I have inappropriate sinus tachycardia and uni- focal pvcs. I am a 35 year old female.
The tach is induced by simply standing up or putting on my clothes. The pvcs occur at nearly 20,000 a day, I am incredibly symptomatic and I feel every one. I have been on atenolol, it helped the tachycardia but not the pvcs. I am currently taking nothing to treat my issues.
I have been told I have PCOS and POTS.
I do notice some (very) short term alleviation of symptoms with magnesium, B12, even sodium.
My doctor thinks the pvcs originate from the right outflow tract near the pulmonary branch and suggested I take either verapamil or metoprolol (the doctor says it is hit or miss and told me to take what I want.)
I am terrified to take anything that could make things worse as I can barely handle my symptoms now.
Verapamil can apparently cause asystole, heart block, proarrhythmias. I am also concerned because sitting down induces pvcs so an even slower heart rate as a result of medication could be an issue.
According to echo and monitoring I have a healthy heart but I am terrified to act on this with meds at this point. I was prescribed pindolol and ended up in the emergency room with a fast heart rate coupled with bigeminy.
Any advice would be appreciated.