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PVC's after drinking alcohol
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An_193121 posted:
I've had PVC's after many bouts with binge drinking and long bouts with extreme alcoholism. I've been sober since 1/2011! I still have PVC's and take metaprolol 25mg/2xday. Some days it works fine. Other days it doesn't work. It feels like my heart is pounding and wants to jump out of my chest until I take my med. and it kicks in about 45 mins. later. I've had my BP measured and it's normal. It just feels like my chest is pounding and my heart is going to come out of my chest. I'm tired ALL of the time and have trouble sleeping. I have a sedentary job, but have a free gym membership. I want to start and get going with the treadmill first, then move onto a weightlifting program. I'm worried about the PVC's and how they would affect my short-term workouts FIRST. I'm also DEAD-TIRED! all the time! I don't feel like I have a lot of energy to give at first. I just want to start first, then move onto something else. What tests can be done to determine the extent of my heart damage? That's the main question! Thank you!
Tom R.
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BillH99 responded:
Go to your doctor and ask for clearance for exercise.

Most likely they will want to do a stress test. You will be on a treadmill with and you will be monitored with an EKG the whole time. Probably with use an echo to look at the pumping of heart before and after the exercise.

Also they might want you to wear a holter monitor. That is a small EKG, about the size of a pack of cigarettes, that you wear for 24 hrs. It will catch your PVC's.
 
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James Beckerman, MD, FACC responded:
Interestingly, many people with PVCs find that they tend to go away during exercise, and also tend to decrease in frequency in general if they maintain an exercise regimen.

It might be a good idea to touch base with your doctor to have (1) an echocardiogram, which is an ultrasound of your heart that can verify that your heart's function is normal and that there are no predisposing factors to frequent PVCs, and (2) and exercise treadmill test to make sure that you are asymptomatic during exercise and don't develop any more significant abnormal heart rhythms.

Congrats on being sober - that's a fantastic accomplishment!
 
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CardiostarUSA1 responded:
Hi Tom R:

"I've been sober since 1/2011!"

Congratulations!

"Take metaprolol 25mg/2xday"

"I'm tired ALL of the time"

"DEAD-TIRED! all the time! I don't feel like I have a lot of energy to give at first"

About beta-blockers

As applicable to the individual patient, this class of drug is notorious for causing problems (mainly due to side effects, which includes fatigue, tiredness, lack of energy, weakness, lethargy).

"I'm worried about the PVCs and how they would affect my short-term workouts FIRST"

About PVCs

Some individuals may notice that they are having palpitations only when doing things such as vigorous exercise (i.e., exercise-induced arrhythmia, EIA), or some may notice palpitations at rest, which disappear during vigorous exercise, and return again at rest.

PVCs, which has various causes or triggers, are typically harmless (benign), be it isolated (single), couplets (2-in-row), triplets (3-in-a-row) or salvos (short bursts of 3 or more in-a-row), bigeminy (occurring every other beat), trigeminy (occurring every third beat), quadrigeminy (occurring every fourth beat), etc., etc.

However, the main problem or concern (even more so, much more emphasized for those with certain major or serious heart conditions) with PVCs is if/when sustained ventricular tachycardia (runs of PVCs over 30 seconds) occurs.

Non-sustained ventricular tachycardia (runs of PVCs under 30 seconds, but typically not salvos) may/can become serious as well if it occurs frequently (episodes are grouped closely/tightly together).

Symptoms that may/can occur wih PVCs includes chest pain/discomfort/pressure/tightness, difficulty breathing, lightheadedness/dizziness, and in uncommon to rare cases, near-syncope or syncope (temporary loss of consciousness, includes fainting and passing out).

ALWAYS be proactive in your health care and treatment. Most important, communicate/interact well with your doctor(s).

Best of luck down the road of life.

Take care,

CardioStar*

WebMD member (since 8/99)



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greenlynda responded:
Y should get to the Dr.s at once when your heart acts up. Eat alot of fruit, and raw veggie's. Drink alot of water. And start out by walking. Mayb walk holding them dumb-bells. A stress test can tell the amount of damage to your heart. Or an electrocardiogram, when they do an altra sound. good luck lynn.


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