I have dealt with PVC's for s few years but they have really increased over the last 2 years. Mostly they were normal PVC's, a skip and a hard beat while I was resting. I had a few "attacks" that lasted maybe 10 seconds of rapid flutters that had me running to the ER. I linked those to having to much caffeine. I cut out caffeine about a year ago after I got much worse and my symptoms almost went away for about 3 months. Recently they have returned with a vengeance and now they are different. I get a flutter a few times a day, generally when I am idle. More worrisome is that now I have issues with anytime my heart rate increases quickly such as walking up stairs or yard work. My heart rate rises, then maybe 10 seconds after it starts slowing down I get a really hard, intense beat or maybe two of them. This has started to really suck as I have 3 small children and now I am always worried when I feel my heart rate rise. I have grown to understand that normal PVC's will likely not kill me. I have worn monitors, done the treadmill, tried different beta-blockers. I am on a low dose of metolprolol now. Most things I read address a PVC at rest but do not mention having issues when the rate increases. Should I be more concerned with this? I have an appointment with a heart rhythm specialist that my cardiologist recommended but not for two more weeks. I am tired of feeling like I am afraid to exercise or help my wife with yard work and play with my kids. I am only 37 years old. I also have been experiencing the slow flutter more now that I ever used to and have had it crop up when I have felt angry of stressed a few times. Is my condition worsening or is this all normal for someone who lives with PVC's? I am scared to walk up stairs these days and my office is on the second floor...no way to live :( Looking for any advice I can get!