Search our website Find job opportunies at THI and St. Luke's Find a doctor location and contact information
Heart Information Center
Ask a Heart Doctor
  Back to previous page


Help us improve this service.

Your feedback will help guide us in developing this site.

Ask a Texas Heart Institute Doctor 
Informed patients make better patients.


What should I do about these PVCs and PACs which worry me?

I have PVC's [premature ventricular contractions] and PAC's [premature atrial contractions] daily. I have had every heart test imaginable and they cannot find one thing wrong with me. I am a 50 year old female. I know they say that "occasional" palpitations are nothing to worry about. Is occasional considered once a minute, once and hour, once a day, once a week? I feel every single one of these darn things. My last Holter records 24 PAC's and 55 PVC's. I also get this feeling every so often when my heart starts fluttering for a few seconds and then does a big bang and goes by to normal. I have been under a lot of stress recently and wonder if this is the reason for it doing this. I can get this a couple of times a week or sometimes a couple of times a year. It has just been twice this week so far and it worries me! Cardio seems to think I am a-okay but I worry so much about these sensations. Can you clarify? Thank you!  

submitted Cathy from Canada on 3/13/2012


Mohammad Saeed, MDby Texas Heart Institute cardiologist, Mohammad Saeed, MD    

PACs and PVCs are very common and usually not treated unless:
A) They are causing symptoms; like in your case, or
B) Are very frequent; usually thousands in number in a 24 hour period.
In your case, treatment with a low-dose antiarrhythmic drug (such as flecainide) should be tried and will most likely provide symptomatic relief. Please discuss with your cardiologist.     

See also on this site:  

Has your question or a similar one already been answered?

Search all the Heart Doctor questions and answers.

To search for a doctor or access St. Luke's physician referral service, use the "Find a Doctor" link at the top of this page.

Updated March 2012
Like us on Facebook Follow us on Twitter Subscribe to us on YouTube Find Us on Flicikr Follow Us on Pinterest Add us on Google+ Find us on LinkedIn 

Please contact our Webmaster with questions or comments.
Terms of Use and Privacy Policy
© Copyright Texas Heart Institute
All rights reserved.