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Heart & Cardiology/How many pvcs are normal?

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QUESTION: Hi, I was wondering how many pvcs you can have in any given day without it being a problem for your health? I have had a ultrasound of my heart, a holter, and an EKg, along with blood and urine tests. The holter showed about 3000 a day but now I feel like it is happening more. I do suffer anxiety stress and depression. I am in my 20s and am pressured to get my life started with military service. On top of that I just lost my job and have had trouble finding another one. Plus my pvcs cause me stress, anxiety, and depression too. I always get mixed results when searching for this, some say it doesn't matter how many as long as you are healthy, some say that 20000 is the limit. I have taken metoprolol 25mg for a while but have been off for a little over a week. I've decided to go back on it until I can reduce all this anxiety.

ANSWER: Hi Luke,
Why did you stop your meds? Metropolol is used specifically in your case to reduce the frequency of your pvcs, so don't complain when they increase without it! Rather than less, you probably need more m.
Read this:
http://www.cardiachealth.org/premature-ventricular-contractions-pvcs
Hope this helps,
Dr T
http://www.cardiachealth.org/

---------- FOLLOW-UP ----------

QUESTION: I have to stop taking meds to join the military. You aren't allowed to be on any meds like that in the military. I do have another question, though. My pvcs started in a time where I was out of work for a very long time and was very stressed, and depressed. Could anxiety and the like actually cause than to start? Now that I am out of work again it seems like I'm more stressed and anxious. I had a mini panic attack the other day and they seem like they got a lot worse. Also, could beta blockers make you weak to adrenaline? I heard that when you stop it takes a while for your body to get used to that much again.

Answer
Untreated pvcs will certainly preclude your acceptance into the military! You took a minimal dose of Metropolol. Self (non) medication never works! Even if you were not joining the army you need to deal with these pvcs.
Hope this helps,
Dr T
http://www.cardiachealth.org/

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