The pain you're experiencing may be related to the PVC's. The murmur you have as a result of prior rheumatic fever should be investigated with an echocardiogram to visualize the cardiac valves. A cardiac valve affected by rheumatic fever may be involved with the suspected PVC's that you are having. Thus, it is important that you see your physician regarding this problem. I hope you find this information useful.
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Only your physician can provide specific diagnoses and therapies. Please feel free to write back with additional questions. The Heart Center website contains a directory of the cardiology staff that can be used to select the physician best suited to address your cardiac problem. Information contained within this forum is intended solely for general educational purposes and is not intended nor implied to be a substitute for professional medical advice relative to your specific medical condition or question. Only your physician can provide specific diagnoses and therapies.