How low is your pulse? Do you, or your doctor know that a low dose beta blocker would cause your pulse to go too low? I'm not sure a beta blocker would help, perhaps a calcium channel blocker - which my have less impact on the HR, I don't know. Seems worth discussing with your doctor. When I was in normal sinus rhythm I took 50 mg Toprol SR a day and it didn't lower my HR much. I think I ran in the low 60s at rest, and in the mid 60s when not on a BB. I have also found that I adjusted to the BB pushing my blood pressure too low... or I now have high blood pressure, not sure which as I've been on 50 mg or higher of BB for several years.
Do your PVCs wake you up at night? If they do and you can't take anything to reduce them perhaps a sleeping pill would help... just guessing and hoping you'll find some relief.
Along with what Jerry asked, how many pvc's are you having in a 24 hr period that they consider them "too many" and what's the bad location they can't ablate?
I had an ablation in August 2009 that was in a very fragile place - the lowest thin back underside of the heart. My EP said they CAN work on this location but it takes a very skilled surgeon and then they can only ablate a very small portion because they will burn completely through the heart and cause complications.
If your HR is in the 50's a beta blocker may make your hr lower or it may not, depending on your system and how you react to them. I had a pacemaker/ICD implanted for bradycardia; but I would faint with HR in the 50's and they found out I have malignant heart arrythmia's on top of an enormous amount of pvc's and a crazy neurological system.
how do we know if our pvcs are benign or malignant? can we tell or is down to a doctor?
That is probably the most asked question about pvc's - how can we tell if they're dangerous, along with how many are too many? I've asked that question so many times my head hurts.
They do not know, there's a pattern that 'may' or may not be dangerous - there's conflicting data and research on each side. I've heard, read and been told different things - anywhere from 1% - 5% of all pvc's are malignant - meaning dangerous arrythmia's.
In my case, they did not have any clue mine were malignant until I had my ablation and went into V-Fib 3 times (long runs of idiopathic polymorphic VT) . I've had just about every type of arrythmia caught on my tests except Afib. and then I'll turn around and have absolutely nothing on a test. Apparently, my arrythmia's & fainting (neurocardiogenic syncope & OI) are related, which I've suffered since age 9 and been told nothing was wrong with me. I've had so many tests in the past year I can't even fathom they haven't found anything - eveything I've had wrong has been no known cause.
My doctors recommended I go to one of the large clinics that track problems like I have to see if they can piece my weird symptoms & problems together and find a cause, but my insurance wouldn't pay for Mayo or Cleveland and no way I could pay $12,000 out of pocket on top of what I paid for insurance (1,000 mthly) & my $3,000 ded. so I never went.