"This book is incredibly complete and easy-to-understand for anybody. I certainly recommend it for patients who want to know more about atrial fibrillation than what they will learn from doctors...."

Pierre Jaïs, M.D. Professor of Cardiology, Haut-Lévêque Hospital, Bordeaux, France

"Dear Steve, I saw a patient this morning with your book [in hand] and highlights throughout. She loves it and finds it very useful to help her in dealing with atrial fibrillation."

Dr. Wilber Su Cavanaugh Heart Center, Phoenix, AZ

"Your book [Beat Your A-Fib] is the quintessential most important guide not only for the individual experiencing atrial fibrillation and his family, but also for primary physicians, and cardiologists."

Jane-Alexandra Krehbiel, nurse, blogger and author "Rational Preparedness: A Primer to Preparedness"


"Steve Ryan's summaries of the Boston A-Fib Symposium are terrific. Steve has the ability to synthesize and communicate accurately in clear and simple terms the essence of complex subjects. This is an exceptional skill and a great service to patients with atrial fibrillation."

Dr. Jeremy Ruskin of Mass. General Hospital and Harvard Medical School

"I love your [A-fib.com] website, Patti and Steve! An excellent resource for anybody seeking credible science on atrial fibrillation plus compelling real-life stories from others living with A-Fib. Congratulations…"

Carolyn Thomas, blogger and heart attack survivor; MyHeartSisters.org

"Steve, your website was so helpful. Thank you! After two ablations I am now A-fib free. You are a great help to a lot of people, keep up the good work."

Terry Traver, former A-Fib patient

"If you want to do some research on AF go to A-Fib.com by Steve Ryan, this site was a big help to me, and helped me be free of AF."

Roy Salmon Patient, A-Fib Free; pacemakerclub.com, Sept. 2013

Can You Suppress Your PVCs and PACs?

Are you one of the many A-Fib patients who also have PACs and PVCs? Are your PACs more than just annoying? Do your PACs become more frequent and trigger an A-Fib attack?

Perhaps you’re thinking if you reduce these extra beats and palpitations, you may be able to reduce your A-Fib episodes. So, what can you do?

PAC and PVC stands for Premature Ventricle Contractions and Premature Atrial Contractions.

Catheter Ablation Option

In extreme cases where the extra beats are very disturbing and damage one’s quality of life, Electrophysiologists (EPs) can perform an ablation for them similar to an ablation for A-Fib. But this is a specialized procedure that not all EPs perform or are willing to perform.

Suppress PACs and PVCs with the “Awesome Foursome” Cocktail

Dr. Stephen T. Sinatra in his book, The Sinatra Solution—Metabolic Cardiology, recommends the following natural “cocktail” for suppressing PACs and PVCs, what he calls the “awesome foursome”:

L-carnitine: A derivative of the amino acid lysine which helps to turn fat into energy. It promotes energy metabolism and enhances cardiac function. Some consider it the single most important nutrient in cardiac health. It reduces PVCs.

Dosage: Daily: 750-2000 mg of L-Carnitine Fumerate (250 to 500 mg three to four times a day).

Coenzyme Q10 (Ubiquinone): A naturally occurring enzyme, part of the quinone chemical group, that is found in every cell in the body. It produces energy in the mitochondria and energizes the heart. 95% of the body’s energy is generated by CoQ10, which generates energy in the form of ATP. It prolongs the action potential and helps maintain sinus rhythm. It improves heart rhythm problems.

Dosage: 100-300 mg daily in divided doses with meals.

D-ribose: A five-carbon sugar that is a regulator in the production of ATP. The only compound used by the body to replenish depleted energy stores. Ribose increases tolerance to cardiac stress, improves exercise tolerance and physical function, provides cardiac energy needed to maintain normal heart function, increases cardiac efficiency, lowers stress during exercise, and maintains healthy energy levels in heart and muscle.

Dosage: Daily: 7-10 grams of Ribose powder. Take in divided doses with meals or just before and after exercise.

Magnesium: A vital mineral used by the enzymes that make energy synthesis and recycling possible. Adequate intracellular magnesium is essential to normal tissue and organ function. Low magnesium is associated with cardiac abnormalities, fibrillation, and vascular and muscle spasms, and is seen in cardiac failure.

Dosage: A recommended goal is a minimum 600 mg/day, preferably 800 mg. (For example, 200mg three times a day and 200 mg at bedtime.)

To Learn More About PACs and PVCs

Read the research in my article, Premature Atrial Contractions (PACs) Predict A-Fib.
Read John’s personal A-Fib story, PVC-Free After Successful Ablation at Mayo Clinic.

The Sinatra Solution: Metabolic Cardiology by Stephen Sinatra, MD

Get yours at Amazon.com

Dr. Sinatra’s Book on Amazon.com

Use our A-Fib.com portal link to Amazon.com to get your copy of Dr. Stephen T. Sinatra book, The Sinatra Solution—Metabolic Cardiology.

When you use the A-Fib.com Amazon.com link, we receive a small commission on each sale, at no extra cost to you. We apply it toward the monthly publishing costs of this website. Bookmark this link and use every time you go to Amazon.com.

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