II I take Metoprolol Succ Extended 25 mg tab twice a day. Earlier this evening I ate a piece of chocolate and shortly after, I noted I was having palpitations. I took a Metoprolol tablet as it was time for my evening dose. I continued to note the palpitations. My son took me to an Urgent Care Center. An EKG showed no acute injury and an occasional PVC. EKG and Lab work showed no acute abnormality other than a rare PVC. Home now for a couple of hours and having more frequent PVC s. I called the Urgent Care and the ED physician had me take another Metoprolol as long as my systolic BP was greater that 120 and it was 190/63. I took the med and my BP is back to normal, but I am still having PVC S. A PVC occurs every 4th beat. I have no chest pain and no SOB. I do have a little discomfort in my upper left arm. No nausea and no SOB
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