I'm a 32 year old RN. I've been to the ER twice in the last 2 months for PVCs. They keep me up at night, wake me during sleep. I've tried cutting out alcohol, caffeine, nose spray. I've tried stress reduction, deep breathing, exercising. Nothing helps. The PVCs do wax and wane, seeming to intensify over a couple of days, then go away for a couple days. They seem to be occurring more regularly though, and they scare the hell out of me. While on the ECG monitor in the ER, I was having 8 or 9 PVCs a minute, with a few 2 or 3 beat runs (couplets and triplets) causing the monitor alarm to go off frequently. I will see my primary care doc in 2 days, and ask for a referral to a cardiologist for an echo and a holter monitor. I do have a family history of heart problems; my grandma and grandpa on my mom's side have both had heart attacks and grandpa a quadruple bypass in his 60's. I have been taking Metoprolol for 6 years, and the ER doc added Cardizem. I still have PVCs. They depress me, I feel alone. I can't sleep, I can't concentrate. My anxiety is through the roof. People seem to think that because I'm an RN, I should know my body, and I should know what to do. But I assure you that I definitely DO NOT know how to help myself except to go to a specialist and rule out any serious problems. I feel a strong sense of doom when these PVCs hit me. They are WAY worse at night, especially when I sit or lay down, and I forget about trying to sleep. If I happen to nod off while sitting up, I awaken to a choking feeling, like I can't catch my breath. I'm scared to be home alone in case something happens. I'm scared to drive in case I have a heart attack. I feel that these PVCs will stop my heart, or cause a blood clot from insufficient/uncoordinated pumping. Being an RN, I know about the worst-case-scenarios. But any normal person would be equally terrified by their hearts acting in such a way. I can feel every single abnormal beat. Then my heart races afterward. It's a vicious cycle and I'm scared and tired and worried. I know that anxiety only worsens the problem. I have always been hesitant to even consider using anxiety medication, but I feel that I should try taking them. Any one else out there feeling as weary and beat down as me? I have added this forum to my favorites tab, because it does help me to read about others out there who also identify with some of what I'm experiencing. I know I'm not alone.