Multiform pvcd and multifocal pvcs and couplets. no heart disease heart structually normal. normal eco and stress. what treatment is recommened?

Several points.: Arrhythmias can be caused by medications like digoxin or theophylline. You may also consider high doses of caffeine as a possible cause. Your doctor should check a complete panel of electrolytes to rule out an abnormality particularly in the potassium level. Of course, ischemia is something that definitely should be ruled out and is less likely with a normal stress test.

It depends: It depends on symptoms and frequency of pvcs. If you don't have any symptoms and the total burden of PVC is low (<10%), no treatment is necessary. If you have symptoms or PVC burden is high, a beta blocker may be tried. If this doesn't correct it, depending on the location of pvcs, an ablation may be curative. Usually an electrophysiologist (ep doctor) is best to handle this problem.

May not need treatin: Depending on your age and risk factors you may need a stress test. If you feel well and no structural heart disease nothing more needs be done beyond making sure electrolytes are normal. Treatment indicated if you are significantly symptomatic and heart pump is weak.