How do y'all handle this?
It’s been months of having 10-40 PACs a day, with a few PVCs, and I feel every single one. I’ve stopped working out and honestly feel afraid to do anything. Even something as simple as moving from my bed to the couch can trigger a flare of PACs every other beat. Yesterday while biking, I had two PACs and had to immediately stop biking. Today, just while lightly cleaning, I’m throwing PACs. And while I was biking the other night, I had two ectopics back to back.
My quality of life has declined significantly. I have no idea what’s causing them, but my cardiologist insists I’m fine. My last stress test was two years ago, and since my recent labs and Holter came back normal, they don’t see a need for further testing. My latest echo was in April 2025 and came back normal, too. I just miss living my life—PACs have taken that from me.
In 2022, I had a 36 hour long episode of PVCs with the Holter recording one 4 beat run of NSVT - cardiologist wasn’t worried at all. In February 2025, I had a 24 hour episode of PACs with roughly 4-6 PACs every 30 seconds. The holter from the 2025 episode: Patient had a min HR of 53 bpm, max HR of 155 bpm, and avg HR of 79 bpm. Predominant underlying rhythm was Sinus Rhythm. Isolated SVEs were rare (<1.0%) Isolated VEs were rare (<1.0%), VE Couplets were rare (<1.0%), and no VE Triplets were present. Patient had 91 symptomatic triggered events, with multiple episodes a day and all of those correlated with sinus rhythm with and without rare isolated PACs/PVCs Overall normal sinus rhythm with rare PACs and PVCs with no clear symptom correlation Overall burden of ectopy is low less than 1%
Cardiologist and EP doesn’t think I need another stress test despite it being two years. My EP and PCP allowed me an EKG this week for peace of mind before I travel internationally, and it was clear, too. But I had a huge PAC while toweling off after the shower last night and now I'm considering canceling my entire trip because I'm afraid I'll have an episode on the plane. I don’t know how to live life like this.