No, I have never had a pt. c/o pain c PVCs. Most pt.s I have c PVCs typically don't even notice them. My first thought, were I the RN caring for him, would be to sit down and have a friendly conversation with him and find out if he is really anxious about his condition. Does he know anyone that had an MI? Did they have a bad outcome? Is he worried that it might be happening to him? I would offer some reassurance that since his cardiac enzymes are negative, that is a good sign, and that most of us have PVCs occasionally. I would tell him that when it happens, try not to tense up, continue to breathe, and remember that if anything happens, we will know and we will respond accordingly, and that his job is to relax and get some sleep before the stress test tomorrow, and by the way, would he like a sleeping pill?
I would tell him that he is in good hands, I am keeping a close eye on him, and I am certain that everything is going to be just fine, but that if he feels anything that is not normal for him, or if his symptoms worsen, to please don't hesitate to call me.
Best of luck tomorrow. Let us know how it goes!