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Skipped Heart Beats (PVC's

Hello Doctor, I wanted to take a moment to thank you for hosting this forum, I've posted once before and have found it very informative and helpful, thank you!
I have a few questions concerning PVC's & PAC's. I have been evaluted by two different cardiologists with a battery of tests and everthing is normal, noted 1/2 apical ejection (flow) murmur only (28 year old male, 5' 11", 190LBS, athletic).
1. From what I understand now, PVC's & PAC's are not harmful, is either worse than the other? ie. more PVC's
2. Is the sensation of a skipped beat the result of an extra beat or is the sensation from the extra flow of blood resulting from a longer pause in the heart rythm?
3. If an individual is experiencing for example 1,000 PAC's/PVC's on a daily basis, does that signify an extra 1,000 beats? Wouldn't these extra beats over a span of an average life "tire" the heart muscle?
4. I notice in my resting pulse only (around 48-52BPM) that  sometimes after relaxing from either a work-out or just normal activity that a few beats are longer apart then others, however this is pattern is repeatitive, meaning the longer pause are not totally random but will repeat after the same number of beats per minute. My question is what's considered and irregular to regular pulse?
5. From your experience with past and present patients, have you seen any individuals experiencing PVC's/PAC's every go away entirely?
6. Are they the cause of some part of SA/NA node's deteriating?
7. Lastly on average, individuals with normal healthy hearts with benign PVC's/PAC's develop other serious conditions?
53 Responses
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Avatar universal
A related discussion, Skipped Heartbeat was started.
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Hi Babycakes,

Your comments made me feel a lot better, because i'm also 21 and thought I was the only one with this feeling.  The thought really depressed me, but i feel so much better now.

Bill,
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Hi Babycakes,

Your comments made me feel a lot better, because i'm also 21 and thought I was the only one with this feeling.  The thought really depressed me, but i feel so much better now.

Bill,
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I was having palpitations and skipped beats and was put on Inderal which is a beta blocker.  The beta blocker made the PVC's worse for me, so I weaned myself off of it and am now taking a magnesium supplement.  My doctor recommended a 2:1 magnesium/calcium supplement.  I take 600 mg. magnesium and 300 mg. of calcium combined.  It has helped some although has not alleviated them all together.  I also found out through blood work after doing a 48 hr. holter moniter and an echo stress test, that I am hyperthyroid.  Both the echo stress test and holter moniter showed sinus tachycardia and skipped beats. If anyone has undiagnosed palpitations and hasn't been tested have your Dr. run a T4,T3, and TSH test on you.

-Valerie
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Avatar universal
I am a 48 year old female who has suffered a heart attack on April 12 of this year..since then i have these **** pvc's daily...although not nearly as bad as i see some others have them...anyway.my heart attack was caused by a spasm and i have no blockage...very small amount of damage to the heart..and no heart disease...so does that mean i have a healthy heart? and am i going to drop over from these things? no one seems concerned and they scare the hell out of me...i thought they were from eating because it seems that's when i get them the most..but everyone tells me food has nothing to do with it..was on a holter monitor for 24 hours last weekend and was told it was normal..even though i had them for hours and they were pounding ones..i don't get it...i go to cardiac rehab three times a week and they don't seem to have a problem keeping me working out while i'm having a pvc..so..i want to believe they are harmless...i want to believe that more than anything...then maybe i could go on without being afraid every day.thanks for listening...
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does anyone know if you can get the skipped beats from taking a beta blocker.  I started taking about four months ago, and I never had a problem with the skipping until now.  Also, will they go away once my body is used to the drug.  One more thing I lost about 25 pounds, does losing weight make anyone have these things.  Thanks
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Avatar universal
I too, have appreciated all the comments. I just started getting PVCs over the past six months, and was also tested and reassured. (I am a 41 y/o F, in good general health, perfect weight, who typically gets a slightly under average amount of exercise.) I will have several days or weeks with almost constant activitiy (10-15/mn) and then I'll have days or weeks of "rest." It concerned me at first, but I was reassured by research and my physician, so now it is more annoying than anything.  My physician suggested moderate exercise on a regular basis would be good, as would avoiding any triggers (such as caffeine).

For me, the best way to deal with it is to not focus on it. When I wake up in the morning and feel the first flutters, I have two choices,  (1) to attend to the feeling, or (2) to put my mind on other things. I know my life is in God's hands, so I choose option 2. (This isn't always as easy as it may sound. The PVCs make me cough, and sometimes it feels like somebody is inside my chest poking me every couple seconds, making it physically hard to concentrate on other things.) Of course I also try to take care of myself and do the things I know are important (exercise, avoiding triggers, seeking medical advice), but as for wether or not they will shorten my life, or cause me more serious problems, since that is unknown medically, I decided to put that in God's hands and focus my energies on loving and serving others. The times I do that successfully (whether I have symptoms or not) are the times that I feel best.

As for the individual whose office was in the WTC, clearly you have been under an inordinate amount of stress in the past year. It is not surprising that you are having symptoms. Too often we believe that we are invincible in this country - that we can get hit with so much and still be okay. But that's not true. Be good to yourself and take the time you need to heal.



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Avatar universal
I have had fluttering beats my whole life.. now I am 48 menopause
for 8 years.. the fluttering has gotten worse lately, especially after eating or laying on my left side at times. I have worn the halter monitor  and nothing really showed up. I am scheduled for an echostress test in July.. this feeling is quite bothersome and i can feel it in the center of my chest and sometimes in the abdominal area.. anyone experience this??
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Hi John,
I am new to this forum.  I have been reading it for about a month now because I to suffer from PVC's.  What a nightmare when I get them.  It was touching reading your comments.  You have really gone through a lot.  I feel for you. I can tell you that I have had this condition for over 20 years and I am still here!  If that is any help for you.  I get periods of Pvc's where I will not go out or go to the gym.  I even left work early because of them.  I have tried beta blockers but they seem to make them worse!  I also have SVT where my heart races all of a sudden up 180 bpm but only during the night.  It wakes me up and I am terrified.  I can take a beta blocker which works for this but it makes the pvc's worse during the day.  Not very good luck for me in this area.  Had all the tests. Just trying to deal with it all.  God BLess and Good Luck.
***@****
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Hi jenilyn ....Batesville here. And yes I have those mornings too. Wake up feeling good and some days as soon as I sit up on the edge of the bed.....BAM. Aint much scares me but those things do. Also take Magnesium and Calcium and Zinc supplement. No change. For some I hear it works. May go to a speacialist in Memphis. If ever in yahoo chat look me up to talk about different docs in Ar. that might help......chat name and e- mail is  ***@****......
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Avatar universal
Hi Mark! Thanks a million for the info---I am going to check that website out. I think the resounding message here seems to be that stress plays a significant role in the management of these things. It's interesting that you had the PVCs following a bout of bronchitis. My mom who is an E.R. (and flight) nurse, says that PVCs are very typical with "lungers". I tend to have a lot of respiritory stuff (chronic bronchitis, pneumonia, etc). As for the beta blockers---I didn't get any relief with the Atenolol, but I've had great results with the Nadolol. I think my case is a bit different in that the beta blocker prevents me from having the SVT (without it, my resting h.r. is around 130-- going up to around 200 during a run of SVT---not fun!)I was exhausted all the time. My h.r. is normal now-- 70's, and I feel a lot better. When I work out, my h.r. stays right around 135 or so (I'm guessing it's due to the beta blocker). When I broached the wine issue with my cardiologist, he said "Yeah, some people are just more sensitive to it (alcohol) than others"...THANKS! I noticed that the wine had a "delayed" effect in that I didn't have any problems until about 6 hrs. after my last drink. You could just about set your watch to it---Bizzare! Then I would actually wake up with a racing heart and PVCs that would last about an hour or so. The more I had to drink, the worse it was. Finally, I decided that it wasn't worth it, and now I limit it to an occassional drink (1 or 2 glasses a month). It would be interesting to know if others have had similar experiences. Thanks for all the info!!! Let me know how it goes! ~Tracey
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I have had PVCs daily, for about two months, beginning after a lengthy  bout with bronchitis. They were so intense, I ended up in the ER where I received IV treatment including a gram of Magnesium and two bags of electrolytes. It turns out I was dehydrated from being sick. After going through the EKGs and Treadmill Stress test (all negative), I decided to focus on natural treatment. A short stint with Atenelol made me feel much worse, and I decided that beta blockers were not for me.

Thirty minutes of aerobic exercise(getting your heart rate up to the target zone is critical) each day, and supplements (Magnesium 400 mg, CO Q10 90 mg, Vitamin E 800 IU, and a Multi-Vitamin/Mineral), and daily meditation (very important) have allowed me to "function" without obsessing over the PVCs. At times I have them every three beats, but there are periods where I don't notice them at all. Of course, I'd prefer not having them at all, but I'm optimistic that they will eventually subside.

As for the wine, it's interesting that for the past year, I would have an allergic reaction to certain wines (white or red). After a couple sips, my face would turn red and itchy, to the point I would have to hold an icy washcloth to my face for relief. If I stopped drinking the wine, the symptoms would gradually subside in about an hour. Since having the PVCs, I've stopped drinking completely (not easy for a former wine importer). Now, I'm wondering if the first reaction was somehow related to the eventual onset of PVCs. It so happens that I had 3 or 4 glasses of wine the night before my PVCs really kicked in.

For an interesting take on alternative treatment, check out Dr. Walt Stoll's site (http://askwaltstollmd.com/relax.html) on Skilled Relaxation. This is not a dramatic, immediate cure, but I think it is worth the effort for anyone suffering from PVCs or similar heartbeat irregularities. Stress plays a major role in the effects and intensity of PVC episodes, and the time spent perfecting meditation techniques is certainly worthwhile.

Best of luck,

Mark
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Avatar universal
Thanks for the tip on exercizing! It's great to know that all the trips to the gym might actually help the PVCs too! I am going to try the magnesium thing as well--how much is a good starting point? I'm not a big red meat eater, but I do notice something when I have red meat (always thought it was the red wine I had with it!!!) Ha ha! Speaking of... has anyone noticed more of these after having a glass or two of wine? That's when I seem to get the SVT followed by the PVCs. Someone mentioned something about the sulfites possibly aggravating the condition. Any word on that?
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Avatar universal
Thanks so much for taking the time to reassure me!!! Maybe I can help alleviate some of your fears of becoming pregnant---I was taking Atenolol during my first and second pregnancies and I was fine all through both of them. I started to have problems with my third, but they really were confined to the first trimester---I think it had a lot to do with the "hormonal surge" when you become pregnant. Other than that and the "run" I had when 5 months pregnant with my last (there is also a big hormone fluctuation at that point), it was nothing worse than what I usually experience--MAYBE even less. When I'd have the occassional bout with these, I'd try to focus on the pregnancy and the little one in there, and it did seem to help. If you have any questions about any of this, you can e-mail me at: ***@**** Good luck to you!!! ~Tracey
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Avatar universal
I just stumbled on this website and must say it is great.  I was diagnosed with PACS/PVCS in 99.  I am currently taking Covera-Hs, which helps more than the beta-blockers, but the side effects are a pain.  I am blessed to have a cardiologist that suffers from pacs/pvcs himself. Bottom line-if you have a healthy heart they are nothing more than a nuisense.  Stress is one of the biggest factor in aggrevating them, and of course when you have a run, you are even more stressed.  Exercise is great because it burns off the cortisol your body produces when your stressed and will slow the PVC's.  I love Iced tea and still drink it, just in moderation. Stopped eating red meat and noticed a huge! improvement.  For the Ladies-and this comes from my cardiologist-not only can being pre-menstral bring them on, but so can ovulation. Also lack of enough rest will do it everytime.
Your mind is your own worse enemy-get out-get moving if you can-you will notice the symptoms reducing, even going away completely for periods of time. Hope this helps!
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Avatar universal
HI Tracey,

I have had the "bouts" that you are talking about, where it'll skip then normal and then I have a few in a row, and all I can do is take my pulse constantly and try to stay calm. My last trip to the E.R. they finally caught it all on the ekg and were just like, "yep, pvc's they won't hurt you, and sent me on my terrified way." My Menstrual cycle plays a BIG part in these things. I'm going to be 30 in December and have not had children yet, but my husband and I are talking about it and I am so scared of being pregnant with these things. I can say the inderal they put me on has helped a little, but I think the Magnesium has helped more. The fact of knowing I'm not alone with these things has alos helped ALOT! Hang in there, and know that they won't hurt you. :-)
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THANK you all SO MUCH for sharing your experiences (and advice---going to try the diet modifications ASAP!) I have suffered with these things for 11 years (following the birth of my first child). I was diagnosed with SVT and a "few" PVC's. I take Nadolol for the SVT--the only thing that controlled it. Had holter monitors, several E.R. trips, echo, stress test, of course "everything looks fine". I guess I am going to have to try to calm down and live with this. One question---does anyone experience episodes where your heart seems to "skip" then a regular beat or two, then some more skipping and fluttering (entire episode lasts for 5-10 mins)? I have had 2 of these episodes in the last 2 months and they are scaring me to death! The last was at the gyno's office--he felt my pulse and said "Yep, I can feel that. I'll write you a script for an EKG" (which showed a perfectly normal sinus rhythm- duh!) I can live with the occasional "skip", but this feels like what I have heard described as VT(aaahhhh!!!) I also DEFINITELY notice some correlation between these things and my menstrual cycle--wish someone would look into this. I am 35, non-smoker, work out approx. 3x/week, have 4 kids (actually had a "run" of these when I was 5mos preg. with the last). I appreciate ANY help (or reassurance) that what this is is annoying and not life-threatening. I'm driving everyone around me nuts (I'm scared to be alone with my kids for fear of dropping dead). Thanks again to anyone who can help!!! ~Tracey
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I know for a fact that my pvc's are much worse when I am premenstrual, even though my cardiologist doesn't think that is the case. I can honeslty say that taking magnesium has REALLY helped. I can relate to the feeling scared all the time, I missed so much work because as soon as I would open my eyes in the morning "bam" they would start, and they are sooooo scary. So, for the whole day I would sit on edge waiting for the next one to hit, it was horrible. I have gotten a little better with dealing with them, though I still will not get on my treadmill in fear I will drop dead if I get my heart rate too high. Again, I am so happy to have found this site and know I am not alone, and Hi Wayne in Arkansas I'm in Arkansas to!
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Avatar universal
I am 25 and I have asthma, but not real bad.  I take altenolol for my high blood pressure and it doesnt bother my asthma, but it makes me so tired I have to get myself motivated to do anything.  I also notice my beats get worse about that time of the month
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I am so happy to find that I am not totally crazy.  After hearing time and time again to just relax (right) and that my symptoms were not dangerous.  As far as I can tell by this website and other research, most of the people with pvc's and pac's are still with us.  Dont get me wrong, I have lots of problems with falling and staying asleep, and controlling fear and anxiety with my symptoms. I have had a bad response to the calcium channel blocker the doctor prescribed.  (Verelan-pm).  I think that they increased my symptoms by 5 times at least.  I have athsma so I guess I am not able to try a beta-blocker.  Is there any one else with athsma who has had any luck with any anti-arrythmic drug?  It sounds like most of the people here are thinking that they all make syptoms worse..  Also I notice an increase in syptoms pre-menstrual.  I hope we can all get the help we need to feel better.  I am going to start with some of the vitamin/oil, etc products and see.

Thanks for listening, and hope to get a response

Shellym
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Avatar universal
Hi
I found this site so interesting and somewhat reassuring too.
I have suffered from sinus tachycardia for the past five years, in addition, two years ago I also started getting the "skipping" beats, or premature beats mentioned on this site.
I too have run the tests, EKG's, Talium tests, stress tests, etc etc.  Have a "fleshy" mitral valve with turbulence and take meds when having dental work done.
My skips occur when my heart rate is elevated (excet when excercising) - I have quit smoking, cut back on caffeine,started to drink plenty of water and have found that it has made the problems less frequent.  My episodes always seem to run with
1.  Hormonal patterns
2.  After particularly stressful times.
3.  In conjunction with eating

Has anyone made any correlation between the skipped beat sensation and peri menopause, or acid reflux?
Thanks
Deb
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Avatar universal
I am a 42 yr old white male......6'3 260 pounds. Severasl PVC's a day but mostly brought on by exercise. I do most of my work at night and 5 mins into my job I start having PVC's. I try to tell myself they are harmless. And they just get worse. They even hurt if that makes any sense. I am currently taking 50mg of Toprol-XL twice a day. And 150 mg of Rythmol twice a day. My Cardiologist just recntly took me off 50 mg of Tenormin twice a day in favor of the Toprol-XL. I've been taking this new med for 4 days. But I personally think that has increased my over all PVC's count. And more PAC's as well. I'm going to switch back to Tonormin in the morning. Sometimes not always but sometimes when I walk......half way through my route they overide and go away. Of course until I'm back home resting and my heartrate comes back down they return. Most times at resting my HR will drop as low as 51........at those times I have more PAC's than PVC's. And there are days when I can simply walk through the house to put up a book and I will have several. The more fatigued I am the more I seem to have these. But like I said they occur mostly when I begin work or exercise. They are very depressing. I have to plan my days around whether I feel I'm gonna have a "Good Heart Day" or a bad one. Does anyone feel I'm a good candidate for ablation? I don't smoke I don't drink and I avoid caffeine at all cost. Don't wanna give my heart an excuse to beat faster. Any help ANYONE can give me would be a great help.
Thankyou so much.......Wayne in Arkansas
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Hello,I finally don't feel alone and like I'm going crazy. I have seen 2 Cardiologists and have been to the E.R. several times, a few by calling 911. I'm 29 and had these skipped beats in my early 20's and they went away, and now they are back with a vengence. They scare me sooooo bad. I am now on Inderal and Paxil and it seems to help though I am afraid to exercise or get my heart rate up. I heard that magnesium has been know to help, and I started taking it about a week ago and it really seems that it has helped. My husband and I are thinking about starting a family, and I am afraid that a pregnangy will put added strain on my heart, can anyone tell me if that is true? Again, I am sooo happy I found this board, now I know I'm not just a hypochondriac these horrible things are real, I just with they would go away!! :-(
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Avatar universal
I will say again that after changing my diet my PVC's dropped dramatically. I was getting skips every third beat at times, it was so bad. By eating vegetables and salads with dressing I made out of lemon juice, honey, flax and olive oils and spices, and after taking garlic pills a couple of times a day to lower cholesterol levels in only about two or three weeks I can live like a normal human being. I drink mostly bottled water or orange juice. I can't emphasize enough that this diet is worth a try. I eat meat very rarely if at all and never visit fast food places. Whether it is what they are feeding the livestock I don't know. But it is working for me. Doubt it is for everyone, perhaps best for those who have taken all the tests and the doctors are still baffled as to the cause, like my case.
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