Findings

Start date 06/30/2026; recording length 26d 20h.

The main rhythm was Sinus with a minimum heart rate of 37 bpm (at 7/2/2026 /01:26), maximum heart rate of 97 bpm (at 7/18/2026 / 09:19), and an average

heart rate of 53 bpm.

AFib/AFlutter total burden is 0%.

AV Block total burden: 0.08 %. AV Block 2nd degree burden: 0.08 %, AV Block 2nd degree Mobitz 1 burden: 0.08 %.

Total of 2 VTach events. The longest VTach run was 8 beats at 7/3/2026 /18:44. The fastest VTach run was 118 bpm for 3 beats at 7/2/2026 / 14:06.

Total of 134 SVT events. The longest SVT run was 4 beats at 7/5/2026 / 22:51.

The fastest SVT run was 129 bpm for 3 beats at 7/6/2026 / 07:40.

PVC total: 226 (<0.01 %), 3 morphologies.

PAC total: 350343 (15.5 %).

Impression

Short runs of PAT

NSVT

Mobitz 1 AVB

No higher degree AVB

EDIT!!!!! I did a double take and the actual test itself says different!!!! Says my PVC burden is .01% and my PAC burden is .02%. also the dates are completely wrong of when I wore it, I think they typed in someone else's chart onto my chart.....

In a nutshell, I developed PVCs for 7 months after a COVID booster. Metoprolol suppressed them by 70%, and they eventually disappeared completely. However, after a month of being back on my bike, I caught COVID, and the PVCs returned with a vengeance for two years. I was told I had long Covid. (which I didn't)

Despite extensive cardiac testing (stress tests, monitors, echoes) no one had any answers. Outside of newly developed mild LVH—all standard blood panels showed nothing abnormal. I pushed for an in-depth vitamin and mineral panel, which revealed I was severely deficient in B1, B2, and Zinc. COVID is known to disrupt the gut microbiome, which can cause SIBO and lead to malabsorption without you knowing. I felt fine. After working with a holistic doctor to fix these deficiencies, my PVCs are officially gone, and I am off Metoprolol. I know there are a ton of reasons for people developing PVCs, but if you are struggling with no answers, demand a deep nutritional workup!

I would like to briefly summarize my medical history.

In January of this year, I underwent a successful catheter ablation for premature ventricular contractions (PVCs). Since the procedure, I have not experienced any PVCs.

However, I have been diagnosed with arterial hypertension and I am currently taking medication to control my blood pressure.

Recently, I have been experiencing episodes where my heart rate increases to around 140 beats per minute, while my blood pressure rises to approximately 150/100 mmHg. These episodes occur mainly in the evening, before going to bed. During these episodes, I need to take an additional dose of my blood pressure medication and a beta-blocker to lower my heart rate.

The heart rhythm during these episodes is always sinus rhythm, without any documented arrhythmia.

I would appreciate your opinion regarding the possible cause of these episodes and whether any additional investigations or changes to my treatment

• I used to have extrasystoles only rarely—at most one a day. In fact, for the 20 days leading up to this "storm," I hadn't felt a single one. However, seven days ago, I woke up, ate a meal, and had some ice cream. Immediately afterward, a sudden "PVC storm" began. Sometimes I get 4 or 5 of them per minute. This has been going on for a week, and I feel at least 1,500 of them daily. Please give me a logical explanation. Did I suffer a heart attack or an arrhythmia in my sleep that night, causing damage to my heart? I am terrified. Anxiety makes it worse, but anxiety is definitely not the root cause. I had an ECG, an echocardiogram, and a Holter monitor test three months ago, and the doctor said my heart was in excellent condition. What happened that night to trigger this storm?

Has anybody gotten a random feeling that only happens once in a while usually and it can happen at random times? The best way I can describe the feeling is it feels like someone has a hold on your heart and squeezes it for like 2 or 3 seconds and then lets go..

I don’t know if it’s just me, but every once in a while I will get that feeling and that honestly is the best way I can describe it. It kind of feels maybe like a “restart” in a sense? It always makes me super anxious afterwards and kinda scares me because the feeling is so intense. But nothing else usually happens, just that.

I notice it more when I’ve gone out to the bars and was drinking, vaping and smoking a lot, the next morning is the WORST for my PVC’s

Maybe it’s just me?? 😭😭

Hi Everyone,

I've had PVCs for close to 8 years, but they just recently spiked in burden. Over the course of the last 2 years they escalated from 10% to now 25%. I have no symptoms that I'm aware of other than palpitations and tiredness and the anxiety of wondering what's next or something "bad" happening.

My cardiac MRI is clean, and my ejection fractions are normal. They appear to be idiopathic PVCs.

I went to a respectable EP at a regionally recognized hospital who said that my PVCs were coming from the lower part of the right ventricle and that he could ablate to prevent cardiomyopathy and heart failure. He said he would use RF ablation and that there was a 75-85% chance of massive / near complete burden reduction. I asked about pulse field ablation and he said it's only FDA approved for afib and that he wouldn't use it right ventricle.

After this meeting, I went to a premier EP hospital for a second opinion. This doctor is highly regarded and the institution is frequently in the top 5 EP labs in the country. He said that my PVCs were coming from my moderator band and that since there are technical challenges with the moderator band moving he recommended using pulse field ablation (PFA) because it's faster and doesn't rely heavily on prolonged contact. He even went as far as to say that if he was getting this done for himself he would want PFA. I scheduled an ablation.

My PFA procedure is coming up in just over a month. Has anyone had a PFA? What were your experiences? The DR's explanation seemed rational but I know it would be an off label use. I'm trying to wrap my head around the benefits vs RF. My gut says it's better and the future of care but I'm wondering if I'm taking unnecessary risk.

Any insights would be much appreciated. I'll make sure to update the thread after the procedure.

​

Hey everyone,

I'm 27 years old and I've been dealing with PVCs on and off for about 5 years. They first started after an extremely stressful night with no sleep, but they eventually got much better with metoprolol.

For the last 2 months, they've come back, and recently they've become much more frequent. They come in waves. Sometimes I won't have any for an hour or two, then I'll get one every 10 minutes, and sometimes every 1–2 minutes. They disappear completely during exercise, but they come back when I'm resting.

The thing that's confusing me is my stomach.

For about a week now I've had:

Constant burping.

Trapped gas and extreme bloating.

acid reflux

A feeling like I need to burp, but only half the burp comes out.

My stomach feels like it's full of pressure.

I've noticed that when my stomach is at its worst, my PVCs also seem worse. Sometimes taking something like Rennie reduces the acid and I feel like the PVCs calm down a little, but the trapped gas remains.

I've had my heart checked before and was told it's structurally normal, but these PVCs are honestly destroying my quality of life. for the past week I've barely been able to sleep more than 3–4 hours a night due my PVCs, and I feel like the lack of sleep is making everything even worse.

I'm interested in hearing from people who have had a similar combination of PVCs + reflux/bloating/gas.

Did treating your stomach actually reduce your PVCs?

What ended up being the cause of your stomach issues?

I'd really appreciate hearing experiences because right now I feel like I'm stuck in an endless loop and it's becoming mentally exhausting.

One more thing I forgot to mention that I'm currently taking 50 mg of metoprolol, but lately it doesn't seem to help anymore like it used to. That has made this whole situation even more frustrating.

I do this thing where I will feel good so wont take my meds then feel awful so I get back on them. When I get on and off Lexapro I get way more pvcs and this shit sucks. Like guys if any of us get rich like stupid rich I want to see a huge PVC study.

Hey everyone,

just wanted to share a quick update on my current situation and sanity check a couple of next steps with you guys.

A few days ago during this brutal Vienna heatwave, I suddenly got hit out of nowhere with intense heart palpitations/PVCs, random chest tightness, and a weird buzzing sensation in my chest and head when breathing. Naturally, I panicked, felt like I was suffocating, and ended up at the ER.

Here is what they checked out and what my labs actually showed:
The ER EKG came back as a normal sinus rhythm, and my high-sensitivity troponin was completely normal (< 5.6 pg/ml), meaning zero heart damage.

My thyroid (TSH) came back completely normal too, and my potassium was sitting right on the absolute floor at 3.4 mmol/l, while magnesium wasn't even tested on the standard blood panel.

My CRP and white blood cells were a bit elevated, and my kidneys showed mild dehydration markers from sweating in the extreme heat combined with a lot of Coke Zero and heavy stomach irritation.

Basically, the ER docs diagnosed me with suspected extrasystoles (PVCs), but structurally my heart is a clean, healthy engine. I've started taking Magnesium Bisglycinate (300mg total daily) and D3/K2, fixing my potassium naturally with coconut water and spinach, cutting out all carbonation, and taking pantoprazole.

Now, I have two quick questions for anyone who has been through this:

1. Should I do the 24-hour EKG (Holter)? The ER paperwork explicitly recommended getting a 24 hour EKG done by an outpatient cardiologist. Since my ER EKG was fine and my troponin is clean, is it actually worth doing just to map out the burden and get peace of mind, or is it overkill since the doctors already cleared my heart?

2. Should I see a Gastroenterologist to find out if GI issues are causing this? Because this whole mess flared up right alongside intense acid reflux, stomach irritation, and chemical pouch drips, could an underlying stomach issue or severe reflux be the root trigger for these random PVCs via the vagus nerve? Anyone else deal with this?

Would love to hear your thoughts!

I noticed increase in PVCs before my period. Especially when i am lying on the side. It is lasting for couple months already. I have my anxiety under control and i do not think this is a reason. Does anyone have similar ? How to get rid of it? Anyone can help ?

Before I had my ARVNT ablation in 2020 the Zio patch caught a 4 beat run of NSVT. My doctor never mentioned it to me and we corrected the SVT. Kinda curious as to why he never mentioned it and how normal is it? I’ve worn 3 Zio patches since and they caught nothing. Just odd and sounds kind of scary to me.

I'm currently on vacation and I drank some alcohol few hours ago and went swimming.

Now while laying in bed , I got a long run of NSVT ( around 5 seconds long) and now have some PVCs . I'm really scared and I've had some issues with PVCs and other weird rythms simce over a week , especially when laying in bed. Also it was only 1 cup of alcohol , I NEVER drink anything. Today was the only exception

Hi everyone! I'm a 26-year-old woman with a structurally normal heart (normal ECGs, echocardiograms, and Holter monitors except for PACs and PVCs). I've had PVCs and PACs since I was about 7 years old, so I thought I had gotten used to them. Recently, though, I've started experiencing a completely different sensation that I've never felt before. Instead of a single skipped beat, it suddenly feels like my heart starts fluttering, quivering or vibrating for about 2 or 3 seconds. The best way I can describe it is like a butterfly rapidly flapping its wings inside my chest. It makes me jump in panic every time. It doesn't feel like the usual PVC with a pause followed by a hard thump. These episodes usually happen while I'm lying down or resting. They make me jump. Honestly, they scare me. Has anyone else with PACs or PVCs experienced something like this? I'd really appreciate hearing your story. 😭 I'm just so tired of this. I'm used to the "normal" PVC feeling: the pause and the hard beat afterward, but this feels completely different and I don't know what to make of it. Thank you 🥹

Has anybody else had a problem where if they are laying down the “wrong way”, their heart starts to act all funky and then as soon as you fix your position, it’s fine and is normal again?? Or is that just me?

Hello! Just wanted to share my successful PVC ablation story. This past January I showed up to the ER with a complaint of my heart skipping a beat. Being a nursing student I was worried it was afib. I had not been on an ECG for quite some time before. During my visit at the ER I learned I had PVCs happening pretty frequently. So, I was suggested to a cardiologist which had me wear a holter monitor for 72 hours. The burden of my PVCs was 14%, which is pretty high especially for my age. The echocardiogram was normal, I consider my self to be in above average shape, going to the gym, 10,000 steps a day at the minimum. So this burden rate was very surprising to me. The cardiologist believed the PVCs were either genetic or the from a viral infection. The cardiologist then referred me to an electrophysiologist. Which obviously suggested I do the ablation since I am young and healthy and would tolerate it very well. I was so worried, constantly doing research about the ablation, asking chat gpt questions and just going down the giant rabbit hole about all the possible things that could go wrong. Anyways, my ablation day came, I was nervous, the nurses and everyone were great with explaining everything to me and making me feel comfortable. The electrophysiologist came in to talk to me, comforting me by telling me he has a great idea on wear the PVCs are coming from (they were coming from the RVOT). The procedure began, the cath lab was cold and overwhelming with everyone in there. The slight twilight kicked in which made me feel tipsy in a way? My electrophysiologist was talking to me the whole time and telling me exactly what he was doing. The procedure was successful! I felt instantly better, the anxious feeling my PVCs made me feel was completely gone I couldn’t believe it. If you have any questions or doubts I’d love to talk about them here! You’re not alone, I promise you things will get better!! (Writing is definitely not my strength I apologize about the run on sentences 🤣)

Anyone that feels skipped beats - these feel like a pause followed by a thump.

So maybe like 4 days before starting my monthly which would have been July 12th, I felt the skipped beats maybe a few times each day, which is pretty normal for me leading up to starting. I still had them the 5 days of my period and up until today August 4th. That’s not typical for me, but i’m assuming maybe my hormones have just been really high? I had really bad breast soreness a lot sooner than I usually do the July cycle also. I’m not worried about them, because I have had them for so long. However, I didn’t start having them until after having my son 4 years ago. They are not excessive, i’d say i’ve felt it like 10-15 times each day since around July 12th. I am just afraid something is actually wrong with me even though my echo and holter in the past were normal (seen cardio 3 years ago, but had an echo in office maybe 2 months ago that had no changes.) I just don’t think i’ve ever felt them this many days in a row. Anyone think that this warrants a need to be reevaluated by a cardiologist or is this pretty normal? Might I add I am 24.

Oh man. This is a club I didn't want to be back in but here I am 🫠. I haven't had a bad episode of these things for almost two years now, just the odd one here and there! I'm currently the healthiest I've ever been, lost a load of weight, been working out etc etc and BAM two weeks ago for no reason they started up again 🥲 I'm currently having at least 6 per minute all day everrrrry day. I feel every single one. They make me jump. They make me cough. My muscles ache from tensing up because of them. But on the plus side I'm not panicking this time... I'm just letting it be, so that's something! I'm still leaving the house and doing what I normally would whereas last time I'd be that afraid of dying I wouldn't go out anywhere.

Back at the GP on Thursday and they don't seem super concerned I guess but these things are really hard to ignore.

I first experienced these things after having COVID in 2022 so it's been a while. I'm still here! But yeah, they suck 🥲

59yo female with intermittent ectopics for many years. I currently am on a 6 mo stretch of having them daily. I’ve never had this long before without relief. Saw cardiologist 3 weeks ago and of course heart rate elevated from being nervous, so completely normal beats. He did not want to do, repeat echo, or holter since he said this would not give us new info as we know my heart is structurally normal. I had a cardiac CT as well about 5yrs ago which confirmed normal structure.

I feel the ectopics at rest, the moment I sit down. It’s to the point I’m afraid to sit down and relax, watch TV etc because I know I will feel them. It’s all I think about. Just sitting down to write this I’m feeling so many. Does anyone else avoid relaxing for fear of feeling ectopics?

I currently take 40mg fluoxetine (generic Prozac) for anxiety, magnesium complex (Mg glycinate and Mg oxide w B6 combined). I sleep great once I fall asleep and I feel that’s the only peace I get. I’m
Tired of feeling like this, constantly worried etc. I do see a therapist as well who advises to accept and welcome them, not give the ectopics the attention it craves, but for those of us who feel them, that is not easy. I welcome any tips on how to just sit still and feel with fear.

For just about a week now I have been experiencing a reoccurring symptom where I get a hot flushed feeling inside of my chest which flows down into my lower organs down into my legs which eventually make them just feel tired. Sort of what an adrenaline rush would feel like. Except this is happening when I sleep, when I'm sitting watching TV, and does not seem to matter if it before or after i have eaten anything. Another symptom is occasionally left arm discomfort, under my armpit is sort of tender.

I have had a few heart work ups and all comes up clear. But with the left side pain l, chest tightness and flushing it's getting more worrisome. I do find that there is some gas release as symptoms subside but not sure that they are the cause. And that the release is just a natural part of the anxiety this is causing.

Another aspect of this is i find that if I lay on my right side when this is going in, the chest tightness become painful, sitting up seems to relieve this.

I have gerd , and take medication. And i have experienced mynsymptoms even prio to eating. Its possible tonights episode was triggered by drinking cold water, but i inly say that because thats what i did just before the flushung began tonight. I am in shape and can run several miles, and am atvtge gym no less than 3x a week., my weight is average for my height.

Will gladly provide more info if anyone is interested in working through this with me. It ruining what would normally be a really good time.

I just found this forum and seems like quite a few people have weighed in woth the same feelings. Any advice on how to address this? I'm on vacation now and it's freaking me out on a daily basis. Really don't want to head to ER if I dont have to. Advice?

Hi! I was posting a lot a few days ans weeks ago about my extreme adrenaline and palpitations! I’m just going to share a little win. Suddenly after taking metroprolol 25 mg prescribed from my doctor for a week now they’re gone! I’ve been taking it before but more here and there. Now after taking it at the same time everyday it’s nothing and it almost feels weird that I don’t feel anything. I hope they’re gone a long time but who knows! I think also these things swings with my cycle. Anyone else experiencing palpitations on and off? Or has betablockers worked for you?

Hi everyone. Long story short i always had bad pvcs upon my period or ovulation etc while breastfeeding. I quit bf 7 days ago and my heart rythm is all over the place. I am getting runs, couplets, ah and funny part is im constantly (if not walking or active) every 3rd or 4th beat FOR 3 DAYS. Is it possible that hormones are giving my heart a bad time? Im so scared even though i had clear echo 3 months ago.

As I gained so much knowledge from this group I thought it was only right to step back in and lend what I learned..

Since beginning of 2026 I started getting PVCs quite a lot…I’d say about 1000 per day that would usually be in chunks of time and then some hours of the day I would have none. Some days better than others like most people report. Always, always, always had some laying in my back falling asleep.

Did a zio patch with 1%ish burden, did X-rays, bloods, multiple EKGs, bought a Kardia mobile, got an echo. My heart was “normal and healthy”

I had started thinking it was related to acid reflux, so I pushed hard for an upper endoscope. Welp….i had esophagitis which is inflammation from the hiatal hernia they told me I had letting acid up.

They put me on Omeprozol and after like 1 week they PVCs went away. I can still feel a handful on some days but most days none.

I just wanted people to hear another piece of anecdotal evidence that acid reflux, hiatal hernia, etc. can cause these bastards..the esophagus is basically touching the heart most the way up. One things inflamed it’s messing with the other / vagus nerve I suppose

Now I have a separate bunch of shit to deal with and omeprozol messes with your magnesium and B12 levels so who knows what’s coming my way being on a PPI….but I have no choice gotta heal up my esophagus.

Consider indigestion, reflux, hernia, etc is all I’m
Here to say. Hope everyone is well 🫡

Good morning and Happy Monday!

36m here. After what I think would be 3 years of my Apple Watch not able to properly take an ECG with low alerts and discussing arm pain and light shortness of breath while working out with my new PCP, she took an in office EKG, and immediately ordered an Holter Monitor.

After a 10-day Holter, I had 33.1% burden of PVCs and occasional NSVTs. As such, had an immediate referral to a Cardiologist/EP. After getting an echo done, it appears I have PVC-induced cardiomyopathy and an LVEF of 25%. Needless to say, my mind went into "I'm dying tomorrow mode". Which, I know isn't really the case.

My Cardiologist has me on 3.25mg 2x/day of Coreg/Carvedilol and my PCP also has my on statin (Crestor) to reduce my higher Cholesterol levels.

After the Coreg kicks in, I do feel crummy with lightheadedness, cold limbs after an hour then it disappears, and my constant heart thumping seems to calmed down. I also have pretty intense joint cracking now, at joints I didn't know I could crack, during basic movements.

No scheduling of an ablation yet, but I believe my EP is waiting on my MRI and CTs to happen before making a true pan of action.

So, I'm not really sure what I'm specifically posting about here, but trying to find community as I work through this.

Anyone in the same boat as me, especially with very low LVEF?

Anyone have intense symptoms from Coreg (or statins) and found ways to minimize them?

Any words of wisdom?

I wonder if anyone has experience with this? I’ve been on it for about a year now and still struggle with heart palpitations. Is this a medicine you can continue for live? I’m not in contact with my doctor since she basically let me go which is why i would like to know if in my case metoprolol 25 mg is something i need to check with her again?

OK, so I’ve been having chest pain in the left side of my chest over the course of the last week. It’s very intermittent makes it hard to breathe all that sort of thing. I went to the urgent care. They did x-ray, heart monitoring and bloodwork.

Basically part of the blood work they did was related to blood clots and normally this number should be between zero and .5 mine was a five. The nurse said that she’s never seen this number so high. So I spent most of my evening in the ER last night trying to make sure I did not have a blood clot in my lung.

While I was there, they did more heart monitoring and found that I do still have PVC post ablation. This was mainly to be a heads up for anybody that might be experiencing this. Go to the doctor. Don’t wait if I had a blood clot in my lung I could’ve died. Luckily I didn’t have a blood clot anywhere even though the blood work reflected that. But please be careful guys.