Conversation: The conversation between human and AI assistant.
[|Human|] I have Premature Venticular Contractions (skipped heart beats)? Why is it that on some days I am ok then others, maybe for a week or so they are real bad.I am 63 a type two diabetic. I was diagnosed with PVCs about two years ago. I take Bystolic 5mg for them but it does not seem to be helping very much. They seem to be more at night.
[|AI|]  Hello and thank you for using Chat Doctor. I carefully read your question and I understand your concern. You should not worry I'll try to explain you something and give you my opinion. Premature heart contraction are a rhythm heart issue. They are electrical impulses that generates in some part of the heart different from normal sinus rhythm. You feel this like skipping beats, palpitations and anxiety. There are different causes of this rhythm issue like simple stress, coffee and alcohol consumption. Pathologies like anemia, hyperthyroidism or ischemic heart disease might be other causes. As you are a diabetic person it is very important to exclude ischemic heart disease. So, if I was your treating doctor I will recommend some examination like an electrocardiogram, a cardiac echo to evaluate heart function and if it is possible a stress test to exclude ischemic heart disease. If it is possible after checking your frequencies we can rise the dosage of your medicament up to 10 mg a day. This can better control the premature heart beats. So I recommend you to do all above and discuss them with your doctor. Hope I was helpful. Wish you good health. Best regards.