Increased /forcefull PVCs with lower heat rate & different body positions

[giffla]

I am a 46 yr old male.  I've had an EKG, 24hr holter, scans and stress test.  The results were that I am experiencing PVCs and the cardiologist says they are benign.  I've only been sensing them within the last 2 months and the cardiologist thinks this is due to the yet undiagnosed right ear issue I have (pressure and tinnitus).  I am not so certain of that since it's going on 2 yrs now and sensing the PVCs is recent.  I did have a ultrasound a couple of yrs ago for a possible enlarged heart, all was normal except that it showed the left ventricle was at it's upper limits for thickness.  My other conditions are GERD/hiatal hernia and initial stages of Raynauds (diagnosed Apr'11). Father died of heart attack at 51 yrs/had hypertension.  My confusion is to the possible source and the assessment of the PVCs.  I sense from my stomach area all the way to my head as a forceful physical shake/jerk.  Often, I get the feeling that I need to take a deeper breath as if I am not getting enough air and this happens hundreds of times a day, as well as the PVCs (likely in the thousands, that I am sensing) and on days when they seem more forcefull I also feel fatigued. They seem worse when my heart rate is lower.  Typically, while sitting, as now, my heart rate is in the mid to upper 70s.  So, as my heart rate lowers, the PVCs or sensitivity to them increase significantly.  They don't seem as numerous and/or the sensitivity decreases with light physical activity.  With heavy upper body activity such as moving heavy objects (pulling/pushing) I've had the irregular heart rate symbol show on the Omron monitor I use at home.  They also increase significantly while eating, with particular body positions, such as leaning forward at the waist, tilting my head forward or backward at particular angles or slightly tilting my body left or right of vertical when sitting.  Taking a shower at warmer temperatures with increased head movement can get really bad with light headiness, week kneed feeling and vertigo.  Given all these factors as new developments that I have no past history of experiencing, should I be concerned with the assessment that the PVCs are benign?  Perhaps see another cardiologist or vascular specialist?  

[jzinckgra]

Interesting about the right ear issue you mention. I have diagnosed benign PVCs too, but in the last two years, I have had a couple bouts of dizzyness in bed, usually when I roll over or try to get up too fast. Went to the ER last year and they said it was a likely an ear infection. It always goes away, but just recently, it has started again. Be interested to know what your doc says about your ear problems and PVCs.  

[Red_Star]

"In the June 2002 issue of the "British Medical Journal," Corey Slovis and Richard Jenkins explained how a low amount of potassium in the bloodstream affects the heart, and that these changes will be seen on an electrocardiogram, or EKG. One abnormality seen on the EKG may be a premature ventricular contraction, especially if there is also a low amount of magnesium in the blood, not an excessive or high amount of magnesium. This is why magnesium sulfate is used as a treatment for PVCs, to lower their frequency. Magnesium sulfate is called an antiarrhythmic medication because it prevents abnormal rhythms, like PVCs, as it raises the amount of magnesium in the blood."

[MichelleP_3811]

I also have the same symptoms and triggers for my pvcs as you.  I was also told they are benign.  Everything I have read states they are benign.  That doesn't make it easier to deal with them.  Have you thought about taking bp medicine with the intent to regulate the heart beat?  I think it has helped some people and may be worth a shot.

[justanumber]

i have the exact same issues as you do. i also have gerd and i have to take prilosec every single day and i probably have a hiatal hernia also but the doctors never ordered a scan for it. i also get violent pvcs when my heart rate is lower and when i am lying down. my echocardiogram also showed the left ventricle at the upper limit of thickness. i also get horrible chest pains with shortness of breath every single day. i am thinking that the pvcs that you and i have are probably stomach related so if i were you i would not worry about it.