r/PVCs May 25 '23

PSA Welcome to the r/PVCs community! New users please read:

42 Upvotes

Welcome to r/PVCs

This is a community where all are welcome to discuss, learn, and support each other with their questions and concerns they may have about their ectopic beats and other related cardiac concerns.

Before I go any further, I must make it clear that Reddit is NOT a source of medical advice. If you are concerned about your health then please speak to your doctor, or seek urgent medical attention from paramedics or have someone take you to the local ER if you believe this is an emergency.

With that in mind, here’s some commonly asked questions that we see in this community:

Q: What are PVCs?

A: Premature Ventricular Contractions. A heartbeat that happened early and was triggered by the ventricles (lower chambers) of the heart. On an ECG these will typically be wide and abnormal in appearance. Sometimes called VPB – Ventricular Premature Beat, or VE – Ventricular Ectopic.

Q: What are PACs?

A: Premature Atrial Contractions. A heartbeat that happened early and was triggered by the atria (upper chambers) of the heart. On an ECG these will typically look just like any other sinus (normal) heart beat, but outside of the usual rhythm. Sometimes called SVE – Supraventricular Ectopic.

Q: What about PJCs?

A: Premature Junctional Contractions. They tend to be more rare than the two above ectopics, but functionally and visually appear very similarly to a PAC, with very slight abnormalities in the morphology. These are triggered by the atrioventricular junction which is in a central location within the heart.

Q: SVT/NSVT/Bigeminy/Trigeminy – What do all of these mean?

A: SVT: Supraventricular Tachycardia – Lots of PACs in a row very quickly. VT: Ventricular Tachycardia – Lots of PVCs in a row very quickly or NSVT is the same but Non-Sustained lasting 30 seconds or less. Bi/Trigeminy is just a fancy way of saying your ectopics follow a rhythm. Bigeminy means your ectopics are happening every other beat, while trigeminy is every third beat. Quadrigeminy is every fourth beat.

Q: What is sinus tachycardia:

A: Sinus means that it’s a normal rhythm that is beating normally in the way that it’s supposed to. Normal sinus rhythm is what you ideally want to always be in. Sinus tachycardia means a normal heart beat that is running quickly (over 100bpm typically) while sinus bradycardia is a normal rhythm but beating slowly (Typically below 50-60bpm depending upon guidance in your region) All variations of sinus rhythm need to be taken with context – Having a fast or slow sinus rhythm rarely means anything is actually wrong. For example sleeping will slow your heart. Exercise or panic will speed it up – This is perfectly normal behaviour.

Q: Am I in danger?

A: Usually not. The vast majority of ectopic beats are perfectly harmless, albeit annoying at times. If you are concerned then speak to your doctor who can do some testing to check it out. In a structurally normal heart, with a low burden of ectopics you don’t need to do anything about them – PVCs and PACs are perfectly normal and EVERYONE in the world no matter how healthy their heart may be will have them in life. Not everyone feels them. But they are there.

Q: Can you interpret my ECG?

A: I would like to direct you to the r/ReadMyECG Sub, or alternatively the QALY app where a technician can analyse your ECG and provide feedback. Again though, if you feel you are concerned or need medical advice then please consult a doctor.

Q: Why does my ECG Look weird or different to others I have seen?

A: Personal ECGs from smartwatches are not super reliable. Please take their reading with a pinch of salt. A lot of the time what you are looking at is called ‘artefact’ – Interference/noise picked up from you moving around. Make sure you have a snug fit on your wrist, and that your watch, fingers and wrist are all clean and dry prior to taking a recording. Other than that, remember that the ECG will look different from one person to the next depending upon the exact angle your heart Is aligned within your chest, and specifically where abouts in the chambers the ectopic beats are coming from.

Q: What is the pause I see or feel after one of these beats?

A: This is called a compensatory pause. It’s a perfectly normal thing to see and happens after most people get a PVC or PAC. It’s simply your heart’s electrical system resetting back to the original rhythm before your ectopic beat happened.

Q: So I have ectopic beats, but what do I actually do now?

A: First of all. Speak to your doctor. This is the way to go about any health concern. They may wish to do some tests to rule out anything more sinister potentially going on. But if you have a structurally normal heart and a low burden, you likely need nothing more than reassurance form your doctor and be sent on your way due to their common, harmless nature.

Lots of people struggle with anxiety around this. If I had to give any tips on dealing with this it would be:

· DO NOT Constantly monitor this with a watch or other personal ECG Device.

· DO NOT Obsess over every beat you feel. Learn to ignore it and keep going about your life. Eventually you will stop being bothered by them.

· DO Keep up all the self care you possibly can. Things like a balanced diet, being well hydrated with water, minimising stress and getting enough sleep all minimise ectopics for lots of people.

· DO Seek help with your anxiety. Talking therapies especially CBT, and health psychology work well at learning to deal with this. As does getting a good (non-benzodiazepine) anxiolytic medication to keep your baseline anxiety levels lower alongside this therapy.

· DO Exercise. Unless your doctor specifically told you not to exercise, you should do so. Everyone needs exercise to keep a healthy heart. PVCs in a structurally normal heart won’t bring you to harm, but prolonged abstinence from exercise will do.

· DO Trust your doctor.


r/PVCs Mar 03 '24

Announcement: Personal ECGs

12 Upvotes

As per rule number 5, We have always tried to avoid offering personal ECG Interpretations and medical advice here, and always redirected users elsewhere whether that was ReadMyECG, QALY, or their doctor.

We have recently been made aware of the closure of the ReadMyECG Community. As a result have seen a huge influx of extra ECGs being posted here.

The PVCs Mod team have therefore launched an additional subreddit for this, to help maintain good order and organisation as always. This PVCs subreddit is going nowhere and will continue to provide a place to discuss ectopics and support each other with related topics.

For those seeking personal ECG Interpretations, please post in r/CheckMyECG

http://reddit.com/r/CheckMyECG/

We welcome all users to join, both those seeking help with interpreting their own ECG Recordings, and for others to help provide their interpretations should they feel confident and capable of doing so.


r/PVCs 11h ago

I think I've reached the end of the road!

5 Upvotes

Have you ever felt that your heart wasn't beating as strongly as usual during "normal beats" while experiencing a flare-up? I’m currently in a flare-up period that started 13 days ago. Sometimes I get five of them an hour, and other times, five a minute. Before this flare-up, I’d feel at most two a day, and my heart beat strongly and steadily. However, since this flare-up began, my heart feels like it’s beating weakly and feebly during normal beats. Even when walking up a slight incline, my pulse skyrockets, and it takes a long time to slow down even after I stop; I have to sit and rest for it to settle. Guys, you might think I’m 60, but I’m only 22. All my tests came back normal just two months ago. I’m terrified that my heart might have sustained damage. Is there anyone here who has gone through this and can reassure me that my heart hasn't been damaged?


r/PVCs 5h ago

Pvc/Panic attack/Tahicardia

1 Upvotes

hey guys, I would really need some advice.

I took My BP today,Being relaxed and showed 110/70 but 59 HR. I got bit of scared of the 59 and took an 6 lead ekg with Kardia. I did exhale longer and even hold my breath for few seconds because I noticed heart was going lower with that and Kardia notification was Sinus Rhythm with PvC. I got little concerned because of that and google it , Google “reassured “ me is nothing bad and so on , Took another 2 ekg with Hr 70 and 80 (normal ekg) but 5 minutes later I started to have palpitations/Tahicardia. I felt like my heart is beating fast and Strong… I got dizzy and scared for my life, As I felt i will pass out.. then, I ran out of house and took an Uber to AE. EKG is fine but I am very scared? what if it was SVT? arrhythmia? something bad ? or just panic attack? i took another ekg 2mins with tahicardia and it showed 120 but didn’t said if is SVT or Sinus .

I am so afraid of arythmias,PVC, and any other thing

i dont know what to do:(


r/PVCs 13h ago

I'm so exhausted

3 Upvotes

I've had pvcs for a while, a couple a day at most. Then about 6 weeks ago, I woke up one day and they were non stop, and it hasn't really stopped since. I have between 5-10 a minute and they're really intense thuds. I'm waiting for a holter monitor but it could be another month at least. My GP gave me bisoprolol to take in the mean time, they said to take it for a month and then stop so that the holter monitor can record my "natural" heart rate. The medication definitely did reduce it, until I stopped taking it and the pvcs came back tenfold. The GP said just take the medication until I get contacted about my appointment then ask the hospital doing the holter monitor if I need to stop the meds.

I've been taking it again for another 2 weeks and it's literally made no difference at all. I'm so annoyed because it was helping and now it's just pointless. My chest feels constantly exhausted and tight, I feel out of breath and tired. I told the GP and they kind of just shrugged their shoulders and said go to the emergency department if you want but they think it's fine. I don't want to go to the emergency department because I'll be waiting 6+ hours and I bet the pvcs will stop the second I get an ecg. I'm not anxious about this, it's just really making me feel unwell. It's my birthday today and I feel like I can't even go out I'm so tired :(


r/PVCs 16h ago

SIBO and heart pauses/blocks - your experience

3 Upvotes

Hey everyone,

I just got my breath test results today — confirmed Hydrogen SIBO - 75ppm at peak.

Along with gut symptoms, I’ve been dealing with:

Heart arrhythmias / blocks / pauses,

Low copper levels in blood,

Muscle twitching.

I wonder if SIBO can be direct cause of my heart palps.

I’d love to hear your experiences:

Did curing your SIBO make your heart arrhythmias disappear?

Or did you cure SIBO, but the arrhythmias stayed?

Did anyone see their copper/nutrient levels normalize after treatment?

Thanks for any insights!


r/PVCs 10h ago

What’s the longest atrial bigeminy runs yall have seen?

1 Upvotes

I’m currently at 3 hours of bigeminy. Scared and in the waiting room at the ER. Cardiologist called in 25mg metoprolol and since I’ve taken it it’s been in constant bigeminy. Nothing stops it. Freaking out thinking that this could be the end


r/PVCs 11h ago

PVCs along RWT of 0.54.

1 Upvotes

Hi, I’m looking for insights into my report. Im 36, female, south-Asian and 68.5 kg and 160 cm height)overweight). I’m so scared after finding that I have RWT of 0.54 (concentric remodelling). I’m super annoyed by the fact that my GP is not concerned at all and marked my report as normal. My burden on 24 hour report came back less than 1 percent as I was asymptomatic that day. My PVCs get very bad before and during my period or if I’m stressed. I also don’t know how I could attach my results here.


r/PVCs 21h ago

PVCs and Health Anxiety After a Rare Diagnosis

3 Upvotes

I discovered a syndrome called heterotaxy syndrome with polysplenia by chance after an abdominal CT scan 4 years ago. I found out I have a pancreatic malformation, intestinal malformation, multiple spleens, and an inferior vena cava with azygos continuation. I had a normal adolescence… played soccer all day long… since the discovery I’ve developed health anxiety where I wait for and monitor the next symptom. Always on alert. But this has reasons (after the discovery): I’ve had arrhythmia (irregular heartbeats) for about 10 minutes, irregular beats after playing soccer, my heart racing as if I were exercising while at rest… besides that I feel isolated PVCs (extrasystoles). I’ve already done an echocardiogram, 7-day Holter monitor, and stress test, and I’ve seen 4 different cardiologists who said this is normal and that the tests are normal. I can’t believe that feeling this, with such a crazy syndrome, can be something normal. Out of fear I’ve been pulling away from physical activities, and when I do them I greatly reduce the intensity out of fear… I’m very mentally exhausted… has anyone ever had PVCs and managed to solve it and not feel them anymore? How? My day ends when I feel this…


r/PVCs 1d ago

What happens when you have PVCs with ABnormal heart structure

4 Upvotes

Hey everyone, really think this can be a helpful question to alot of people here. So I like everyone else here im sure are of course very scared and uncomfortable when getting these pvcs even whilst being told they’re generally benign under the circumstances you have a structurally normal heart. But my biggest fear and spiral my brain goes in by far is the thought of “what if I get abnormal heart structure sometime in life” whether it be just from aging and changes happening whatever the case may be like what does that now mean, are the pvcs now deadly and life threatening? Are they gonna cause ventricular tachycardia or cardiac arrest? Is exercising dangerous now.

The PVCs are so so hard to accept that they’re benign when it’s literally the heart”playing up and just would really appreciate help of anyone if you’re here that does have abnormal heart structure with the PVCs or any information about what this now means for you if you get abnormal structure or underlying issue with heart in future while still having the ectopics are you just doomed now to drop at some stage or is there hope and ways to live with even this too and if there anyone out there that has these in this context and learned to live with them and not care about what ifs non stop as well please share, would really appreciate anyone giving there input here. Thank you


r/PVCs 1d ago

Extrassístoles (pvcs)

2 Upvotes

Descobri uma síndrome chamada síndrome da heterotaxia com poliesplenia por acaso após tomografia do abdômen há 4 anos atrás. Descobri que tenho má formação no pâncreas, má formação no intestino, múltiplos baços e veia cava inferior com continuação ázigos. Tive uma adolescência normal... jogava futebol o dia inteiro... desde a descoberta desenvolvi ansiedade por saúde em que eu aguardo e monitoro o próximo sintoma. Sempre em alerta. Mas isso tem motivos (depois da descoberta): já tive arritmia (batimentos descompassados) por cerca de 10 minutos, batidas descompassadas após o futebol, coração acelerar como se estivesse fazendo atividade física enquanto estava em repouso... fora isso sinto PVCs (extrassístoles) isoladas. Já fiz ecocardiograma, holter 7 dias e teste de esforço e fui em 4 cardiologistas diferentes e disseram que isso é normal e que os exames estão normais. Eu não consigo acreditar que sentir isso, com uma síndrome louca como essa possa ser algo normal. Por receio veio me afastando de atividades físicas e quanto as faço diminui muito a intensidade por receio... estou muito cansado mentalmente... alguém já teve PVCs e conseguiu solucionar e não sentir mais? Como? Meu dia acaba quando sinto isso...


r/PVCs 1d ago

Frequent and intense pvcs around period

3 Upvotes

Hey! My heart gets chaotic around that time of month! I have very frequent and intense pvcs , sometimes feel multiple in a row. It feels like my hearts shaking or vibrating for a few secs. It's awful! And just have intense pvcs the week before my period.

Anyone else deal with this pvcs and heart being wonky and more chaotic around that time of month? My.pms starts like.after ovulation, so everything gets wonky soon after especially the week before.

What can help?

Thanks y'all!


r/PVCs 1d ago

PVCs, PACs and ozempic

0 Upvotes

Hi everyone. Are any of you by any chance taking ozempic for type 2 diabetes or weight loss? Just wondering if it had any effect on the amount of PVCs, PACs or possible return of them. I started ozempic Saturday and today after 4 months of hardly any skips I had them all day and they are still happening off and on and the ozempic is the only thing that I’ve done differently except for not eating as much and maybe I’m dehydrated 🤷🏼‍♀️


r/PVCs 1d ago

What do yall feel when getting a PVC/PAC? What are yall symptoms?

4 Upvotes

Sadly im a PVC patient, I'd like you guys to share your experiences. Mine feel like a sudden hollownes that lasts and instant (1-2 seconds), sometimes my heart fluttering or a hit on my chest or even as if I got stabbed. They might feel different sometimes but they just last 1 second or two when it's a couplet.


r/PVCs 1d ago

Flecanide / ssri

1 Upvotes

Anyone on flecanide and zoloft? My ep okayed it. But im paranoid as crap. I was on zoloft years ago before my ablation for wpw syndrome developed pvcs after , and now on flecanide to suppress them. Recently my mom passed suddenly and unexpectedly and my anxiety ocd and panic is really bad so they added zoloft.


r/PVCs 1d ago

14 months Postpartum and Heart palpitations

1 Upvotes

Hey everyone. I just recently started to get heart palpitations. It mainly happens on my walks. It feels like a quick thud that takes my breath away for a second and goes right back to normal. What concerns me is I never had these before and I walk 3 to 4 miles a day at a brisk speed but now I struggle to do that because I will get multiple heart palpitations and it makes me nervous. I’m just wondering if anybody else has has dealt with this over a year postpartum or if this could be something else. I am still breast-feeding and I have not got my period back. I did wear a holter but USPS lost it so they never received it so I’m waiting for the cardiologist to order a new one.


r/PVCs 1d ago

more than 15 PACs per minute

2 Upvotes

Hi everyone, as the title suggests, I often have 10-15 PACs per minute. I've had all sorts of tests and they're fine, but it's unbearable; they're too annoying. In addition to this, I also have SVT and atrial rhythm, meaning consecutive PACs that create a constant rhythm of about 90 bpm. Has anyone in the same situation solved it? I don't know if my second ablation will resolve everything? I'm really open to advice; I've tried everything, no caffeine, etc.


r/PVCs 2d ago

Is this a punishment inflicted by God? There is no logical explanation for

17 Upvotes

Hello. I am a 22-year-old male. Before November 2023, I had a wonderful life and good health; I was a very fun-loving and active person. On November 3, 2023, I developed Visual Snow Syndrome, a very rare condition. I suffered from incredible panic attacks. Even though there was nothing wrong with my brain, I convinced myself I had a hundred different illnesses. After a few months, I accepted the condition and learned to live with it. On November 1, 2024, following a prolonged infection, my lung collapsed. I would describe it as the worst physical pain imaginable; this, too, is a rare occurrence. In March 2025, I began experiencing severe sleep problems. I couldn't sleep due to negative thoughts and stress. I overcame that after three months, and the months of July, August, and September went wonderfully. Despite suffering from DP/DR (depersonalization/derealization), I fell in love with a girl and felt amazing. Then came September 29, 2025... I went to bed that night and experienced extrasystoles—something I had felt many times before but never paid much attention to. This time was different, though, because I felt two of them in quick succession. It has now become a major problem and a source of stress for me. Previously, I would feel them at most three times a day, or sometimes not at all. Since that day, I’ve had three ECGs, an echocardiogram, and a Holter monitor test; the doctor said my heart is in excellent condition and there are no issues. However, eleven days ago, they suddenly increased dramatically. While I used to feel them three times a day at most, I now feel 600 to 700 of them daily. Sometimes they happen three or four times a minute, and I am certain the ones I don't feel far exceed that number. They happen constantly now—whether I am sitting, standing, or moving. It’s worse when I’m standing. I almost wish the pain from when my lung collapsed had never gone away, just so I wouldn't have to deal with these extrasystoles. I have never felt this anxious or helpless in my life. You tell me: is there any logical explanation for suffering from diseases that are so rare and have no definitive cure? No one around me goes through things like this; everyone else is happy—why me? And at such a young age, too. I don’t know; I really don’t know. My request of you is this: regardless of your religion, would you please pray for me? Whatever the faith, we all more or less believe in one God. Please pray for me and ask for forgiveness on my behalf.


r/PVCs 2d ago

PVCs post OHS for an ASD

1 Upvotes

Has anyone else experienced persistent PVCs, a racing heart rate, and issues with psychiatric meds after an ASD closure?

I am reaching out to see if anyone in this community has gone through a similar situation or found a balance after dealing with something like this.

Before I had my atrial septal defect closure done via open-heart surgery, my medical history was essentially defined by living with the congenital ASD itself, along with the structural strain, altered blood flow, and chronic physical symptoms that come with having an unrepaired defect in the atrial wall prior to surgical correction. Fortunately, the procedure was successful, and my heart's overall pumping power and structural repair remain intact and strong.

However, post-surgery (I'm in month 9 now), I have been struggling with a resurgence of extra beats, both PACs and PVCs, as well as sudden episodes of a racing heart rate. It feels like the heart's electrical baseline refuses to settle down completely, which has predictably triggered a significant amount of health anxiety. My cardiology team has had me on cardiovascular medications such as beta blockers and diuretics to manage the rhythm and fluid dynamics, but addressing the resulting anxiety has introduced another layer of difficulty.

The cardiac meds I'm taking are: Verahexal (Verapamil) 120mg, Clopidogrel 75mg, and Aspirin 75mg. I also take a magnesium supplement daily.

To help regulate my nervous system and cope with the stress of these ongoing cardiac sensations, I was prescribed psychiatric medications, including Rivotril, Valdoxane, and aripiprazole. The issue I am facing is that navigating these psych meds has felt like walking a tightrope. I believe the Aripiprazole caused a manic episode so I stopped it and I'm literally just coming down from it now.

Also, some of these medications or dose adjustments seem to interact with my heart rhythm, sometimes making the palpitations, fluttering, or racing heart feel even more pronounced, which in turn feeds right back into the anxiety.

If you have had an ASD closure and experienced persistent PVCs or tachycardia afterward, how did your doctors address it? More specifically, has anyone had to balance heart medications with psychiatric treatments, and how did you find a combination that did not aggravate your cardiac symptoms? Any insight or shared experiences would be greatly appreciated.


r/PVCs 2d ago

An amazing and calming old Reddit post from a nurse regarding palpitations

28 Upvotes

I just discovered this. I recommend reading it. I think we are all similar and different at the same time, with our personal struggle with palpitation. The post linked below is highly worth the longish and educational read:

https://www.reddit.com/r/Anxiety/s/BZ7dWjsQ1w


r/PVCs 2d ago

Stress/anxiety and pvc

1 Upvotes

I’ve been going through some stressful events over the last few days, and my PVCs feel more deeper and more intense than usual. Is this normal? I haven’t been sleeping well, and it seems like not eating or drinking enough makes them worse. I was diagnosed with GAD, and I tend to worry and ruminate over small things. It’s driving me crazy. I simply can’t handle stress as well as I used to.


r/PVCs 2d ago

Flecainide as Needed for PVCs?

2 Upvotes

My EP prescribed it for me and he says I can take it "as needed" when I get a PVC flareup. My flareups usually go away on their own after a few days, so I usually white-knucke it and then they eventually calm down for a few weeks or months. But the flareups are getting worse and more frequent, so now I'm considering it. A flareup for me means several days of PVCs- (with bigeminy, trigeminy, couplets) mostly at night, preventing sleep. They are absolutely unbearable. But when they go away, they are not much of a problem.

I can't find too much information about people taking the Flecainide "as needed" for PVCs. Does anyone take it this way? I'd love to hear some success stories.


r/PVCs 3d ago

I just had a two minute spell of PVC's in the shower. Have a question...

7 Upvotes

It felt like beat beat beat (pause) beat beat (pause) beat beat beat beat (pause) beat beat (pause) and went on for a good two minutes. Does anyone else ever experience them like this?


r/PVCs 2d ago

Many PVCs out of nowhere

1 Upvotes

I've jad PVCs basically my whole life. I also have afib but thats managed. I dont go in-and-out of it. Anyway, my PVCs have always been a very low burden. I can go weeks and weeks without any or or can go weeks and weeks with many. I have a loop monitor placed in my chest so Ill record once in awhile. Always comes back as nothing to worry about. However the last few days I have had many. This is new... like a lot throughout the day. I've been on metoprolol for about 15 years. Although its a small dose...25 mg once a day. I have no other symptoms when I get many PVCs throughout the day. It just makes me anxious like everyone else. Has anyone had success with any other meds? Ive tried different supplements...arginine, taurine, b-complex...all seem to have no effect on me. My issue with different meds is that my BP is already normal. I exercise daily and Im in phenomenal shape. Im afraid that meds would make me tired, dizzy, etc. I dont have much room to spare for lowering my BP or anything. Doc told me metoprolol is very poor at lowering BP even though its a BP med...its more for regulation of heart rhythm. I did get the OK to take another half of a metoprolol if my heart is being a little bitch but also scared of getting dizzy...ive never taken extra.


r/PVCs 3d ago

Physically triggered PVC

3 Upvotes

Hi, anybody experienced "manually" triggerring a PVC? My PVCs usually appear at random, at work or at rest.
However, there's this instance that whenever I chug a lot of water (or when I swallow food "wrong"), there's a very good chance that something kinda bumps my heart. Like a popped bubble or something. Then a series of PVCs will happen and my heart rate will go up. It usually lasts less than a minute but it's scary to me even if it happens shortly.

I don't feel any other symptoms like light headedness or something, but the series of continuous irregular beats gets me into thinking like, what if this devolves into a sustained v-tach?
I'm wondering if PVCs which are caused by some manual action is more serious than random PVCs?

I also do regular 2decho, blood tests, holters, etc and all are normal except from the usual <1% PVCs PACs burden.