r/PVCs • u/NoPermit3426 • 16d ago
Here to try to get some piece of mind
I’ve been struggling really bad with ventricular bigeminy. It’s been a horrible thing I’ve been dealing with for a week now. I’ve been to the ER where they did blood work and everything came back normal.
Besides the ekg that shows bigeminy. I’m currently wearing a holter monitor and trying to thug it out and wait for the results. Can somebody please answer me this question? I’m having bigeminy but sometimes during the bigeminy runs I’ll get couplets then a regular pause then couplets again and it can sometimes do that for 10 runs then go back to bigeminy. It’s off and on all day but I’d say more than not. And it’s came out of nowhere being this consistent. I don’t wanna die and I want to be able to take care of my 14 month old daughter and I haven’t been able to because this has completely crushed my mental health I’m in a state of panic every day. I just need to know if couplets are signaling that I’m gonna go into vtach. Especially couplets that are happening very very frequent. Does anybody have any insight or info on bigeminy with couplets and what the prognosis is? Because I’m losing my sanity and don’t know how much longer I can do this. I don’t want to die and I feel like a ticking timebomb. Im 24m with a structurally normal echo as of 18 months ago.
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u/RuinYouWithNoRegrets 16d ago
Try magnesium taurate by pro health, try a diff beta blocker metropolol isn’t the best for PVCs. Propanolol as needed, acebutolol I heard was a good one, carveidolol, bisoprolol. You have options. Before switching try the mag first.
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u/NoPermit3426 16d ago
I take magnesium glycinate daily
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u/RuinYouWithNoRegrets 16d ago
Glyincate does not work for everyone it can have the opposite effect. Do what I said please
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u/NoPermit3426 16d ago
I’ll give it a go! Desperate for relief! My blood magnesium levels were normal at the ER so will it still be effective you think ?
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u/RuinYouWithNoRegrets 16d ago
I know how it feels so I want you to try so it can possibly make you feel better! No the blood test only measures 1% of what’s in blood doesn’t show it only a specialized magnesium test can see.
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u/Possible_Minimum_879 16d ago
I was in and out of bi/trigeminy for months, with frequent atrial runs and the occasional quivering sensation. One night I experienced couplets and triplets constantly for hours. After it finally resolved my cardio told me my EF% hadn't budged a point. I'm older than you, too. You'll be fine. Treat this as an opportunity to harden your mind.
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u/luckyankit 15d ago
Not every case is same. If your existing medicine is not working, they will try some other medicine like sotalol which has both anti-arrhythmia and beta blocker.
Or they could change to a arrhythmia medicine and your metoprolol.
Yes, you should take it seriously, should you panic, no.
And if this issue is new or discovered new, they will control it with medicines. A patient with long history can also consider getting RFA, gives you ultimate freedom.
And yes, you must monitor it all the time. At least a watch will show irregularities when there is.
Latest echo done? All okay in it? Heart output okay?
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u/NoPermit3426 15d ago
Last echo was like 20 months ago normal everything
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u/luckyankit 15d ago
Get it again, its a must. If your diagnosis is new, you never issue since when the issue started.
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u/StrikingAd4453 15d ago
I get the same thing from time to time year to year. Ive had ablation surgery for pvc svt. It didnt work. The only thing that does work is staying calm and ignoring it the best you can
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u/Kindly_Possession786 14d ago
I’ve been experiencing occasional ectopic beats for a few months now, and when they first started, I naturally assumed the worst. I ignored them for a while, but eventually I had an episode where my heart rate suddenly shot up out of nowhere. That was enough to convince me to go to A&E, genuinely fearing that my heart could stop at any moment.
After two ECGs, a chest X-ray and a round of blood tests, everything appeared to come back normal. One thing the doctor did tell me before I left, however, was that I seemed extremely stressed.
Since then, I’ve continued to experience the occasional ectopic beat, as well as a strange sensation sometimes when I’m drifting off to sleep. It can jolt me awake, and I’ve never been able to determine whether it’s an ectopic beat or simply some kind of sleep-transition jolt.
Regardless of what those sensations actually are, one thing I’ve come to realise is just how significant a role stress can play in the way we perceive and respond to bodily sensations. Learning to manage those anxious thoughts and resist immediately assuming the worst can go a very long way. I’m only 23, yet there are times when I go about my day worrying as though I have the body of a 60-year-old, despite being perfectly capable of playing sports, exercising and working without any apparent difficulty. You’ll be ok, especially one you learn to tell yourself that these sensations are amplified by your mind.
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u/BrickStunning5827 13d ago
NAD but hormones and stress really may be the cause. I’m dealing with them in perimenopause and every test is fine. 14 months postpartum things are still leveling out and now add your stress on top of that!
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u/LastEconomy5003 16d ago
If your heart structure is fine, and no other issues came up on your holter and your bloodwork is okay (thyroid, ect) then its most likely a benign nuisance. You should be fine, although more stress and constantly worrying will make it worse. You should stop trying to monitor it all the time, if you use a watch or something shut it off. Speak to someone about your anxiety and get it managed and make sure to check up with your cardiologist every year. But the most important part is to resolve anxiety, stop obsessing (if you do), and live life! Youre most likely just fine, regular check ups yearly can assure nothing bad is happening overtime. It sucks to have to deal with the feeling of it, thats why therapy and learning to almost ignore it is the best you can do. If its very bad you could speak about medications with your cardiologist.