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Stimulants PVCs and stimulant use?

nitrometamine

nitrometamine

Greenlighter
Joined
Mar 3, 2023
Messages
13
Hey everyone! I was recently diagnosed with PVCs.

My heart is healthy and it seems mine are bening. Im waiting for a holter but i reckon my load is pretty low.

I remember having palpitations so im not sure if i just started to notice them more and got a formal diagnosis or if its something new i developed.

Since the diagnosis i used 3 mmc twice, once in a club and i remember not feeling the PVCs at all while i was in the club. I mainly feel them when im sitting or laying down. Rarely while standing or when doing something.

Am i at any higher risk with PVCs and using stimulants?
 
Yes and you shouldn't mess with uppers OR downers cause they BOTH effect the heart.
 
Delmonte421 said:
Yes and you shouldn't mess with uppers OR downers cause they BOTH effect the heart.
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How so? I thought since my PVCS are bening and almost everyone has them (only some feel them) that they should not be too much of a problem
 
I personally always lean to the side of caution. Your increase heart rate and blood pressure
 
Caffeine, alcohol, tobacco and stimulant drugs are known triggers of premature ventricular contractions.
 
Delmonte421 said:
Caffeine, alcohol, tobacco and stimulant drugs are known triggers of premature ventricular contractions.
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I know. My question is if me having PVCs and doing stims can lead to something worse. Im okay with having them

I already cut out caffeine. Still working on cutting out my daily 1-2 beers and nicotine pouches habit.
 
Delmonte421 said:
PVCs can increase your risk of sudden cardiac death, especially if they occur frequently. According to one study, experiencing more than 12 PVCs daily increases your risk of sudden cardiac death. However, they don't lead to sudden cardiac death in most people.
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Found the study. It has severe limitations

Our study had several limitations. Our results may have been related to the baseline conditions of the patients rather than to an effect of PVC burden. Regarding baseline characteristics, the patient group with PVC frequency >12/day was older, predominantly male, and had a higher incidence of hypertension, diabetes mellitus, coronary artery disease, valvular heart disease, and previous myocardial infarction compared with the group with a PVC frequency ≦12/day. In addition, there were more deaths related to infection in the group with PVC frequency >12/day. Although we used Cox regression hazard model and propensity-matched adjustment for extensive risk to decrease the effect of the potential confounders, selection bias may still have existed. In addition, the sensitivity and specificity were low in our study population. Our study could not determine whether treating or preventing PVCs would reduce adverse events. Furthermore, our study population was not representative of the general population. The study population had a higher CV risk and was referred for cardiac symptoms in the initial setting. Holter monitoring indication may stratify PVC frequency or study outcomes. Additionally, the PVC burden may be higher in the setting of subclinical heart disease. Frequent PVCs might be a marker of an underdiagnosed physical condition that can lead to ventricular dysfunction. Electrolyte disorder associated with the side effects of several antihypertensive agents was not evaluated in this study. Further prospective studies may be necessary before applying these results to a clinical setting.
 
Delmonte421 said:
Just want you to be safe bud. Thats what its all about helping each other
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I understand and appreciate it. However im looking for more of an in-depth risk assesment. Maybe someone with medical background or experienced with the same problem.
 
Yea I cant help, I am sorry. No MD next to my name. Maybe there is an anonymous online website where you can ask doctors?
 
PVCs can be stimulated or aggravated by anything that increases adrenaline activity in the heart, or heart rate in general, This includes both releasing agents (amphetamines) and reuptake inhibitors (cocaine, methylphenidate).

Are they going to be lethal? No. Risky? Of course. Probably in a dose dependent manner.

You could probably get away with occasional, moderate use, but even that will increase the risk of heart problems. It's up to you to determine if you want to take that (unknown) risk,
 
sekio said:
PVCs can be stimulated or aggravated by anything that increases adrenaline activity in the heart, or heart rate in general, This includes both releasing agents (amphetamines) and reuptake inhibitors (cocaine, methylphenidate).

Are they going to be lethal? No. Risky? Of course. Probably in a dose dependent manner.

You could probably get away with occasional, moderate use, but even that will increase the risk of heart problems. It's up to you to determine if you want to take that (unknown) risk,
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Thank you for the answer.

Im fully on board with increased frequency, im more worried about lethal or life threatening interactions.

Do you think im at a higher risk than average person ? Or person without PVCs (which is also kind of a weird way to think about it, since almost everyone gets them....) I asked and researched in different places and the only concern i basically have is potentional Vtach (which is a possibility eitherway).
 
nitrometamine said:
Do you think im at a higher risk than average person ? Or person without PVCs (which is also kind of a weird way to think about it, since almost everyone gets them....) I asked and researched in different places and the only concern i basically have is potentional Vtach (which is a possibility eitherway).
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PVCs are very common, so it really boils down to how pathological yours are. And that's information you'd really need to extract from a cardiologist who's had a look at your holter readings, ECGs etc. If they're bad, you'd usually be prescribed something to help avoid the risk of ventricular arrhythmias - which can be very lethal indeed. Have you been to see a specialist?

FWIW sometimes certain types of stimulant can actually 'resolve' some PVCs because they shift the threshold for electrical stimulation in the right direction for you specifically (there are several competing theories for why PVCs occur). But that's something you'd really only discover through personal experimentation.

But basically, and as usual, nobody here can provide the insight I think you're asking for because we aren't your doctor and everyone's different. We can only dole out generic/non-specific advice and would hate to give you a false sense of security (or fear!)
 
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