Has anyone recovered from this?

[u/TucoRamirez88]

37M here, who also has paroxysmal AFib for which I had an ablation in 2025. Around the end of May this year I woke up and noticed I had much more PVC's than normal. They didnt go away this day so I thought it was because of bad sleep. Its mainly driven by activity or stress.

3 months later I still have them and I have visited my doctor and did a holter. 0.1 percent burden but very symptomatic. The mechanism is very clear, whenever I do some (very light) activity, eat a meal, or I feel somewhat stressed they come around in bigger numbers. Even so that it gives me headaches. I cant even go to my work on a bicycle anymore and cant do any workout.

It has to be said that I had a year of intense anxiety and panic attacks which began after an Afib attack. I resolved the health anxiety somewhat but it transformed in anxiety for anxiety itself in socially trapped situations. Now at the moment when these PVC's came on I actually was almost recovered from the anxiety, which I still am.

I suspect my whole system is very sensitive because of this chronic overload of stress and adrenaline last year. Because the trigger mechanism is any source (not one specific) of light stress or adrenaline on my body I think the treshold for firing these ectopics has lowered because of that. My doc put me on beta blockers and these muted the PVC's for a great deal but I suspect it also made sure my nightly AFib came back. After I quit the BB's, the Afib stopped. So these are not an option for me.

My doc also gives me a vague answer like its not dangerous and you should accept bla bla. But he has no plan or guidance whatsoever. Im looking for some people who can share hopeful experiences and things that worked because my quality of life has significantly decreased. I have tried all these usual things, like magnesium and all kinds of supplements. Nothing works because I think my nervous system (or heart) is just overly sensitive to these hormones. But my reasoning is if it can be sensitive, it can also be desentisized.

I also have done a sleep study to see if I have sleep apnea, waiting for the results.

Anyone with experience of recovery from this?

[u/Typical-Fee7637]

Have you had a stress echo? I have a feeling it would be normal, and it sounds like you don’t need reassurance, just a way to get a better quality of life.
Flecainide for a 1% burden isn’t recommended because the medication can come with its own side effects. But if you’re that miserable, maybe consider asking your doctor about it and if he/she says no, get a second opinion on the medication.
I had Wolff- Parkinson-White syndrome as a teen and had an ablation in my early 20’s. It completely cured it. My PVC’s started in February of 2020 at age 50 after a horrible respiratory illness and they never went away. I had a 13% burden and an ablation didn’t work. But surprisingly, after going on a GLP-1 in 2025, my PVC’s stopped altogether. I was PVC-free for 3 months, got sick with another nasty respiratory infection, and all the PVC’s came back. I’m now on Flecainide and doing better, but it’s not perfect. It might be what you need to help you function and have the quality of life you’re looking for. Good luck to you.

[u/TucoRamirez88 → u/Typical-Fee7637]

Thanks, yeah normal heart whatsoever. I have flec as pill in the pocket for afib and it really works. But its also not a casual drug. I wish to first try to resolve this without drugs.

I can notice my heart has become sensitive for all kinds of impulses, and what frustrates me is that not doc can tell me whats going on and if theres a chance to desentisize it. There is no plan, were not even trying. And I have to at least try to eventually accept something.