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PVC's and hormone flucuations

I have had PVC's for nearly 30 years. They vary in frequency from time to time. I am 55 years old and going through perimenopause. Lately the frequency of the PVC's has increased noticably. Would hormone flucuations affect them. I do not smoke, drink, or use caffeine.
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Avatar universal
Hi Ladies, I too suffer from pvc's.  It has been happening for about a year now.  There were times I did not think I would live this long but now I know they won't hurt me and I just kinda take it as it comes.  This board is a phenomenal source of support for me.  Just reading all the posts by others who are going through the exact same thing helps me so much.  I have come to find that my cycle definitely plays a part in how severe my pvc's are.  Right before, during, and after, and when I am ovulating are the worst times.  It is comforting to me now, after having these for a year, because I have learned different things that trigger them (caffiene, eating a heavy meal, skipping a meal, stress)  I too have kids, 6 of them from age 14 to 6 and my husband has been away in the military for the majority of the past 18 months.  That can create some major stress at times :)  It will be interesting to see if the pvc's subside much after he returns.  Anyway, at first, when I didn't have any information it was so scary.  I tried beta blockers but I really did not care for the side effects.  For me personally it was just easier to deal with the pvc's.  I have found that magnesium 500mg works best when they bother me enough to want to do something about it (like every other beat).  I take it in a powder form dissolved in a little hot water and mixed with orange juice.  99 times out of 100 they settle down within a few minutes. It's given me much needed relief many many times.  Hope this helps and take care.
Nicole
PS Just FYI I did have a complete cardio workup (holtor, echo, stress test)and of course everything was fine.  They did see several pvc's and pac's but said the structure of my heart was perfect and I had nothing to worry about.
Helpful - 1
Avatar universal
Sorry long post...

Hi, new poster. I usually just lurk because reading this board makes me feel comforted and a little less "crazy". I, like a lot of you, suffer from PVC's.

A little history, I just turned 40 in Dec. and that month was diagnosed with mild high blood pressure, even thoguh I had recently lost 20 pounds. I've been on Synthroid for Hypothyroidism (after radioactive Iodine for HYPERthyroidism)for 10 years. In February of this year, I was diagnosed with a non-functioning gall bladder. I had my gall bladder removed in early March with no complications. However, on the seventh day after my surgery I started having PVC episodes. I went to visit my surgeon for my follow-up that day, and of course, by the time he got me in the office they'd stopped and my pulse was nice and relaxed. Typical. I actually went to the emergency room the next day with a long episode of them and the nurse felt them stated that I was throwing PVC's, and could see them on the monitor. By the time the EKG tech got me hooked up - you guessed it - they'd stopped.

I went to my regular physician who thought I was only having PAC's (never happened in her office either) and said that a heart workup with a cardiologist was my decision, but hooked me up to a Holter monitor, three different times (one time the monitor malfunctioned). Nothing. At this point I think I might be losing my mind or falling apart just because I hit the big
4-0.

The episodes stopped for a while and I read this board and some other web info and stopped caffeine cold turkey. I also stopped alcohol except for maybe one drink with a nice dinner (I never had any more than 1 or 2 drinks per week, anyway), but soon stopped that as well when I opened a beer on a "Mom's weekend with the girls" and almost immediately started an episode. Around this same time the PVC's started up again in earnest and I have stayed caffeine and alcohol free ever since. I have also altered my diet to include more vegetables, less fat and more fiber. I drink lots of water and mostly nothing else. Every once in a while I have a caffeine-free soda or Starbucks - how I miss Starbucks!

I finally went to a Cardiologist and had a full work-up, ultra sound, stress echo, ANOTHER Holter. Still nothing - everything normal. The only person that can vouch for me is a nurse at my local ER and maybe my husband!

Speaking to my Cardiologist, he asked if I found these episodes to be related to my cycle. Why, yes, usually they happen right around any hormonal fluctions - right before, during or after my period and sometimes during ovulation - I've been ovulation earlier in my cycle lately, also with a shortening of my cycle. Perimenopause already, maybe? Then there was the question of stress. Well, I'm a stay at home mom of six year old triplet boys. What day ISN'T stressful. However, times of more stress, less sleep at about that time of the motnth tend to be up there, too. I'm not a good sleeper, never have been.

Tonight I signed on to read because I'm right in the middle of my cycle, I think I already ovulated last week, I had an okay day of "meet the new teachers" with hubby and kids, cleaned around the kitchen a little bit, went on a date with my husband, had dinner and a movie and have been having probably the one of the longest "sets" of episodes ever. What gives?

I am going to start back up at the gym next week with Yoga and water aerobics, I've been walking with the family the last couple of days (it's actually nice here in the Houston area this week). I take a blood pressure med, a synthroid, a aciphex for reflux and 2 womens Ultra Mega GNC vitamins everyday. Besides get on beta blockers or having an ablation, do we just have to live with this? Everyone says that they're benign, but sometimes they aren't. When do we know if they aren't? That's what makes this scary for me.

I really just wanted to get this out. I know this was a long post, but I found this therapeutic - it hasn't helped this crazy thumping in my chest, but I feel a little better, anyway.

Helpful - 1
Avatar universal
SWD
A related discussion, PVCs and Hormones was started.
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Avatar universal
A related discussion, PVC's with PMS, Eating, Stress was started.
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Avatar universal
Hello from Australia,


I need to vent!

Two & a half weeks ago, I started to experience frequent "palpitations",tightness in the chest, tiredness & SOB. I have had palpatations before but not quiet like this. I took myself off to my local GP after day 3 of putting up with them. Anyways... to cut a long story short....I had blood works,chest x-ray, Holter monitor. Conclusion: I have ventricular ectopic heart beats.Approx. 10,000 over a 24 hr period.
I saw a cardiologist today,( mind you, my heart barely fluttered when I was having an Echo done!)he assured me all was fine structurely with my heart & had no idea why I was experiencing the other symptoms, as far as he was concerned, his job was done.
He felt stongly opposed to putting me on medication for them & said the 'meds' do more long term harm than good.
Well that is great...I don't think the side effects of the medication are worth it either...however.....I am amazed that even after cutting out all caffeine, alcohol, limiting stress etc.....that one just has to "learn to live with it".

I am not feeling particulary positive on having to accomodate these extra beats!!!!!

Thanks for listening/reading :-)

Helpful - 0
21064 tn?1309308733
Melissa, you are welcome.  I'm the same way...I usually prefer to be an informed patient and I do not like surprises either...

Most of the pvc's have been eliminated...thank goodness.  Prior to the first ablation, my ejection fraction had dropped to 40%...YIKES!!! However, a few months after the second ablation, echo results showed an EF of 55%!! YES!!!

I'm glad your atenolol is helping!! Can mean a world of difference to so many pvc-ers.  Great news on the BP!! And then....there are the hormones....they could trigger some pretty crazy pvc days for me...It will be interesting to see if the atenolol helps keep the pvcs at bay before and during your period....<fingers crossed>.

Have a great week also!!

connie
Helpful - 0
Avatar universal
Thanks, Connie. I'm still new to all of this - I'm still learning what questions to ask the doctor and all of that. I'm really in to understanding all things medical that pertain to me (and/or my family). I don't like surprises. I need to do more research.

Sorry to hear about your Cardiomyopathy - have most of your PVC's been resolved? My doubled dose (50 mg) of Atenolol seems to be going okay so far - I hope that I don't get any worse. My blood pressure was great when I checked it yesterday and I'm not terribly fatigued. My period is right around the corner, though. I wonder if I'll get any with that.

Have a great week,
Melissa

Helpful - 0
21064 tn?1309308733
I ended up with ablations because I was having tons of pvc (over 20,000 in 24 hour recordings) and they were causing cardiomyopathy.  They were actually harming me....Because I was multifocal I knew ahead of time that it might take more than one procedure.  Had I not developed a cardiomyopathy, I would not have had the ablations.

connie
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Avatar universal
Momto 3, how come some of you have had ablations and others say that ablation doesn't really help PVC's because of multiple foci? Is it just a doctors preference thing, or do some have ablations for other arrythmia? Just curious.

I was a little nervous about doubling my Atnolol dose to 50mg, but I seem to be doing okay. I don't feel too tired, as I take it at night, but I still feel a little "woogie" right after I've taken it. I don't think that I could take a higher dose, though, because my resting pulse is now 52-56. Will this decrease my metabolism and the effect of exercise? I'll have to ask the doctor this question - among others. I think that I'll try to stick to this course of treatment for the next month, considering my insurance only last through the end of August and doesn't start up again until October 1st (husband just changed companies). Cardiologist assured me that he would be willing to help me over the phone (within reason, of course) if need be. Maybe in October I'll persue all of this further. He doesn't necessarily think that I need to take the BB indefinitely. We'll see and maybe I'll even get these buggers recorded some time - haven't yet, what's with that? Just like a car or washing machine, I swear. Every time I get a Holter I can go days without even one tiny flutter, just some innocuous PAC's that are nothing. Sigh.

Still curious about a general board, too...
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Avatar universal
Hi to all,

This is my big problem as well PVCs, on event monitor now before second ablation.  The pressure on my chest is just unbearable alot of the times, to the point a bra is a joke.  Had an ablation for SVT in april did fix that but the others foci's are more of a daily problem.  Wonder if having EP study before this second time should be done?  And this site has helped me so much I thought I was going crazy, have overheard many family members thinking it was just stress.  After 1st EP study they showed up but he didn't ablate for them just the re-entry loop thing.  I am desperate for them to do again.  Sometimes I really get like dazed and confused with this to the point I have had to have someone come and get me.  This past week has been just unreal no pressure on chest and feel almost normal but afraid no they will be back!
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Avatar universal
Hey Momto3, three kids is a handful and three six-year old BOYS is even worse, however, I love 'em all and try hard not to let them get to me. I am a pretty anxious person anyway, and even tried to take Lexapro for a couple of days, but it actually made me worse. I guess I'll just have to deal with it.

The PVC's are just another manifestation of my overall anxiety, I guess. They were really bad this past weekend, so I went back to my Cardiologist and he put me on Atenolol 25mg. I must say that it helped get my HR down, but I was still having PVC's yesterday and this morning. However, they almost didn't bother me because they are much more subtle with my heartrate lower and more calm. My HR is about 64 down from about 74-90 at any given time. Since I was still having the PVC's the doc doubled my dose of Atenolol to see if that helps. I just keep telling myself that they are "benign" and not to worry, but being a worrier, I can't help it sometimes. This also seems to trigger my IBS symptoms - I've had this forever and don't treat it. It's not terribly severe, I'm never blocked, that's for sure. My autonomic nervous system is whacked.

Usar13b, I too up until now, experienced most of my PVC's with hormone fluctuation - however, I think that "stuff is starting to change" and I'm gettin' perimenapausal. Maybe that's why I'm getting them more frequently. I have found that I often get them after sitting down to a meal - it doesn't even have to be a large or terribly fatty/heavy meal.

My kids have started back to school and I'm supposed to start back to the gym. Maybe some water aerobics and yoga will help me out - it can't hurt.

By the way, is there a more general board where you guys all meet so that conversation is easier and ongoing? I'd really like a more general PVC Bulleting Board to chat on. My friends don't quite know what to make of all of this - they keep asking me if I'm alright. A lot of times if I'm having a run of PVC's I just don't really want to talk - I feel kind of closed up. Odd.

I love this board and like sharing with those who know what's going on with me!

Momotrips
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Avatar universal
Thanks, Leba.

I've been trying to think back and wonder if I've ever experienced PVC's before, and they just weren't as noticable.

Today in church I was having another fit of them and felt like if I had to kneel another minute I just wouldn't be able to stand it. I've felt that way before without all the fluttering and the thumping. Riding in the car is not very fun when it's happening, either. I feel like my heart is just bouncing around in my chest.

I'm going to call my cardiologist tomorrow and ask some more questions, like what do I do when it's happening? Continue on like nothing is wrong, rest, drink water, what? If you have a really long "episode" is that worse, should I get to a doctor right away? How do you know if you have AFib?

I know, they'll want to Holter me again and nothing will happen. I will drink coffee and run up and down the stairs and scream at my kids and I'll be 100% normal.

I will go see my Endocrinologist that I've skipped out on for the last six years and get a FULL Thyroid workup. I guess I'll see my GYN for a hormone work-up, as well. Something is up on that front, I suspect.

Leba, do you (or anyone else on here) use beta blockers? Do they really help or just give you other annoying side-effects? Do these PVC's ever just go away? I know there's no "cure", just curious.

Thanks, M.
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Avatar universal
Whew!!! You've said everything I feel and more. CLearly stress plays a role. I've had my share of physical problems as well (severe Fibromyaliga and constant, mod. to sever pain for 5 years). That's enough to give you stress and depression. I was an athlete most of my life, marathon runner, racket ball, kyacking, gardening, you name it. All along having occasionally PVC's, since my teens. It's only lately that they have become a lot more frequent. I'm 55 and preimenopausal as well. I think so many things play into it. I'm seeing my doc on Thursday and will talk to him about them. If I had just starting getting them I might be more inclined to think they were something other than benign.. Mine never show up on EKG's either. All I know is they drive me crazy and given everything I'm dealing with......need I say more.
L
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21064 tn?1309308733
WOW!!  Triplets....Now, that would keep one very busy!! I have three children, but they are a couple of years apart...lol and grown...Of course, that comes with its own set of stressors...lol.  

Anyway, I was on/off beta blockers for many years and am recently back on them after about 1 year of being off of them.  They definitely help with the pvcs, but I would still rather not have to take them at all :(  Has your doctor suggested beta blockers?  You may find that a low dose will be sufficient and that you will have renewed energy to chase those youngin's...hahaha.

Had 2 ablations last year for pvcs and now I am having some "borderline" hypertension readings.  That's the primary reason I'm back on the BB's...it's always something : )

Good luck!

connie
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Avatar universal
Hi Linda:
Actually that's one thing I never considered, and in light of all the info that's come out of the last year it's definitely convinved me not to try HRT. There are other kinds of more natural, compounded plant estrogens that I might consider. Will be seeing my doc next week and will talk to her about it then.
Thanks,
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21064 tn?1309308733
LOL!! When I refer to a "good" pvc day, I just mean -- better than usual -- not horrible.  Maybe we could categorize them as "annoying," "debilitating," or "unbearable." Hmmmm....that could work : )  

For those who have had an ablation, I was wondering -- Does anyone else notice that their pvcs have changed in intensity? Strange, but I notice a handful now when I missed thousands before...For the past couple of months, I have noticed a return of some pvcs (not even a fraction of what I had pre-ablation). What's strange is that the pvcs seem more forceful and I defitely take notice of them. Also, I have never had a problem with BP and since December, I have had 3 consecutive readings that would be considered borderline. I'm wondering if because my heart is actually beating stronger now, if that could play a role.  Anyone else notice experience a change after ablation?

Thanks!
connie
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Avatar universal
I am scheduled to have a sleep apnea test performed within the next week or two.  I have been reading about the correlation of sleep apnea, afib, high blood pressure, and other problems.  My 46 year old daughter just had the test and discovered that she has sleep apnea really bad.  Over 700 episodes were recorded during the test through one night.  She returned a week later for testing while breathing with the help of the C-PAP machine and only had one episode and at the time the nurse admiinistering the test increased the pressure and she had no more during the remainder of the night of testing.  My daughter called me at 7 a.m. from the hospital where the test was conducted and told me how much better she felt.  This was only one night of sleeping with while breathing with the help of the machine.

Oh by the way, my daughter had been having problems with odd feeling heartbeats, not really afib but occasional trips to the ER.  She had gotten to the point she could only sleep at night by sleeping slightly reclined in a recliner chair. The sleep specialist told her she would definitely benefit greatly by using the machine while sleeping at night.
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Avatar universal
I love the term "good PVC" day. I never gave them much thought before now. They happened so infrequently. I've been suffering from severe Fibromyalgia for the last 5 years which has taken me from a marathon runner and athlete to a couch potato.  Perhpas just having so much sitting around time (not to mention pain) has put more attention on the things. But they really are so unsettling, and clearly have gotten worse as I've hit my 50's.
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Avatar universal
Dear Lebra
HRT has helped enormously to reduce the increased amount of palpitations I got around the perimenopause.
Perhaps it might be worth giving it a try if you can.  I don't really mean to promote HRT as I know it is controversial but it really has helped me.
Best Wishes, Linda
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Avatar universal
The only way one can have a 'good' pvc day is to have a day without them.  PVC's are always bad any day you have them.
Oh now hold on, I know what you mean..... a day that is free of pvc's.

Glenn Camp
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21064 tn?1309308733
GREAT question! My doctor and I were just discussing that yesterday. She asked if my pvcs occur everyday or if the frequency varies. Although they used to occur everyday, now they come and go...and I'm almost positive hormones play a role. Makes sense -- since they seem to affect so many other things. Hope today is a "good" pvc day.

connie
Helpful - 0
74076 tn?1189755832
Hi Leba,

There is no objective data linking menopause to PVC's, but certainly a lot of anecdotes.  If the symptoms are terribly bothersome, a beta blocker may help.  You may want to talk to your doctor to make sure there are not other causes of the irregular heart beats.  He may want to check a 24 or 48 hour monitor to rule out other causes for symptoms.

A google search of PVC and menopause pulled up a similar question.   I will provide the link below.

I hope this helps.

http://www.medhelp.org/perl6/cardio/archive/9131.html
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