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What Causes Heart Palpitations And PVCs When Treating CHF?

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Posted on Tue, 17 Mar 2015
Question: I am 60 years old. Sometimes I can hear my heart beating in my throat! I have CHF, three blockages PVVs that just started. Can you tell me what is wrong?
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Answered by Dr. Benard Shehu (30 minutes later)
Brief Answer:
Palpitations and PVCs are normal in CHF, but if you were my patient i would change diltiazem to nebivolol..

Detailed Answer:
Hi and thank you for asking!
I read your query and understood your concerns.

You are saying you have heart failure and you are taking diltiazem. As a rule diltiazem is contraindicated in heart failure. Also you are reporting to have palpitations and PVCs, which are a common finding and the most common arrhythmia in patient with heart failure.

If you were my patient i would change diltiazem with nebivolol (a B1 selective betablocker). This will help on treating HF and arrhythmia and relieve your concerns. Since it is a prescription drug, I would suggest you discuss it with your cardiologist and then only change the drugs.

Wish you health!
Dr. Benard
Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Pradeep Vitta
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Answered by
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Dr. Benard Shehu

Cardiologist

Practicing since :2004

Answered : 2257 Questions

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What Causes Heart Palpitations And PVCs When Treating CHF?

Brief Answer: Palpitations and PVCs are normal in CHF, but if you were my patient i would change diltiazem to nebivolol.. Detailed Answer: Hi and thank you for asking! I read your query and understood your concerns. You are saying you have heart failure and you are taking diltiazem. As a rule diltiazem is contraindicated in heart failure. Also you are reporting to have palpitations and PVCs, which are a common finding and the most common arrhythmia in patient with heart failure. If you were my patient i would change diltiazem with nebivolol (a B1 selective betablocker). This will help on treating HF and arrhythmia and relieve your concerns. Since it is a prescription drug, I would suggest you discuss it with your cardiologist and then only change the drugs. Wish you health! Dr. Benard