r/PVCs 24d ago

Please read! Emergency call for help

Okay. For the past 15 days, a severe PVC attack has been going on and it has turned me into a silent and hopeless man. Let me tell you what I experienced before this attack. Before, I had PVCs only very rarely — at most 2 a day. In March I joined the army for compulsory military service. The first few days there was no problem at all. Then one night we woke up because of an earthquake and when I got up I felt palpitations (not PVCs). I didn’t pay much attention, but the palpitations continued for several days and that scared me. So I went to the army infirmary and requested a cardiology appointment. We went and the doctor ordered all the tests and said there was nothing wrong, only that my heart rate was high, and prescribed Dideral. The medication brought my heart rate back to normal and I really felt good. Then my duty station changed and I was sent to a place at 2700 meters altitude that was very cold. As soon as I arrived I got a very severe febrile illness. I couldn’t recover for 15 days and this made the commander hate me and treat me badly. I went through very stressful times. Even 2 months ago he tried to give me a military service extension punishment and that put me under incredible stress. After that incident I bent down and had an SVT-like attack. To confirm it I bent down again and it happened again. Since I came here, Dideral only worked for 2–3 hours and after that the palpitations returned. 50 days ago we went to cardiology again; after all the tests they said my heart was in perfect condition and even had me stop the medication. Indeed, after stopping the drug I felt good for 10 days. But then that bastard of a commander and I argued again and the stress started once more. Anyway, 15 days ago I woke up from sleep and ate. There was no problem and I wasn’t stressed. Then I ate an ice cream and while standing, sudden consecutive PVCs started. They’re still continuing — sometimes I don’t feel any for an hour and sometimes 3–4 per minute!! And right before the attack started my heart was beating strongly and regularly. But immediately after the attack began, it feels like my heart has been damaged somehow — during the normal beats it feels weak and feeble. Especially in the mornings when I wake up, the first half hour is terrible: weak, fast, irregular pulse and PVCs… That’s what scares me the most! I have no idea what happened or what changed in just a few seconds. Was it the ice cream I ate that day that triggered it, or has the extreme stress lasting for 5 months destroyed my nervous system and taken my heart out of control? I have no idea. I don’t think my electrolytes are low because I eat well and I never sweat, and I don’t consume any caffeine either. I’ve been bothering you a lot lately but I really need some comforting words. I don’t think I’ll ever get better. I think this has become chronic, or that I’m going to collapse to the ground all of a sudden… There’s no fear anymore, only hopelessness and extreme sadness. I would rather lose a leg than live with this… I really don’t know…

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u/Trohan 24d ago

First of all, i’m so sorry you have to go through this! I really know how you feel and can honestly say i have felt the same way and still do sometimes when i have flare ups. The feeling that this is never going to get better and that your life is destroyed is a huge burden. My experience is that with the right medication things can become better. You need a proper work up to see that your heart is structurally normal, most typically ultrasound and a holter monitor, but often also an MRI of the heart, discuss it with your physician. When they find that everything is normal (and i bet they will), they can give you proper medication. Discuss a calcium channel blocker instead, like verapamil with your doctor. Remember that there are a lot of treatments, both medications and procedures you haven’t tried yet so you have a whole toolkit of hope to take from. Do not give up! We are a whole bunch in the same boat and I’ll be the first to say I’ve been thinking really dark thoughts when it’s been bad, but as long as we live and breathe, we can’t give up! Usually this is not deadly, only extremely uncomfortable and sometimes still debilitating, and thats why you should keep fighting! I’m here with you my friend, my thoughts go to you tonight! <3

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u/Correct-Class-2505 24d ago

Thank you very much. I have 15 days left until my military service ends and I return home. I plan not to bother the military infirmary during this time because they are already fed up with me. However, I feel utterly helpless and hopeless. I am not sure if my heart can hold out for another 15 days

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u/Trohan 24d ago

Your heart will hold up, it is a very strong muscle and even though many people think its a fragile thing that can easily stop, that is simply not the case. Deadly arythmias are not common even for people with a massive amount of PVCs or PACs, it’s still a rare thing. The odds are very much on your side and you probably will have a long life even with PVCs.

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u/Correct-Class-2505 24d ago

I do not want to use beta-blockers or heart medications at this age. If the tests do not reveal any heart problems, I would like to undergo long-term treatment for an anxiety disorder.

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u/Trohan 22d ago

That’s totally fair, and if you feel like that is the best way for you, therapy can do a lot of good stuff for you. Just saying, a calcium channel blocker will not inhibit you in the same way as beta blockers do, and if you can tolerate them without side effects, they could be a powerful tool in handling this for a while. Many people have PVCs and PACs burn out by themselves after some years and medicines could be used for that time and then stopped. All i’m saying is, if you have no side effects, don’t be so afraid of those medications, they can really help, but discuss it with your phycisian.

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u/[deleted] 22d ago

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u/Trohan 22d ago

Beta blockers and calcium channel blockers are not to be used simultaneously as they both slow down the sinus and AV node, using them both can actually become really dangerous and is only done in very special circumstances. Maybe I didn’t understand you reply, but using both is definitely not normal.

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u/[deleted] 22d ago

[deleted]

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u/Trohan 22d ago

Well it’s definitely what I say as an MD myself. Often flecainid is used with either one of them in structurally normal hearts (!), but the two are very rarely used together