So a few months ago, I started getting clusters of PVCS here and there. It was bothersome, but I knew what they were because I’ve had a couple here and there since I was 18. I am now 40. Then all of a sudden the frequency jumped to almost all day every day, with very little respite. Usually around 5 per minute. I saw a cardiologist, who precscribed diltiazem. I took 30mg 3x daily for a month and went back to the cardiologist, during that month, the PVC’s started coming every other beat in clusters of about 4 at a time, with multiple clusters a minute at times. I didn’t really notice any difference when taking the diltiazem. Now my cardiologist has me wearing a monitor for 30 days, and continue taking the diltiazem. I work a desk job, and have noticed that when I’m NOT having the PVC’s, the moment I get up to walk around doing my job and sit back down, they start up like crazy, with the clusters every other beat, multiple times a minute and it just feels terrible. It takes FOREVER (sometimes hours) to calm down enough that the clusters stop, and the PVC’s are only a couple a minute, but of course I can’t stay in my seat all day, so I’m suffering. They also start up really badly the same way when I lay down to go to bed at night. When I go back to get the verdict from my cardiologist, I plan to ask to get switched to a beta blocker to see if that helps any, since diltiazem is a wash. I also want to ask for an echo, even though I had a great one 2 years ago. Also, my left ankle is retaining fluid during the day, which worries me. I just feel awful overall. Tired and like something crazy is going on. Any insight or recommendations on what to ask at my appointment?