How many PACs or PVCs are too many

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Submitted by Dr T on December 16, 2010 – 10:44am

Follow-up question:
Dr T, I thank you for your time and greatly appreciate the advice.  Reading back through my initial correspondence I believe it would be better to say that when I exercise I seem to notice 3 or 4 premature beats at separate times, not coming at once.  I do not believe they are more prevalent during exercise, just more noticeable; I do believe I am having more PACs/PVCs on a daily basis then previous and I seem to always have terrible indigestion/heart burn which I have not had before.   Cholesterol, sugar and thyroid were all good at last physical, last halter showed 125 PACs and 2 PVCs in 24 hour period.  This is ruining my quality of life, more and more every day and I need to find a solution, is there a better medication or would I be a candidate for cardiac ablation.  I previously seen an EP which resulted in the same, you are fine, go live your life, if only it were that easy.  Again thank you for your time, I know you are busy but it is nice to consult with a professional who truly seems to care as I often feel my cardiologist is just trying to get me out of his office.

From this I learned that you are mostly troubled by PACs, not PVCs. PACs are relatively benign arrhythmias and are not as serious as Premature Ventricular Contractions (PVCs) and usually require no medical care. Patients with this condition usually report feeling that their heart “stops” or misses a beat. Sometimes stress causes this, even if there is no immediately apparent source of stress. Since they are obviously bothering you, you should discuss the option of starting medications with your cardiologist, such as beta blockers that can reduce their frequency.
Read more about arrhythmia here:
Hope this helps,
Dr T

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