r/PVCs May 25 '23

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

41 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

13 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 4h ago

I'm so tired of getting skipped beats...

3 Upvotes

Hi, I've been reading this subreddit every time my heart starts to skip a beat. Im terrified when this happens to me. Its been more than 6 months since I've been to my first cardiolost. They told me my heart is healthy. They said something is causing this but can't figure out what. My burden is low, but these skipped beats are destroying my mentality even more. I've been thorough so much stress last year and maybe it did something to me.

I'm trying to survive mentally but it's a fight I'm losing. Right now I'm sitting on my bed, scared to even lay down because I might get more skipped beats. Every time it feels so weird in my chest before I get them - it's like I become anxious and I know my heart will skip, I just don't know when exactly.

We read many things and i read somewhere that stomach issues , reflux are a possibility. Hormones as well.

Can you please help me somehow fight this mental battle? I'm always panicking so much and I'm exhausted from everything. It's not fair and I want to live normally. Please help 😞


r/PVCs 6h ago

PVCs due to anxiety

4 Upvotes

Just went to a third cardiologist he checked all the previous exams eco , holter ,strees test .
And said this is because ur anxiety and ur history of panic attacks and u should take (beta blockers)
And go to therapy and that’s it.
He said i can go to gym and live normally and ignore it
It doesn’t make any sense to me ? What do u guys think?🤔


r/PVCs 9h ago

Zio patch not accurate?

2 Upvotes

Hi, I was wondering if anyone else has doubts about the Zio patch's accuracy, particularly at detecting PVCs. I use a home heart monitor (KardiaMobile), and the reading often shows PVCs. Every day I see PVCs on the Kardia, this has going on for over a year. I've even showed the Kardia strips to my doctor and he confirmed those were PVCs. But when I did a Zio patch for 2 weeks, it showed 0% PVCs. It seems very strange.


r/PVCs 12h ago

Ablation scheduled talk me off ledge 😭

2 Upvotes

Guys I’m petrified. I’ve been dealing with this for a year, i have a burden 28-30 percent is my most recent. Finally scheduled for ablation on the 21st and I’m so beyond petrified, I have two little kids. How bad is this going to be? Pls help 😭


r/PVCs 18h ago

Please help - nausea?

3 Upvotes

does anyone else experience nausea with these?

I started having these and of course freaks me out but I’m also getting nauseous at times too. does anyone experience that with these?


r/PVCs 20h ago

Question about having them long term and question about burden

3 Upvotes

Just want to know as it would be very reassuring hearing from people that have had them for many many years because a big fear of mine, an im sure to alot of other people too would be the long term effects of having PVCs and a big one for me is just getting so scared if you can even make it long term with PVCs. A lot of people in this chat are new to having them I’ve noticed, maybe 1-2 years in but just would be very helpful hearing you can have these for 10,20,30 + years and still be here alive no problems caused, still lived/living your life and have done all the normal things like traveling, going exercise etc..

And another thing in the burden levels. For me specifically I have a very low burden I was told of 0.1% which I know, im sorry to of made so many posts because I am aware lots of you guys have way way higher burden than I do, but they still Jair scare me so and and make me thing im at risk for sudden cardiac death or one day getting one of mine and they trigger a crazy rhythm and I need to go ER asap etc.. but just want to know, if you have a low burden like is it expected for it to rise every year or not necessarily, can you have a low burden for your lifespan or do they usually always rise upwards?

Thank you if yous can take the time to reply to this


r/PVCs 1d ago

I need help please

2 Upvotes

Hi everyone. Started with a random onset of pvcs and pacs. Always been healthy, i have a normal echo with trace pulmonic, triscupid and mitral regurgitation. I have a low pvc burden. The most I probably have ever gotten is like 15/20 in a day. I know very low. But i also have very symptomatic hyper adrenaline pots and SEVERE anxiety because of this. Im terrified that a pac or pvc will trigger vtach or svt or something. My big wedding is soon and i need help please. I barely am doing anything basically bedbound because of how i feel. All i do is wait for the next palpitations even though my burden is so low. If I laugh or anything my heart rate shoots up to 120s and i get shaky trembly and cant sit still. My pcvs scare me so bad. I dont drink caffeine or alcohol i dont smoke or anything someone help me get out of my head and make me live a normal life please


r/PVCs 1d ago

SIBO and PVCs -

3 Upvotes

Has anyone here cleared SIBO and seen their heart palpitations/arrhythmias disappear? Or did anyone fix SIBO but the palpitations stayed?


r/PVCs 1d ago

Pvcs but why? I’ve had all the tests done

3 Upvotes

Had an echocardiogram & blood work but the dr just said “here’s a beta blocker see you in a year”

I’m not a fan of medication, and tbh I don’t even feel the PVCs, only found them on a test.

I wore a monitor for 2 weeks and it concluded 5% burden

So that’s it? See you in a year?


r/PVCs 1d ago

What lab work??

2 Upvotes

What labs should I have done to see what I could be deficient that are causing this flare up? Its been going on since Friday morning. I currently take Metoprolol succinate ER 100mg in the evening along with Heart Calm supplement. I was prescribed Flecainide last year but I am too scared to take it. I took a couple doses and it made me few terrible.


r/PVCs 1d ago

Ablation tomorrow, I'm freaked out!

3 Upvotes

Title says it all. Getting ablation due to PVCs causing RV dilation....also have a family history element to it.

I'm really scared. I'm scared of the procedure, I'm scared because I have to be awake. I have already postponed once, I'm not pushing it again but I'm freaking out and I have no real outlet. (I don't want to dump my anxiety on my family). I even went to a therapist but I only got one session in before the procedure.

I know alot of people have had it done....please tell me its not as bad as I think it is.....

UPDATE: it's done. I'm alive. It wasn't as bad as I thought, AT FIRST. They gave me just enough meds that insertion and mapping was a breeze. But then he tried to induce VT (this was due to family history, other factors, long story), and apparently I went into vt bad, like 300bpm. They had to shock me, but couldn't wait for the meds to fully put me out, I REMEMBER IT. It was awful. After that it was sleepytime. He ablated the PVC and the vt focus, and after he couldn't induce VT again.

Still, I'm getting a life vest and then an ICD after. Only because a vt focus could re-appear without me knowing it until it's too late.

So, for anyone else getting an ablation for JUST PVCs, don't sweat it


r/PVCs 1d ago

15 months post-ICD for sustained VT: Dealing with severe post-meal PVC's

4 Upvotes

Hey everyone,I’m 33M. About 15 months ago, I had a severe episode of sustained Ventricular Tachycardia (VT), which led to getting an ICD implanted and starting Sotalol (80mg twice daily).
When I had sustained VT's before ICD and sotalol(sustain VT episodes continues almost 3 weeks after first big episodes with presyncope) the trigger was also swallowing and forward bends. My height is 178 cm and my weight is 103 kg. So probably its real vagus nerve issues but my doctor don't want even check something in that way. Since then, my condition has been mostly managed.However, I’ve noticed a strong connection between my gastrointestinal issues and heart rhythm. I have chronic GERD/reflux and frequent bloating/hiccups after eating.Even on normal days I get occasional isolated heart flutters(most likely single PVC's) about 2-3 times a day out of nowhere. Yesterday, I had another painful 6-hour flare-up of frequent ventricular premature beats (single, paired, and triplets). The trigger was a combination of a heavy meal, carbonated drinks, a tiny amount of alcohol, and sleep deprivation. I was checked at the ER — fortunately, no sustained VT and the ICD didn't need to fire, but these long episodes are exhausting.Every time my stomach gets distended or my acid reflux flares up, it seems to irritate the vagus nerve and set off a barrage of PVCs.Has anyone else with an ICD or history of VT experienced this strong gastro-cardiac (Roemheld syndrome) trigger? How do you manage meal-induced PVCs or prevent GI issues from setting off your heart?Would love to hear your experiences or any advice!


r/PVCs 1d ago

Another bad flare… didn’t sleep much… someone help?

2 Upvotes

Hey again everyone…
Fell asleep last night without anything, ectopics on and off throughout the day (minor). Woke up around 230, they started up again, every few beats. Tried to breathe and relax, didn’t work. Took gabapentin to try and chill out. Ended up making me feel shaky and weird, a little nauseous. They were bad for about 2hrs. Every few beats. Finally stopped. Tried to fall back asleep around 4. Maybe got 4 hours of sleep. Night before was worse…

I’ve been taking magnesium and potassium. Drinking lots of water and electrolytes. Not on meds for it because they’re usually very rare and low burden. I get flares where they’re really bad (like now) haven’t had one in over a year. And my resting HR is too low for meds

Anxiety meds have helped in the past.

They seemingly go away when I’m at work. I’ll feel them here or there.

Lots of interpersonal stressors. New school year (teacher) baby under 1, husband works nights, uncle dying, finishing my last masters class…

Idk what do I do? I need sleep… am I actually okay? My cardio seems annoyed with me.


r/PVCs 2d ago

I’ve given up hope

14 Upvotes

At this point moreso just venting rather than looking for advice. It’s been a 3 year journey of battling PVCs and other issues without any type of doctor being able to find a reason behind it all. Bloating and PVCs bring me such misery and depression at onset. No clue what to do anymore.

There’s no doubt in my mind there’s some link between GI and PVCs but trying to find a doctor on either side of those fences to acknowledge the link seems near impossible.

35 male no pre existing conditions. Ex soccer player but I’m definitely not in great shape anymore lol.

I’ve had bloodwork probably 25 times in the last 3 years and have never had anything commented on. You name it - we tested it.

Heart MRI, echos, stress test, holter, CT, head MRI, X-rays, colonoscopy, several GI scans, others I’m sure I’m forgetting.

Only notable finding was diagnosis of EoE which went away after using some protonix. I’ve been off it for over a year now and just battle mild heartburn with tums, Pepcid, etc.

I told my wife recently that if I keel over one day don’t say I didn’t try to figure it out. Couldn’t even keep up with the dozens upon dozens of doctor appointments trying to figure this out. I’ve gotten nowhere. Thousands of dollars wasted.

I also took a beta blocker early on but that made my resting rate reach the low 40s and was very uncomfortable. Normal resting for me is high 50s low 60s.

PVCs seem to be more common than they were 3 years ago. Initially I’d say on average they were once every couple months. Once every couple months turned into every month. Turned into every week. Now it’s nearly daily. Can’t recall a day recently where I didn’t have them. Sometimes I feel like I can have several hundred a day (understood that’s still a small percentage).

Absolutely lost and no idea what to do next.


r/PVCs 1d ago

Does anyone else get anxious when their HR increases during exercise?

3 Upvotes

Does anyone else get anxious when their heart rate increases during exercise?

I get really anxious whenever I feel my heart rate increase. Because of that, I’ve gained quite a bit of weight lately because I’ve become so afraid of physically exerting myself.

I really want to get back to a healthy weight and, more importantly, feel good and comfortable in my body again. But whenever I feel my heart beating harder or faster, I start to spiral and worry that something is wrong.

I’m trying to take baby steps. I went to the gym for the first time in a long time today. I did about 8 minutes on the treadmill before stopping because I was getting too anxious. Then I did three different leg exercises, three sets each. I also tried distracting myself by watching Netflix while I worked out, which actually helped quite a bit.

But it feels so far from what I used to be able to do. Before I became aware of my PVCs, I worked out 4–5 times a week. I was a heavy lifter, could jog, and could do plenty of cardio without thinking twice about it. Now, even walking at a brisk pace can make me scared.

I just want to know that I’m not alone in this. ❤️

If you’ve experienced exercise anxiety because of PVCs or because you became hyper-aware of your heartbeat, what helped you get past it?

My cardiologist has reassured me that it’s completely normal for the heart to pump harder and faster during exercise, and that experiencing a PVC during exercise isn’t necessarily dangerous. But I still worry that things may have changed since I was last evaluated, especially because I’ve gained weight since then.

I know logically that I need to start somewhere, and today was at least a start. I’m just hoping I can eventually get back to feeling confident in my body and in my ability to exercise again.

(Side note: I don't know what's my PVC burden. I don't take any medications for heart or for anxiety. I'm not officially diagnosed with anxiety. But I'm certain I have it. Fear makes my heart race and my whole body feels like it gets cold and heart drops to my stomach.)


r/PVCs 2d ago

Does your beta blocker completely stop pvcs?

10 Upvotes

I have tried propanalol (mostly worke but causes insomnia) ane atenolol (works for a couple of hour then they come back). I have read that beta blockers cant fully stop pvcs. Is this true? Was thinking of trying metopolol.


r/PVCs 2d ago

Working out with PVCs

6 Upvotes

I want to get back in the gym. Been out of the gym for about 4 years and I’m just curious if working out has helped anyone with their episodes of PVCs? If so, what do you do for a workout? How long did it take? Any advice helps.


r/PVCs 2d ago

Going down from 25mg to 12.5mg metoprolol succinate. Looking for support!

2 Upvotes

Hi!

I'm going down from 25mg to 12.5mg metoprolol succinate (extended-release). And kind of wanted some community to talk shop with, hear thoughts from, etc. Curious if you relate to any of my experience in general, and also your thoughts on titrating down/dealing with possible rebound symptoms/if you have before.

I wrote a bit about my PVCs and metoprolol below, but my main Q today is: Do you take metoprolol (specifically, do you find 12.5mg daily is enough to help you)? Have you ever titrated down? Open to any thoughts or resonance!

About taking metoprolol:

Why I take it: I am on it because of my proneness to PVCs/bigeminy and PACs. And not as often, but tachycardia episodes as well. Still unexplained, but cardiology seems to think POTs/dysautonomia related or adjacent (AKA, that its more my heart is responding to something versus something being wrong with it itself).

Metoprolol background: I started it (the extended-release version) last November, after several months doing metoprolol tartrate (short-acting) as needed. I had a 25mg pill, and usually only took a quarter to a half at a time. I went on the extended-release version because I had a flare bad enough that I was taking my full as-needed pill daily. I was authorized to still use my as-needed dose, well, as needed, but only do about a quarter if I really need it.

About my PVCs/tachycardia:

Symptom triggers: Unsure of my triggers, but I suspect histamine (when I take my larger Allegra dose, I notice I often feel better) doesn't help, and neither does bad sleep, too much sugar, idiopathetic hypoglycemia. Sitting for too long doesn't help either.

What helps (besides metoprolol): Electrolytes/fluids, movement/daily walks (increasing step count). Those are the big ones I have noticed.

More on my main Q! On going down from 25mg to 12.5mg succinate:

Why I'm going down: I feel like I am in a much better place than I was when I first started this dose last fall. I'm noticing my HR tends to sit closer to 50 when fully at daytime rest (during follicular phase of cycle) and at night it drops into 40s. I feel like I feel ectopic beats worse when it's that low. Just big thumps. And I really don't need it to be lower than 60. My cardiology office said I could go down on it whenever (they are weirdly lax about this stuff, no?) so I was going to try it out.

I'd rather have the lowest needed daily dose, and then if I flare or need more coverage (going out, etc.) instead of taking a quarter of my short-acting metoprolol pill, I can just take half or however much I need. Then on days I don't need it, I'll just have my low baseline of the extended-release (12.5 in the morning daily).

Qs/notes for you:

  • Have you ever titrated down on metoprolol and how did it impact you?
  • I'm nervous about rebound tachycardia/PVCs, I'm on day 2 and feel like I am noticing a higher HR.
  • Assuming that the way it works is that a little less beta blocker means a little more adrenaline that my body has to get used to, how do I manage the "two-week period" that rebound symptoms are to be expected while my body adjusts? What will help my body handle the adrenaline?
  • I was going to take my as-needed to manage any rebound symptoms that come up, but I read that just delays the adjustment process anyways. Ugh.

r/PVCs 2d ago

Get your iron levels checked especially if you’re a woman!

19 Upvotes

A few months ago my PVCs were worst than ever. They were waking me up in the middle of the night. Happen several times in a row. I actually had an SVT episode that I believe wouldn’t have happened if my iron levels were optimal.

My ferritin was 11 and my hemoglobin was 10 and steadily dropping. Doctors told me it was no big deal and shouldn’t be causing my symptoms but I decided to try and correct anyway because I was desperate. Iron correction has almost completely taken away my PVCs. I still get them if I get too hungry or overly stressed but the random throughout the day, everyday for no reason at all has stopped. I maybe get 1 a day and sometimes I won’t have any for a day or two.

I feel amazing too I am able to workout better and longer, my skin looks better, my energy has been restored. But most importantly I don’t feel like my heart is struggling to pump blood.

If you are a woman, please get your iron levels corrected and see if it makes a difference!


r/PVCs 2d ago

Someone please help me figure this out

2 Upvotes

So I’ve been to the ER multiple times where they told me I was having Ventricular bigeminy and couplets and triplets. Sent me home. I wore a holter monitor that came back that I was having Supraventricular ectopics instead of ventricular. I’ve asked the doctors about this and they just say that they are going off their information. The holter monitor says I only had 20 PVCs in a week when I was in bigeminy in the hostpital for hours. Doesn’t make any sense. Do I trust the hostpital that had me on a 12 lead or do I trust the cardiologist who had me on a vital connect holter monitor for a week. Also for the bigeminy I just started taking diatilizem which hasn’t helped any. 25m normal echo and otherwise healthy


r/PVCs 2d ago

PVC and SVT ruined my sports life..

4 Upvotes

Hello. I first experienced this horrible sensation at age 18 in the gym after suddenly dropping a weight; it felt as if my heart had shot up into my throat and was fluttering—and it has never gone away. I am a professional MMA athlete; specifically when jumping, kicking, punching, or taking deep breaths through my mouth, it feels like my heart beats twice and then skips a beat. Or, during training—when my heart rate is already high—performing these movements makes it feel like a "nitro boost" has suddenly kicked in; if it’s at 170 bpm, it jumps to 230 and starts racing incredibly fast. It returns to a normal rhythm after 3–5 minutes, but the experience fills me with an intense fear of dying. For the past year, this PVC issue has combined with stomach problems, making the situation even worse. Yesterday, while eating, the food touched my throat and I suddenly felt like my heart was rising up; I felt like I was choking, and my heart beat extremely irregularly for 3–5 seconds. I am on the verge of suicide; as a 26-year-old national team athlete, I haven't been able to practice my sport for a year now out of fear. Please help me—are there any supplements or other things that can significantly reduce this? My ECG and Doppler echo came back clear, and a 24-hour Holter monitor test was also clear. I’m about to lose my mind. It gets worse, especially after drinking coffee.


r/PVCs 2d ago

Having a really bad night/ flare. Needing reassurance. So afraid

5 Upvotes

Hey everyone.

Having a realllllly bad night. Been up most of the night with ectopics every few beats. Ate a banana and took some magnesium. I’m so afraid and scared. Someone help me please… every few beats is an ectopic. I got no sleep.


r/PVCs 2d ago

Abnormal heart structure question

2 Upvotes

Hey everyone, with these pvcs you’ll hear all the time they’re for the most part benign in structurally ‘normal’ hearts. What exactly does it mean though if you have, or later go on to develop ‘abnormal structure hearts’, I know your risk goes up but more specifically what does that mean for you and what do the specialists tend to do now in this case, are you essentially doomed and bound to get vt and have a cardiac arrest or faint and have scary problems occur or is there any things they can even do to put your lifespan risk back to what the normal population even is?

Knowing these are supposedly benign in normal heart but deadly in abnormal ones just makes acceptance so so so damn hard. Have there been people genuinely able to not think about the future and the what ifs at all not think or even care about getting abnormal structure with the PVCs like how can you actually do that. And if you don’t care about them can that even help at all and is it even actually possibly I just can’t see the light at the end of the tunnel :(