do? These are stress reducers.

My PCP and EP went over the flight or fight issue with stress. When under stress your body picks up adrenaline which can cause (per my PCP and EP) increase in PVCs and even if continues can cause anxiety/panic attacks. The body can only take so much adrenaline and not flight or fight to work it off. Thus my mentioned of exercise and hobbies.

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Try magnesium and potassium.

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Had the same issue, with the same normal test results. After more than 5 years, and more Holtor Monitor tests than I care to remember, the cardiologist had me wear a Holtor monitor for 3 weeks. They finally caught me in atrial fibrillation bursts, which were preceded by a large increase of PVC’s, fatigue and dizziness. Once started on Flecainide the issue significantly decreased.

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