<s>[INST] I have been diagnosed with pvc s. Normal labs, normal ekg, normal echo, even had stress test, all normal. Lately they have gotten worse, especially at night. my cardiologist doesnt think i need anything but he said if it bothers me, he prescribed bisoprolol 2.5 mg. I m only 33 so i really dont want to start heart meds but the pvcs really scare me which only makes them worse. My concern is this is a beta blocker which lowers blood pressure, and my blood pressure stays around 90/50 so i dont want my blood pressure to drop to low, [/INST] Hello, PVCs may be observed in many people without any abnormality. If they are less than 1000 a day, they are not dangerous and there is no need for any treatment, unless the patient is very symptomatic. For such cases bisoprolol is quite helpful. If start with low dose it usually doesn't cause low blood pressure. If your PVC's are not much, my advice will be not to take anything. Just remember that they are not dangerous at all, if you stop worrying, they may become even less. In such cases Mg supplements may be helpful as well, they usually make our nervous system more stable and reduce the amount of PVC's. Take fearsome back if you have any further questions </s>