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Avatar universal

PVCs

Dear doctor,
thank you so much for your help. I am 36, female and have had PVCs since I was about 18.
In the past I only would get a few PVCs a day. During a stressful move 2 years ago the PVCs got bad and the doctor prescribed Metropolol. After taking it for 2 months I became very ill from the Betablocker, couldn't breathe, started having panik attacks and was shaky all the time.I was taken off the BB and developed clinical depression. The PVCs had been better during the time I took the BB.Then I had to take an antidepressant because of the depression.
I am very sensitive to medication, because the antidepressant caused me to have diarrhea and I couldn't sleep. I was on the medication for 9 months. While taking the antidepressant I developed frequent PVCs (1000 a day) which have stayed with me now for 1 1/2 years. I am trying to figure out how to find the trigger for my PVCs.I don't smoke, don't drink, don't have any caffeine, try to avoid sugar and eat right.
I have all the test, Echo, Nuklear stress test, 48 hour holter, treadmill test, blood tests etc. which are all normal.
I had a short run of PSVT of probably 10 fast beats, which I get maybe 3 or 4 times a year with no feelings of lightheadedness.
I was told I don't need to take meds,which is I am very happy about. At them moment I dont' take any medication.
1. Could the Antidepressant have caused me to develop the constant PVCs?
2. Are there any other triggers that I have not looked at?
3. What about pregnancy, am I at risk?
4. Is ablation an option since I only have 1000 PVCs a day or what else can I do?
24 Responses
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Avatar universal
I'm conflicted about taking medication and here's the reason...I've had PVCs since age 18 and was Rxd all sorts of antidepressants and antianxiety drugs for it. Not correct at all, but what did I know? I took them and I was miserable for a long time, and I saw a lot of doctors who all stayed on that course.

At age 30 I finally got a compassionate and understanding doctor and she ordered a holter and it showed 10,000PVCs/day. She then ordered a treadmill stress test, referred me to a cardiologist and in the mean time prescribed xanax. The xanax was actually a blessing. The cardiologist said PVCs were benign, beta-blockers were the standard treatment but not recommended bec my BP was terrific and HR was low and the betablockers "might" make the PVCs worse. I trusted him very much.

At age 42 I exp a huge inc in PVCs, and they felt different. I didn't have a family dr. but saw one who was highly regarded. She ordered a 48hr holter and sure enough, PVCs were now 24,000/day. She didn't want me to take xanax, she wanted me to take  busperone(?) for the anxiety and toperol for the PVCs.  I was confused. I tried the busperone and 10mg put me on my butt with dizziness so bad that I knew I couldn't take it again. Therefore I was reluctant to take the toperol until I started constant bigeminy and had some runs of NSVT. So I tried 12.5mg and it did stop the bigeminy. I've been taking it "as needed" ever since when I have a really bad day, that's not dr. advice but my own, because if I'm on it more than 3 days I feel WORSE and still have 20PVCs/minute. But that's me as an individual. Beta-blockers may help others tremendously.

I understand what it's like to have PVCs increase and increase and wonder how much more you can take. If you have more questions or just want to chat you can email me at ***@**** and put something heart related in the subject I'll know it's from this forum. As you can see, I can sometimes go on and on. Thanks for listening, I hope it helps.
Helpful - 0
Avatar universal
I am  20 year old male with a strange sensation similar to what the previous posters described. It feels like a spasm or something of the sort. I do have acid refulx "disease" that I seemingly inherited from my father and my mother. It feels similar to what is happening to me but when i have acid reflux. I am usually laying down or relaxing. It feels like gas comming up, but it is accompanied by a strange frightened feeling like a jumping of the heart after being startled. I was unsure of whether it was something that was effecting the heart. I felt my pulse for a while and when it happened, the beat stoped. Immediately aterward it continued normally, not beating excessively fast at all, just as though it never happened. However it sped up gradually after that because this was a scarry experience for my heart to stop. This does sound similar to PVC. I have had this for years and it got to a point where I thought i could have a serious problem. Added, I am not overweight and I am physically active. Also, I have unexplainedly lost quite a few pounds lately and dont know if it could be a heart related issue. I do plan on seeing a physician tomorrow. Thanks!
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Avatar universal
My god, I can't imagine having 1000 pvc's a day. I would seriously crawl right up in to a fetal position. Does it feel like someone pushes or punches you in the chest, and kind of take your breath away? Thats how mine feel... :( They're quite violent
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Avatar universal
Do you take any medications? I don't want to but mine are getting so bad I need to do something, I go back to the Dr. tomorrow. How do you deal with these? I have been getting them for years but they are getting worse. Do you every email anyone and just talk with them? Thanks
Helpful - 0
Avatar universal
As someone who has had PVCs for 24 years, and apparently at an ever increasing rate, to now 24,000+ per day, I can say that they are terrible nasty things. However, they haven't killed me yet. And there are many people who post on this board with similar lengthy histories of PVCs.

Why isn't there a cure? Because the doctors truly can not figure out with certainty what causes them. Ya, lots of suspected things, things to avoid, you know, caffiene, stress, smoking, sugar, the list goes on, but even the healthiest among us may still have them. I've cut out so many things over the years and still get them, ugghh. But I feel strongly that if they "killed" more people, we'd see more research!!! So they are "probably benign" as most doctors tell you, but until they get a cause and cure, we'll all be left to wonder--when we get them really bad, if this is the one episode that we can't get over.

Keep posting, it helps others out there to know they are not alone. And it helps to have so many pairs of eyes on this condition because one of these days, maybe we can figure it out.  Until then, don't stop LIVING just because you think you are going to die. That's one thing we are all going to do whether we have a condition or not, whether we're male or female, young or old. But we can chose to live each day we have. Thanks for letting me go on.
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Avatar universal
I know a lot of people here are on beta blockers.  Does anybody know if they REALLY cause weight gain?  I'm taking Toprol XL, about 6.25 mg a day (can't take more because of low HR and BP but am taking it for PVCs).  I haven't noticed any real weight gain but am scared it will happen.  Has anybody had weight gain on Toprol?  Does anybody know if atenolol is better or worse for the weight gain thing?
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Avatar universal
Hi

Can i Join??? LOL

I am 34 and had my 3rd child back in February. I had a very stressful couple of months with baby who had severe reflux and screamed almost constantly and 2 other kids to care for.   I was under so much stress.  I got my first run of PVC's one afternoon ....about 2 in a row which caused a major panic attack.  Since then (April) i have had pvc's on and off.  I am on Anti depressants for Postpartum depression.  When i told my dr about my pvc's or skipped missed beat sensations he just said it was stress and anxiety.  He perscribed me atenolol 25mg a day.  That made me feel wierd so i split the dose and take 12.5mg in the am and 12.5mg in the pm.  It does seem to take the severity of the thumps away but I constantly worry about them.  I have had them before ...little ones but this is different this time.  Some people say it could be hormone related.  I really hope theses pvc's dissapear as quickly as they came.  My dr just assumes that they are benign but how does he know?  I know that they probably are benign but It's the now knowing that worries me.  

Should i be worried?

thanks for reading
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84483 tn?1289937937

While I do hope someone could find a cure for these awful PVCs , I think this is slap in the face to the doctors that provide advice to patients who post here on this forum, while I too suffer PVCs and sometimes doubt their benign prognosis, when these studies are analysed thorougly you will understand that these studies doesn't apply to majority of persons with PVCs. Having said that, I really wish that the outcome of these studies could be explained in much clearer terms and thus avoid the panic and anxiety that ensues when read by most persons.
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Avatar universal
Skipped beats are horrible and they always come when you are relaxed or sitting quietly. I was told by a cardiologist that you get them when you get older. I am 32 and have been having skipped beats since this April.
I was also told they will never dissapear. They come and go.
I tried 2 beta blockers for skipped beats and Atenolol seems to be working better than Metoprolol (Betaloc). The problem is that I feel as if my chest congested when I take even 12 mg of Atenolol.
Last year I was running 10-12 km a day. Every day. This year I cannot even walk to work without having a fast heart rate. When I sit down, the heart races 140 beats per minute. It may last for a couple of hours or much much longer. I was diagnosed with Inappropraite sinus tachycardia.
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Avatar universal
I'm thinking that your vagus nerve may also be involved in your PVC's since the vagus also has something to do with stomach acid production which could be the cause of your Gerd.
Try to get hooked up to a 30 day event monitor because its frustrating to wear a 24 hour monitor and have no events until 10 minutes after you return it.
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Avatar universal
I wonder if there are any experiments currently being done on PVC's. I would be a happy participant. This has to end. We should not have to just live with it. I understand that there are alot of conditions that people have to just live with, but at least those conditions have been researched well. I tried searching the net to find research on PVC's and it's not that easy. I wish there was a medication to put PVC's at bay.
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Avatar universal
I stopped using Flonase a few years ago since I noticed that it triggered my skip beats (pvcs).
For years I took 500 mg of magnesium, B100 vitamin, and an aspirin each day that helped lessen the number of PVC's I had. I also noticed that it was important for me to get 8-9 hours sleep each night.
I now am 46 years old and had a scary run of skip beats during exercise. I started Atenolol two months ago, 12.5 mg. at bed time. It has helped reduce the severity and frequency of the skip beats. However, now I have traded in one problem for another....I have a sleeping problem where I wake up 5 hours after taking the medicine and have a hard time getting back to sleep. I can't operate on very little sleep.
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Avatar universal
I have been dealing with anxiety for several years.  In 1997 I identified my first adult panic attack.  Long story short, I have been off and on medication.  I, too, have a hiatal hernia and GERD and it has complicated the anxiety.  Exercise was very helpful in the early stages, but I have gotten lazy and old and perimenopausal (age 46).  The reason I write now is that my PVCs, if they are that, are really frequent now.  Generally they come on strong in the evening when I am sitting down (like now).  Many nights I have had trouble getting to sleep, because lying down is so bad for them.  I went to my primary and we seemed to think maybe they were spasms in my esophagus because the stomach connection seemed so strong.  A few days later I asked my husband to listen to my chest, and he said it was definitely heartbeats that he was hearing.  When I feel my neck pulse it seems to me that it is very much like the description of PVCs.  I feel like I am losing a little consciousness with each one, kind of like when you hold your breath for awhile.  I have had halter monitors and stress tests before, EKGs, etc., and have always passed with flying colors.  This recent episode of the last three weeks has been very disturbing.  I am now wondering whether the severity of it has to do with sugar because I have been doing a bad thing by eating sweets in the evening (more than usual. Some things I have looked up recently - from what I have read and believe the heart responds to extra adrenaline that is kicking around in the system.  I believe that we who are at risk cannot process the adrenaline efficiently, or we overproduce it, such that it there when it is not needed and wreaks havoc on the body.  Many of my panic attacks come about 30 minutes after I fall asleep.  Right now it is the PVCs or whatever these things are that are really bugging me.  I know that I do have anxiety issues, but this is really out of the ordinary but my stress level is about the same as it has been for several months.  Another that seems to happen is that I start coughing and have a lot of mucous at these times.  I noticed this happening a lot when I have burning in the center of my chest and assumed it was due to irritation.  Sometimes it flares up terribly and I make everyone around me miserable.  I have read the posts from July just now (I am new to this board)and so much identify with many of you feeling helpless.  I am thinking of getting on a halter monitor again, but it sounds like, even if I do, there are no good "cures" for the PVCs.
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Avatar universal
I found some information for you. But if you would like to recieve a doctors opinion or response, you can post a question by clicking the post a question button. That will generate better responses for you. I believe the system is still open to new questions for some reason. However, I copied and pasted this from a website:

Treatment of tachy-brady syndrome requires control of both the fast and slow heart rates. Treatment depends on the specific arrhythmia that occurs but usually involves the placement of a pacemaker to prevent the heart from beating too slow and the use of various medications to prevent the heart from beating too fast. If a person is diagnosed with tachy-brady syndrome and he or she is on one of these medications, the medication should be stopped to see whether the arrhythmia resolves.

Frequently medications are needed to prevent the heart from beating too fast; however, these medications may aggravate the slow arrhythmias and make symptoms even worse. A permanent pacemaker is often required to prevent the heart from beating too slow.

A lot of conditions are treated based on whether or not the person experiencing them are symptomatic. If you are lightheaded, short of breath, have palpitations, or if it's debilitating to your life you are symptomatic. Hope this helps, but post a question so a doctor and others experiencing what you are going through can give you their input.  MUCH LUCK TO YOU OK
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Avatar universal
Do you know if there is anything they do for that even if all the come back normal? I don't exercise like I should but do you also know if that helps? Thanks
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Avatar universal
Hey, I posted on this topic also. But by reading your post, it sounds like you may have tachy/brady syndrome. I'm not a doctor or anything, but that's what happens with that syndrome.
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Avatar universal
Hi,I just posted to Compassion about arrythmia and pregnancies. Glad you both got to get a question posted! I wont do another long post here but you can go to her post and see what I wrote. These arrythmias are very scarey and very real. I dont think some people can understand how they can affect our lives. Ive had all the testing you have had too plus a event monitor for a month. I know its hard but if everything has checked out alright then try to focus on something else that brings you great joy. For me my faith and the joy my family brings me helps me greatly. My children keep me so busy it helps me not to stay focused on my episodes. I agree with Anacyde that walking is great for the pvc's! The more active I am the less I seem to get. I drink lots of water and feel this helps keep them less too. Water is very important too if you are on a betablocker. Ive just decided that this is how my heart and system is and try not to build up fear. I know this is so hard! My prayers go out to everyone! One day at a time is my motto,and the less I can think about my heart beating the better!! The brain is a strong muscle and will keep us in bondage of our fears. Think on positive things. This site has been a blessing to come to and have something incommon with others hopefully we can all be a encouregement to one another as we live with these arrythmias. A encoureaging word is like medicine to the bones!Taken from the book of Proverbs.~momof6
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Avatar universal
omg i have the same problem, seems like when i have pvc i have burps, when my heart flutters i have burps, i have had them since i was 23 now 46 got used to them and they were not bad ,but 4 weeks ago they started up again every 15 mins for two weeks and now i have them all through the day. had a ecko and ekg and wore a 24 holter montor but have not got the results yet, i take 5mg twice a day of timolo but they up it to 10 mg morning and 10 at night, but they are still coming . i hope they stop again and strange how they started up after all these years. go back to dr on the 12th so see whats going on until than trying to deal with them. gl with yours. barbara
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Avatar universal
I had ablation done by Dr. Fred Morady at University of Michigan Hospital about 5 years ago for A-Fib.
Recently I've been getting PVC's and had a short run of v-tach. All the tests turn out fine and it is assumed that the V-tach was not originating in the ventricles. My cardiologist said to take 100 mg. a day of atenolol instead of the 50 mg.This made my PVC's more intense. I have been reducing my dosage over the past month to where I am now taking about 12.5 mg, about one fourth of a 50mg.pill.
My PVC's are more common but noticably milder when I experience them. I'm of the mind that my Vagus nerve is at the root of my PVC"s.
Before my ablation I could induce arrythmias just by swallowing carbonated beverages as they passed down to my stomach. I even demonstrated this to an emergency room Doctor to confirm that what I was feeling and what the EKG was showing was indeed not artifact.The doctor was intrigued by what he observed and sent me to U of M where I could not recreate the phenomena.
However ,I do note that I usually have upper chest gas when I get PVC's and often burp minutes after which erases the PVC's.
How do I desensitize my Vagus nerve?
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Avatar universal
I had all my test come back normal, but my heart rate drops to 48-50bpm then goes up to 100-140bpm. It's all over the place and skipping beats to. I feel more of the skipped beats when it's low.I am not on any medications. Does anyone have any suggestions on how to deal with this?
Helpful - 0
Avatar universal
Hi - I could have written your post - I've never tried any meds though. Just wanted to let you know that I am 33, have had PVCs and PSVT for 10 years, I also had a baby 12 months ago.  My PVCs did flare up during pregnancy, especially in my 3rd trimester and I had a short run of PSVT which I went to hospital for but everything turned out ok.  The good news for me was that breastfeeding totally eliminated my pvcs (so I breastfed for a year). Maybe because I was not ovulating as much when I breastfed and therefore did not have the usual hormone cycling. whatever the reason, it was heaven.  Now that I am weaning the PVCs are slowly coming back unfortunately but nothing like they were in the past.
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Avatar universal
Although I may not know the answer to your questions, and I apologize for that, I can give you some words of encouragement. I am a 24 year old female and I have had PSVT since I was a young teen. I had my first palpitation, PVC's, when I was in the fourth grade. To this day, I have PVCS daily. I have runs of PSVT about once a month. I'm taking verapamil 240mg. I don't have any kids and would like some. I understand your conern. I'm in the same situation and I was waiting to post a similar question (ablation, pregnancy). I'm so glad you were able to post, maybe we can get answers together.
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Avatar universal
Sorry I forgot to mention that I use Flonase and Flovent for Allergies and mild Asthma. I ment I don't take meds for my PVCs when I said I don't take any medication.
Thank you
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74076 tn?1189755832
Hi Anjakarena,

1. Could the Antidepressant have caused me to develop the constant PVCs?

We don't know what really causes them yet.  If the medication caused them, it should have decreased or stopped when you stopped the medication.

2. Are there any other triggers that I have not looked at?

Not that i know of.  Don't beat yourself up over this.  Some people get PVCs and others do not.  Some people, unfortunately like yourself, can tell every time they have them and they cause symptoms.  

3. What about pregnancy, am I at risk?

In  some people, pregnancy makes them worse, others not.  Importantly, you baby will not be at risk becuase of your PVCs.

4. Is ablation an option since I only have 1000 PVCs a day or what else can I do?

Most doctors would not do an ablation for 1000 pvcs/day unless you were debilitated from them.  There are significant risks of ablations.  Because PVCs are not a condition that will kill you or physically harm you, it is tough to accept the risk of a significant strok in someone so young for this condition.

I hope this helps a little, but am sure it isn't what  you want to hear.

Good luck.
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