I have been treated for anxiety (cipralex) and mild hypertension (cozaar) for years. Age 38, male, overweight (about 280 lbs, 6'2"). Recently (over 4 months) I have been having PVCs.
My family doctor argues that they are benign, related to anxiety, and has had me to a cardiologist for an EKG and a listen to my heart. No PVC showed up on the EKG.

When I have these symptoms, it is a pause followed by a strong beat, and then immediately afterwards I get a bit of dizziness (but not always) and a feeling like an adrenaline rush or hot flash throughout my body (usually). I have tried to put up with these over the last months. They happen usually a few times per day at the most and I don't really notice them as much when I am busy, usually only when I am driving or working or falling asleep.

Recently, in the last two days, I have found a huge increase in the PVC at night time and in the morning, when I am falling asleep and waking up. They decrease after being up for a bit in the morning. They come often a few beats apart so they are really noticeable. I find that if I focus on them they get worse, and they are causing me a lot of worry. I went to the ER and
they did two EKG with only one PVC showing up but this is after I had been awake for a while.

My doctor did not do any further tests (ECG, holter, stress).

The two trips to emerg having yielded only one PVC had them sending me home with a shrug ?

I would like to know if I have any structural heart disease or if these are truly benign.

My questions:

1. Are the hot flashes typical of PVC ?
2. Should the increase in PVC at bed time and in the morning upon waking signify anything ?
3. Am I at risk of VT ? Should I go to ER and insist that they do more evaluation now even though the PVC incidence is very low in the daytime (more than 10-20 minutes from waking).

Thankyou.