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Doctor insights on: Can Anxiety Cause Pvcs

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Can PVC be caused by stress? If so how can anxiety cause pvc? I have around 700 pac/pvc per day but if I have panic attack ill have more in short time

Can PVC be caused by stress? If so how can anxiety cause pvc? I have around 700 pac/pvc per day but if I have panic attack ill have more in short time

PVC and stress: You heart may be sensitive to catecholamines and that is what is released in stress. Check to make sure not low potassium, calcium, magnesium, thyroid, arrhythmogenic right heart, Wolff Parkinson White, associated use of drugs (cocaine), alcohol, or caffeine. Note everyone has PVC when holter is done, though 700 is on the higher end. Check echo, ask about B blocker use f/u w/doc. ...Read more

Dr. Heidi Fowler
3,299 Doctors shared insights

Anxiety (Definition)

Anxiety is a general term for several disorders that cause nervousness, fear, apprehension, and worrying. These disorders affect how we feel and behave, and they can manifest real physical symptoms. Mild anxiety is vague and unsettling, while severe anxiety can be extremely debilitating, having a serious ...Read more


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I was put on atenolol (25mg daily) to control my anxiety related heart rate. I developed benign PVCS. Is it possible the drug can cause this?

I was put on atenolol (25mg daily) to control my anxiety related heart rate. I developed benign PVCS. Is it possible the drug can cause this?

Unclear question: Are you asking if atenolol can cause PVCs? It that's your question then the answer is no. Atenolol is a beta blocker, that is it blocks adrenalines irritating effect on the heart. Thus, it is actually used to treat symptomatic PVCs. Caffeine, insomnia, stress can all precipitate PVCs. ...Read more

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Can heart palpitations caused by anxiety and panic disorder be dangerous? I had ecg, echo and a 24 hour holter check out ok with 20+ PVC shown.

Can heart palpitations caused by anxiety and panic disorder be dangerous? I had ecg, echo and a 24 hour holter check out ok with 20+ PVC shown.

Palpitations: Can be caused by panic and anxiety disorders. But people suffering with panic and anxiety disorders can also have other common medical disorders manifested by palpitations. A simple ecg, echocardiogram and holter monitor do not adequately determine completely normal cardiac function. If they persist you need to pursue an explanation but with your doctor. This forum is inadequate. ...Read more

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Are PVCs from anxiety common? Dangerous?

Are PVCs from anxiety common? Dangerous?

PVCs are common: PVCs (Premature Ventricular Complexes) are common. Many normal people have a few PVCs. In some people they become more frequent. If there is no evidence of organic heart disease, with normal left ventricular function, and no ischemia (that is, no blockage in the coronary arteries), as shown by a normal EchoCG and a Stress test, PVCs are harmless. Anxiety may increase PVCs in some people. ...Read more

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How much propranolol is too much? I currently take 20mg for anxiety/PVCs but see others are helped by 80mg before anxious event. 30 female 163lbs 5 6"

How much propranolol is too much? I currently take 20mg for anxiety/PVCs but see others are helped by 80mg before anxious event. 30 female 163lbs 5 6"

The maximal dose for: The treatment of hypertension in someone your size would be 32 times as much as you are taking. (640mg/day.) How much is the appropriate dose for you and your problem is that dose which relieves your symptoms without causing unwanted side effects. Some people need more and some need less but overall for the treatment of anxiety and palpitations the dose range is very low. 20mg to 160mg is OK. ...Read more

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My PVC'S are benign but they are killing me only get like 6 a day that I feel. I don't know what to do with my life!! Anxiety killing me.?

My PVC'S are benign but they are killing me only get like 6 a day that I feel. I don't know what to do with my life!! Anxiety killing me.?

Anxiety = worrying: About things that may not happen or, if they do, may not hurt you. If 24-hour monitoring of your heart rate & rhythm shows nothing for you to " obsess" about, but you can't stop, see your primary care for referrals to a psychiatrist & psychologist for evaluation & treatment of anxiety disorders. Chronic anxiety alters levels & functions of brain chemicals, so address it now. ...Read more

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40yr f diabetes2. Heartrate 40-65 resting. Holter =15% PVC w/3 episodes of 4 sustained beats. Metropole 25mg 1xday. Anxiety. What to do to improve?

Needs treatment: That's too a high a number of pvcs and can lead to a cardiomyopathy. You need to be screened for coronary disease with a stress test, if it hasn't already been done and you need an echo to look for structural heart disease. Then your pvcs should be suppressed or ablated. You are hopefully under the care of a cardiologist or electrophysiologist. This is more than "anxiety". Good luck. ...Read more

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I've been having pvcs at night when I lie down to go to sleep. Is this related to stress or anxiety?

I've been having pvcs at night when I lie down to go to sleep. Is this related to stress or anxiety?

Could be: Pvc's frequently occur for no known reason. But stress can cause them or make them worse. You are more likely to notice them if you are lying quietly especially on your left side. ...Read more

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Why when I get a PVC I feel a quick instant loss in breath and sometimes cough? This is so scary and starts my worry and anxiety

Lung disease and PVC: Actually, the underlying lung issue (copd, asthma, bronchitis or emphysema) can be one of the causes of premature ventricular contraction, which is the result of the left ventricle of the heart contracting too early before receiving the expected signal from the sino-atrial node. Hypoxia, or a lack of oxygen in the blood, can lead to this issue. ...Read more

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Generalized anxiety disorder for 9 months now. I don't take meds. Today I got 2 PVC in a row. Is this related to anxiety. I don't have serious symptoms.?

Generalized anxiety disorder for 9 months now. I don't take meds. Today I got 2 PVC in a row. Is this related to anxiety. I don't have serious symptoms.?

GAD: You write an interesting question -- saying you have gad for 9 months, it's not serious, are on no medications, but you have pvc's. Pvc's can come from anxiety as well as many other issues, so please see your physician very soon. Gad can be a serious problem because it limits your enjoyment and participation in life. Good treatments (not limited to medications) are available. Ask your doctor. ...Read more

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Bp runs 117/73, checked it yesterday 151/102, after seeing that got anxiety it jumped to 163/112. take bystolic (nebivolol) for PVCs, seems to do that on and off?

Anxiety: I think you might be psyching yourself out! Try this: put your cuff in your lap and watch TV. When the commercial comes on, without moving around or looking for your cuff, check your BP at least 3 times. If it's falling, keep checking it till it levels out. The low one is the basal (correct) BP. If it's stable, average the 3. This is your true BP. ...Read more

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Can pvcs induce anxiety / panic attacks?

Can pvcs induce anxiety / panic attacks?

Yes: Pvcs can be benign or cause for concern. Best to get medically evaluated. However when you can feel them, it can induce anxiety and panic that can exacerbate them further. ...Read more

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Are PVCs dangerous if your EKG, ECO and 24 holter tests are normal? I get them now and then last 1 sec or so and increase with anxiety.

Are PVCs dangerous if your EKG, ECO and 24 holter tests are normal? I get them now and then last 1 sec or so and increase with anxiety.

PVCs: PVCs with an otherwise normal heart do not presage anything evil. There is no reason for anxiety. They are perhaps a reason to take good care of yourself with diet, exercise and adherence to recommendations from your doctors should anything additional be appropriate. ...Read more

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At work earlier I had pvcs they lasted for a min or two I had alot back to back had a tightness in my chest and felt like I couldn't breathe I do have anxiety should I be worried?

Pvc: If you know you have PVCs better to be checked soon with a Holter or event recorder to see what is going on during these symptoms. Your electrophysiologist may also want to do other tests. ...Read more

Dr. Alan Ali Dr. Ali
2 doctors agreed:
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Anxiety, pvc's and chest tightness at night only. During the day I feel fine.?

Dr. Alan Ali Dr. Ali
2 doctors agreed:
Anxiety, pvc's and chest tightness at night only. During the day I feel fine.?

Anxiety: Anxiety episodes not uncommon at night, and can be treated with medications & cognitive therapy. Make sure u r cleared medically as far as heart condition, through consultation with your primary care doc. ...Read more

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Is feeling a PVC (premature ventricular contraction) any more dangerous than not feeling them?? Mine are benign but they are killing my anxiety

Is feeling a PVC (premature ventricular contraction) any more dangerous than not feeling them?? Mine are benign but they are killing my anxiety

No!: One the great mysteries in my practice is why some patients feel PVCs and why some do not. There is no correlation between severity, frequency, or risk. The main issue regarding PVCS is excluding structural heart disease and ischemic heart disease. Ischemic heart disease (heart vessel blockages) is quite unlikely in your age group. An exercise stress echocardiogram will clarify all those issues ...Read more

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Anxiety causing pvc's? I didn't feel very anxious and then bam I got this massive skipped beat. I have had my heart checked. Its fine. Is it normal?

Anxiety causing pvc's? I didn't feel very anxious and then bam I got this massive skipped beat. I have had my heart checked. Its fine. Is it normal?

Need more info...: Answer is "sometimes." if you are otherwise in good or excellent health, and particularly since you are younger, the pvcs can actually be "brought out" by the psns that puts the brakes on the stress (sns) system. So it is not uncommon that when you get to rest / lie down / etc., that you notice all the odd-beats come out. Usually stress hormones overdrive these due to speed. ...Read more

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Diagnosed with PVC's with ventricular ectopy. Had 680 PVCs in 24 hours - numerous VEs. I'm only 45. Cholesterol 180, anxiety and overweight. I'm scared?

Diagnosed with PVC's with ventricular ectopy. Had 680 PVCs in 24 hours - numerous VEs. I'm only 45. Cholesterol 180, anxiety and overweight. I'm scared?

PVCs: These are common. Discuss with your PCP and cardiologist.
Recommend using this book to get weight down and may help PVCs as it is a high potassium diet.

My record patient weight loss is 70 lbs.

ISBN 9780743410076 ...Read more

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My heart PVCs have started to get worse as I'm walking. But the cardiologist still can't find anything wrong with my heart. Still anxiety?

On and on, until: Chronic Anxiety has a lot of staying power. It hangs on, even discovers new ways to bother you until you learn ways to avoid, reduce and manage it. Acute anxiety is functional - it's our species response to immediate threat. Chronic may be meaningless - it's just there. CBT therapy is very effective if you find a therapist you trust and work at learning. It's a good value for better living! Best! ...Read more

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PVC episodes seem corr. With anxiety &/or going 2 long w/o food. No PVCs in last month. ECG normal. Abroad w/o good doc axcs. OK to start exrcsing?

PVC episodes seem corr. With anxiety &/or going 2 long w/o food. No PVCs in last month. ECG normal. Abroad w/o good doc axcs. OK to start exrcsing?

Sounds fine: I'm surprised you were told not to exercise in the first place -- the increased vagal tone from being fit may help. Many folks have PVC's and the cause is never found -- if there are no more than 5/minute and they don't form runs, usually it's a non-concern. The fact that they correlate with hunger & anxiety also says, "no great danger". Take your life back & enjoy fitness. ...Read more

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I have pvcs often and I was put on Paxil (paroxetine) 40 mg for them and the anxiety I get with them. I'm prehypertension. Are muscle relaxers safe to take with?

I have pvcs often and I was put on Paxil (paroxetine) 40 mg for them and the anxiety I get with them. I'm prehypertension. Are muscle relaxers safe to take with?

Paxil (paroxetine) effects: Paxil (paroxetine) in not a medication for PVC
It can cause Anxiety and Palpitations.
Let Wise Woman within you ask:
•Anxiety due to PVC
•Anxiety due to Paxil (paroxetine)
•Anxiety due to Stresses in life
•Prehypertension due to stress
•Lack of response to High Dose of Paxil (paroxetine) 40mg/day
•Need for muscle relaxers if tension is due to stress
•Need to see Psychiatrist to decrease dose of Paxil (paroxetine) and
•Therapy
• Breathing Relaxation ...Read more

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I'm having nonstop PVC's. I've seen a Cardiologist and an Electrophysiologist and both have said they are benign. I'm wondering if an Anxiety medicine I began taking a week ago is causing more PVC's. It has L-Theanine and Relora®.

I'm having nonstop PVC's. I've seen a Cardiologist and an Electrophysiologist and both have said they are benign. I'm wondering if an Anxiety medicine I began taking a week ago is causing more PVC's. It has L-Theanine and Relora®.

Nope: The supplements you mention are just that...nutritional "supplement" preparations which are touted to help all kinds of issues... they are most likely not hurting likewise they are most likely NOT HELPING...You mnight consider some behavior modification therapy (Cognitive Behavioral therapy), BIOFEEDBACK (sometimes VERY effective with cardiac arrythmias) and ACUPUNCTURE
Hope all this is helpful ...Read more

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Hi I’ve been dealing with pvcs off and on for 4 years. I have severe anxiety and they seem to go away while I’m on anxiety medication. My worry is how often do these lead to a weakened heart? I spend a lot of time on google and it makes me more scare

Hi I’ve been dealing with pvcs off and on for 4 years. I have severe anxiety and they seem to go away while I’m on anxiety medication. My worry is how often do these lead to a weakened heart? I spend a lot of time on google and it makes me more scare

Electrical problem?: If a person gets PVC's when she is anxious, and her PVC's cause her even more anxiety, and her online Google searches are lengthy and end up scaring her even more, then this appears to be an electrical problem. Such a patient should consider disconnecting the electricity to her laptop so Google will no longer function, thus helping break her circular cycle of anxiety. Her primary doctor can help. ...Read more

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I am having 4-10 pvc's a day. Normal? No family history of heart problems, but a history of anxiety, but not anymore.

Chest pain from PVC?: 4-10 pvc's/d. Is normal. Even in normal ranges, they can be a clue to rare, but worrisome underlying conditions. Some people describe the sensation of pvc's as chest pain, but chest pain causing the pvc's needs further investigation. Discuss with your primary doctor. He may recommend a cardiology or electrophysiology consult or 24-hr holter monitor. Call 911 for worsening chest pain or dizzy. ...Read more

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Since I started having anxiety, I started having pvcs and PAC's. Sum strong. Is this normal? I've NEVER had them b4. Done echo/stress/EKG/holter.

Since I started having anxiety, I started having pvcs and PAC's. Sum strong. Is this normal? I've NEVER had them b4. Done echo/stress/EKG/holter.

Anxiety: It is highly likely that your premature heart beats are a direct result of stress hormones released by the body when it is more anxious. Consider having your provider also check for thyroid or other metabolic conditions which can cause premature heart beats also. ...Read more