FAQ Minerals Deficiencies: PVCs & PACs
3. “I have annoying PVCs and PACs with my A-Fib. Are there natural remedies to reduce these extra beats and palpitations? My doctor says to ignore them.”
Doctors generally consider Premature Ventricle Contractions (PVCs) and Premature Atrial Contractions (PACs) as benign and not something to worry about. Everyone gets them occasionally. But for people with A-Fib, PVCs and PACs seem to be more frequent and often seem to precede an A-Fib attack
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.)
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.
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12. “Is there anything I can do to get out of an A-Fib episode? How do others deal with their episodes?”
One approach to ending your A-Fib episode is a drug therapy called “pill-in-the-pocket”. Under a doctor’s direction, you take the antiarrhythmic meds flecainide (brand name Tambocor) or propafenone (Rythmol) whenever you feel the start of an attack of A-Fib. The dosage is determined by your doctor.
Note: If your A-Fib episode is longer than normal, or if it doesn’t terminate on its own, you may need to contact your doctor or visit the emergency room. The E.R. doctor may use electrical cardioversion or chemical cardioversion (medication like a Cardizem drip) to end your A-Fib episode.
Anecdotal Tips from other A-Fib Patients: Most of the following is anecdotal, what people have reported, rather than based on scientific studies. Please use discretion in trying any of the following:
• Magnesium and/or Potassium supplements have been reported to help A-Fib attacks.
• Some people soak in Epsom salts for twenty minutes to get out of an A-Fib episode. See Treatments/Mineral Deficiencies/Magnesium and Treatments/Mineral Deficiencies/’Natural’ Supplements for a Healthy Heart.
• Ian in Australia recommends a Martin and Pleasance product called “Magnesium Phosphate Spray” (available only in Australia/New Zealand) and Magnesium Orotate.
• Mild exercise has been reported to be helpful in getting out of an A-Fib episode, but in other cases exercise may trigger A-Fib.
• Resting and lying down in a darkened room during an A-Fib episode.
• One person suggests, “…lying down on my bed without a pillow, relaxing my body and mind, and keeping my body very warm.”
• The application of cold compresses or ice packs to the back of the neck.
• Putting one’s head between one’s knees and/or breathing down hard on one’s diaphragm.
• Taking a hot bath or shower (which seems to contradict the use of cold packs above).
(If you have any remedies which have worked for you to bring you out of an A-Fib attack, please let me know. Send me an email: Contact Us. I’ll add them to this list.)
Last updated: Wednesday, July 15, 2015
by Steve S. Ryan, PhD
For a substantial portion of A-Fib patients, the impact on ‘quality of life’ extends beyond our beating heart. Atrial Fibrillation wreaks havoc with your head as well as your heart. Anxiety, fear, worry, confusion, frustration and depression. And at times, anger.
The psychological and emotional effects of Atrial Fibrillation can be debilitating. Recent research indicates that “psychological distress” worsens A-Fib symptoms’ severity.1
(Don’t expect much help from your heart doctors. They aren’t trained or often have little effective experience in dealing with the psychological and emotional aspects of A-Fib.)
Don’t be ashamed to admit how A-Fib makes you feel (especially if you’re a guy). Your psyche is just as important as your physical heart. Just acknowledging you have some or all of these symptoms is a step in the right direction.
Seven WAYS TO COPE WITH YOUR A-FIB FEAR AND ANXIETY
1. Knowledge is Power and Control!
Read about your treatment options, learn about your A-Fib. Read how others have dealt with their A-Fib. Search the list of Personal Experiences published on his site. With over 80 stories, you’re sure to find a few patients with similar symptoms as yourself. Knowing others have beaten their A-Fib is a tremendous psychological relief. This helps replace fear with hope!
2. Anxiety Thought Log
Confront your A-Fib fears directly. Don’t let them mill around in your subconscious. Former A-Fib patient, Anthony Bladon, suggests you keep an ‘anxiety thoughts log.’ Write down word-for-word what the anxious thought was, when, and what was the trigger. Confront each fearful thought and try to re-state it in a more reasonable frame of mind, thereby reducing the anxiety. (See Anthony Bladon and his anxiety log.)
This may sound a bit bizarre, but try repeating anxious thoughts to yourself. Express a fear to yourself over and over. Let the monotony make your mind wander to more enjoyable thoughts. Or set aside a 20 minute worrying time during the day and refuse to think about troubling fears at any other time.
3. Yoga, Relaxation Techniques, Meditation and Walking
In preliminary studies, Yoga has been demonstrated to improve A-Fib symptoms and to reduce A-Fib attacks, as well as improve quality of life, depression and anxiety.2 (See also FAQ #8 “I do Yoga. It relaxes me and helps with my stress level. Is there any evidence on Yoga helping with other A-Fib symptoms?“)
Relaxation techniques and meditation may also offer you relief from your anxieties.
A specific type of meditation called ‘Mindfulness’ is recommended by Harvard Pilgrim nurse case manager Linda Bixby. The technique is to ‘Observe and Feel the Physical Sensations’ of the A-Fib Episodes. At first this may seem counter-intuitive and may not work for you. The idea is to observe rather than resist or worry. You allow a frightening health event like an A-Fib attack to just run its course. For example, Neil Blanchette was diagnosed with A-Fib when he was 17. Meditation and “mindfulness” was a great help to him. “Just taking it in and letting myself feel the physical A-Fib experience was actually relaxing.”3(Thanks to David Holzman for calling our attention to this article.)
Walking curbs anxiety. Try to walk outdoors at approximately the same time each day. Breathing fresh air and having an established routine enhance the calming and relaxing effects of walking. But even if you can’t walk at the same time or outdoors, 20 minutes of walking daily reduces anxiety.
4. Natural Remedies:
Lavender Oil Aromatherapy: the light, soothing fragrance of lavender oil has long been used to ease anxiety (and insomnia). One example of many is Nature’s Way Calm Aid. “It contains Silexan, a type of lavender oil shown in clinical studies to ease anxiety as effectively as the benzodiazepine drug lorazepam (Ativan).”4
PharmaGABA: is a bioidentical form of GABA (gamma-aminobutyric acid), which serves as a critical calming agent in the central nervous system, works on the same chemical pathways as Xanax, Valium, and other drugs—without all the negative side effects; helps combat stress and anxiousness.5 One example is Natural Factors PharmaGABA
Relora: a blend of two botanical extracts (Magnolia officinalis and Phellodendron amurense) that helps reduce cortisol levels and promotes feelings of relaxation.6
Chamomile: “calms the nerves, reduces irritability and lessens the muscle spasms, headache and abdominal pain that can accompany anxiousness.” Substitute chamomile tea for caffeinated beverages, or take 60 drops of chamomile tincture in two ounces of water four times a day before or after meals, or add two drops of concentrated chamomile essential oil to a hot bath at night.7
Gotu Kola: restores health to brain and nerve cells by promoting blood circulation to the brain which has a calming effect.8
5. Counseling and Meds
Recognize that you may need professional help. Don’t be embarrassed to seek counseling. In addition, discuss if anxiety medication would be appropriate or helpful. (See Jay Teresi’s story, “Anxiety the Greatest Challenge” and Kelly Teresi’s story “A Young Wife Copes with Husband’s A-Fib” in my book, Beat Your A-Fib, pgs. 101-105)
6. Our A-Fib Support Volunteers
It might calm your fears to talk with or email someone who knows first-hand how A-Fib makes you feel. Each of our A-Fib Support Volunteers has gone through a lot to be cured of their A-Fib. They were helped along the way and now they want to return the favor by offering you support and hope. Learn more on our A-Fib Support Volunteers page (under Resources and Links).
7. Enlist Support From Your Loved Ones
Recognize that A-Fib can have significant consequences on your social interactions with your family and colleagues. Sit down and have a talk with your significant other(s), your friends and co-workers. Explain what A-Fib is, how it affects you and how it makes you feel. Ask for their understanding. They will want to help you, so be prepared to answer their questions.
Takeaway: Fight your fears! Ambush your anxiety! Atrial Fibrillation may be in your heart but it doesn’t have to be in your head. Seek your freedom from anxiety and improve the quality of your life.
Other ideas? If you have suggestions or programs that helped reduce your A-Fib-related anxiety, please email me and let me know.
Last updated: Tuesday, February 14, 2017
- Gehi AK at al. Psychopathology and symptoms of atrial fibrillation: implications for therapy. J Cardiovasc Electrophysiol. 2012 May;23(5):473-8. doi: 10.1111/j.1540-8167.2011.02264.x. Epub 2012 Mar 19. http://www.ncbi.nlm.nih.gov/pubmed/22429764↵
- Neale, T. Yoga May Calm Afib. MedscapeToday.com. Jan 23, 2013. Last accessed Jan 23, 2014. URL:http://www.medpagetoday.com/Cardiology/Arrhythmias/37121↵
- Harvard Pilgrim Health Care. Your Health, Fall 2014.↵
- Lucile, H. (DrHollyLucille.com) Natural remedy for anxiety, Bottom Line Health, April, 2014, p. 16.↵
- Whitaker, J. PharmaGABA Chewables for Immediate Stress Relief. Whitaker Wellness Institute website. Last accessed March 29, 2014. URL: http://www.whitakerwellness.com/pharmagaba/↵
- Whitaker, J. Innovations in Wellness Medicine, Natural Solutions for Stress Relief. Dr. Whitaker’s Health & Healing, March 2015, Vol. 25, No. 3.↵
- Starbuck, Jamison. The Natural Way/No More Drugs for Anxiety. Bottom Line Health, Volume 29, Number 10, October 2015, p. 10.↵