PACs/PVCs/can't get many answers plz help

[deltadrlyn]

For 5 years now I have had palpitations. Verapamil helped for 3 years and now they are occurring again. I am currently on Coreg and it seemed to help for about a week then they returned and they we upped the dosage to 20 mg per day and they were good for about 3 days and now increasing.  My first holter 4 years ago showed pacs and pvcs. But the Cardiologist who read the report said the findings didn't match my complaints (I have NEVER been seen by a Cardiologist) I had an echo which was normal although they could see the skipped beats ...this latest holter report says: Bradycardia Runs 9..Longest 4 beats Min rate was 46 MPM..No Pauses..Ventricular Events Forms 6..Supraventricular events couplets 1..SVTach Runs 1 longest 3 beats Max Rate 118..SVE 5 beats ..Once again the cardiologist who I have never seen Interps as saying. Predominant rhythm is sinus rhythm with an average of 77 bpm ranging from a low of 46 bpm to a high of 123 bpm. there were 115 ventricular extrasystoles with no complex arrhythmias. There were 7 supraventricular extrasystoles with 1 couplet and 1 triplet. No Pauses were noted. he goes on to list that the times I COMPLAIN of a palpitation that nothing is showing up. he ends by saying There were no sustained arrhythmias. There was poor correlation between the patients complaints of palpitiations and the presence of extrasystoles . He makes this sound like I just make it up...this is so not the case. I realize it isn't life threatning and hey...I am so happy about that. However it is very uncomfortable to sit and feel your heart skipping 10 times an hour.  I use no caffine and no alcohol , no chocolate, I do not smoke, I do have high bp and yes I am overweight. Any info you can give me will be greatly appriciated.
Thank you

[deltadrlyn]

Thank you so much for your information.  As I read all the post it looks like its just another one of those things we have to learn to live with. I am glad you respond to peoples questions. Thanks again :)

[Momto3]

The "thump" could be the big beat right after the compensatory pause.  It goes something like this:  Your heart will feel like it is skipping beats, but really...it beats and then tries to beat again (too quickly), then pauses, then THUMP.  That does feel weird, but with normal tests, it's OK.

[deltadrlyn]

Thank you...yes still symptomatic...and I do feel a lot of palpitations still all during the day.  It began as a flutter that made you want to cough or clear your throat. But the past 2 weeks It seems to be a harder thump...no longer the "tickle" it was before. I seem to stay tired all of the time.  I am glad that the test do not show anything "Bad" ...I suppose it is just the way the Cardio Doc words things.

[Momto3]

deltadrlyn,

I don't think your doctor is dismissing your complaints so much as he is saying the timing of what you feel does not correlate to an abnormal rhythm.  This is not to say that what you're feeling isn't happening, but it is not in relation to an arrythmia.  

What is it that you are feeling when you record an episode?

I'm not a doctor, but your Holter looks relatively unremarkable. Are you still symptomcatic?  Is it possible that you are having palpitations (the sensation of one's own heartbeat) and not ectopic beats?