V tach questions

Here's my background, I had my aortic valve replaced 20 yrs ago w/a St Jude valve. I have EF levels within normal range. Currently on 125 mg of metaprolol. I've been feeling palpitations/minor chest pain for some time and a few episodes of being lightheaded but did not faint. I had a Stress Test w/echo done to look into this. During the stress test I had multiple pvc's and 10 mins in I had a NSVT. They gave me a holter monitor to wear for 24 hrs.

Here's the question:

I'm due to see my cardiologist regarding the results. I'm not asking for specifics regarding my case as I know the echo/ekg/holter all play a part. I'm just wondering what the steps of treatment might include for someone w/my symptoms. I understand the pvc's may be nothing at all as well.

What might be suggested next:increase beta blockers? Antiarrythymic drugs? EP study?

thanks for your time

[Jerry_NJ]

Tough to speculate.  The monitor should provide some help if you have any episodes while wearing it.  

Just my guess, but 125 mg of Metoprolol is a high dose level.  The doctor could go higher if you can take it.  I had trouble taking 200 mg a day and now take only 50 mg of BB plus a Calcium Channel Blocker.  

I'd guess an EP study would be proposed only if the monitor shows some troubling arrhythmia. To my knowledge, the EP study is the precursor to a possible Ablation, which I believe is never done unless there is considerable symptom problems.