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signifiance of heart palpitations

Could you please tell me if there is any signifance to the amount and hardness of heart palpitations.  

I am a 38 year old female who suffers from heart palpitations almost daily.  I usually have between 10 - 20 skips or strange sensations in my heart per day.  Sometimes the skips are REALLY hard.  I have no heart disease and a completely normal heart so I am told not to worry.  

My question is 10 - 20 abnormal beats a lot during one day and is there any significance to how hard the skips are.  I am told a lot of people just ignore the skips but I can't believe they can do that when they are so intense.

Thank you for your time.
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Avatar universal
Palpitation!!! Six weeks ago I started having palpitations. They started after jogging 2miles which I have been doing every other day for twenty years. I had EKGs, 24 hr. monitor and echogardiogram. The cardiologists do not seem concerned and I have been placed on Beta Blocker (supposedly mildest form) and blood pressure pills. Plapitations are substantially reduced (24 hr. monitor detected  approximately 2,000 palpitations in 89,000 beats. I have not had the stress test.
Dr. said to maintain exercise schedule so I did. I had palpitations during evening and night after last jog. I have stopped it. I now notice tightness in chest and tingling/discomfort in left arm after walking. The funny thing is that I do not notice these problems when actually working, exercising. The echo showed normal heart, except for borderline enlarged Left Atrial. Again DR. says do not worry.
Does anyone experience chest discomfort without shortness of breath even though they are taking medication?
Helpful - 1
Avatar universal
To Robert - I get the same thing.  My cardio also thinks I am having short periods of Afib.  I had a EP study done in January and the only thing we found was PVC's and SVT.  I don't believe the 10 to 30 seconds runs are SVT becuase the beats are very irregular and irratic.  Just thought you might want to know that there are others in the same boat.  Take care (I'm 31 to by the way).
Helpful - 1
Avatar universal
I was diagnosed with idopathic atrial fibrillation 10 years ago.
I have been treated with a wide variety of drugs.. each sort of controlling the episodes, but not totally.
In Oct.1998 I was referred to a cardiac research program.. the drug they were researching/studying is called Azimilide. for 18 months i was on the drug.. completely free of side effects and episodes of atrial fib!!!
The study was such a success, that the company, Proctor & Gamble have now stopped it. period. No more drug for us that are so completely symptom free.
Today i started on Rhythmol.. but i am sure not happy.
We are hoping the drug will be approved very soon for retail use.. watch for this drug and ask your doctors when it comes out.. it just may be the drug for you! I sure improved my life!!
Helpful - 1
Avatar universal
To Chris,
After suffering from periodic episodes of chest pain with EKG
changes(ST segment depression)on two different occasions, I had
a cardiac cath. I was only 24 at the time, but I had already had
open heart at 21 for arrhythmias, and still suffered from them at that time. I was given a drug called ergonovine which helps
to stimulate spasms during the heart cath. I did experience pain
with the medication but no EKG changes. The cath showed no occulsions or spasms of the main arteries but I did have total
obliteration of a small distal branch (off of one of the main arteries). My cardiologist speculated that this could be contributing to my chest pain but it was not what one would expect with classic coronary artery spasms. Also the fact that EKG changes were not always present with the pain made it difficult to diagnose. Except for arrhythmias all other tests came back normal. I was given nitroglycerin spray and put on a
calcium channel blocker. I tried several different meds finally settling with Cardiazem SR-90 (3xday). This pretty much relieved the pain. I continue to have some chest pain but this usually only occurs with arrhythmias (SVT, Atrial Flutter, Sick Sinus Syndrome, frequent PVC's{5000 per day}). Of course it is you and your doctor's decision but I would consider having the cardiac cath with dye and the ergonovine. At least you could finally rest knowing you have exhausted all possibilites. Good luck!
Helpful - 1
Avatar universal
Robert,

I am a 34 yr old male and also have bad pvcs and what "appear to be occassional runs of atrial fibrillation" according to the cardio. I have had a cardiolite stress test which was negative along with stress echos, numerous exercise stress tests, MRI's, Holters, CAT scan of heart etc.. All negative except for the pvcs and occassional afib. I'm still bothered by this because I have been experience spasm-like chest pain on and off for a few years but more frequently lately with exercise and also at rest. The pain is crushing, in the center of the chest and very fast (seconds). My cardio doesn't believe it is angina because of it's short duration. He put me on 240mg of Cardizem CD to see if it might eliminate the problem which it did for a month until today when I had another spasm. I had an endoscopy yesterday to rule out esophageal problems which was negative. What's interesting is that I took the cardizem at 5:00PM yesterday instead of in the AM as usual because of the procedure. So today I took the cardizem at 3:00PM and one hour later I had the spasm. It's strange that I haven't had the pain in a month and the one day I screw with the medication it returns. This leads me to believe it is a coronary artery spasm or esophageal spasm. Have you, or anyone else out there, experienced fast chest pain like this as a result of arrythmias or otherwise? This morning I had a strange irregular rhythm for about 10seconds. My pvcs are usually shorter, so I'm not sure what the longer arrythmias are or whether I should associate this with the chest spasms i'm having. I'm frustrated because the doctors no longer listen to me due to all of the negative tests and my cardio doesn't even believe I'm having coronary artery spasms because the pain doesn't last long enough (he said coronary spasms are usually minutes, not seconds). The cardio also says I can get off the cardizem (which scares me because the pain is not diagnosed, and believe me I hate all meds!) My health is good otherwise and I have very low cholesterol. Anyone out there ever experience this? Should I push for an angiogram even though I had a negative cardiolite test and a negative CAT scan of the heart showing 0 calcium. I could use some good feedback. Thanks all.
Helpful - 1
Avatar universal
Robert,

I am a 34 yr old male and also have bad pvcs and what "appear to be occassional runs of atrial fibrillation" according to the cardio. I have had a cardiolite stress test which was negative along with stress echos, numerous exercise stress tests, MRI's, Holters, CAT scan of heart etc.. All negative except for the pvcs and occassional afib. I'm still bothered by this because I have been experience spasm-like chest pain on and off for a few years but more frequently lately with exercise and also at rest. The pain is crushing, in the center of the chest and very fast (seconds). My cardio doesn't believe it is angina because of it's short duration. He put me on 240mg of Cardizem CD to see if it might eliminate the problem which it did for a month until today when I had another spasm. I had an endoscopy yesterday to rule out esophageal problems which was negative. What's interesting is that I took the cardizem at 5:00PM yesterday instead of in the AM as usual because of the procedure. So today I took the cardizem at 3:00PM and one hour later I had the spasm. It's strange that I haven't had the pain in a month and the one day I screw with the medication it returns. This leads me to believe it is a coronary artery spasm or esophageal spasm. Have you, or anyone else out there, experienced fast chest pain like this as a result of arrythmias or otherwise? This morning I had a strange irregular rhythm for about 10seconds. My pvcs are usually shorter, so I'm not sure what the longer arrythmias are or whether I should associate this with the chest spasms i'm having. I'm frustrated because the doctors no longer listen to me due to all of the negative tests and my cardio doesn't even believe I'm having coronary artery spasms because the pain doesn't last long enough (he said coronary spasms are usually minutes, not seconds). The cardio also says I can get off the cardizem (which scares me because the pain is not diagnosed, and believe me I hate all meds!) My health is good otherwise and I have very low cholesterol. Anyone out there ever experience this? Should I push for an angiogram even though I had a negative cardiolite test and a negative CAT scan of the heart showing 0 calcium. I could use some good feedback. Thanks all.
Helpful - 1
Avatar universal
Robert,

I am a 34 yr old male and also have bad pvcs and what "appear to be occassional runs of atrial fibrillation" according to the cardio. I have had a cardiolite stress test which was negative along with stress echos, numerous exercise stress tests, MRI's, Holters, CAT scan of heart etc.. All negative except for the pvcs and occassional afib. I'm still bothered by this because I have been experience spasm-like chest pain on and off for a few years but more frequently lately with exercise and also at rest. The pain is crushing, in the center of the chest and very fast (seconds). My cardio doesn't believe it is angina because of it's short duration. He put me on 240mg of Cardizem CD to see if it might eliminate the problem which it did for a month until today when I had another spasm. I had an endoscopy yesterday to rule out esophageal problems which was negative. What's interesting is that I took the cardizem at 5:00PM yesterday instead of in the AM as usual because of the procedure. So today I took the cardizem at 3:00PM and one hour later I had the spasm. It's strange that I haven't had the pain in a month and the one day I screw with the medication it returns. This leads me to believe it is a coronary artery spasm or esophageal spasm. Have you, or anyone else out there, experienced fast chest pain like this as a result of arrythmias or otherwise? This morning I had a strange irregular rhythm for about 10seconds. My pvcs are usually shorter, so I'm not sure what the longer arrythmias are or whether I should associate this with the chest spasms i'm having. I'm frustrated because the doctors no longer listen to me due to all of the negative tests and my cardio doesn't even believe I'm having coronary artery spasms because the pain doesn't last long enough (he said coronary spasms are usually minutes, not seconds). The cardio also says I can get off the cardizem (which scares me because the pain is not diagnosed, and believe me I hate all meds!) My health is good otherwise and I have very low cholesterol. Anyone out there ever experience this? Should I push for an angiogram even though I had a negative cardiolite test and a negative CAT scan of the heart showing 0 calcium. I could use some good feedback. Thanks all.
Helpful - 1
238668 tn?1232732330
MEDICAL PROFESSIONAL
Dear Maddy,

In general there is no medical significance as far as the type of extra heart beat associated with the strength of the sensation.  However, in extreme circumstances where the patient is very bothered by what are otherwise normal beats beta-blockers can be used to decrease the sensation.  10-20 extra beats a day is not very much and personally I wouldn't take medication for so few beats but for some people it may be worth it.
Helpful - 1
Avatar universal
What causes PVCs?
Helpful - 0
Avatar universal
.
To Maddy:

try being some of us getting 10-20 a minute or more...I envy you, you've got it easy.
Helpful - 0
Avatar universal
Please all of you,research into the many side-effects (palpitations and racing heart) of the additives which are in our foods. Msg is in practically all processed food and is a known cause of heart irregularities. It is even present in vitamins but as hydrolyzed vegetable protein. Food dyes and tartrazine are components of many medications and may be causing your troubles. Some of us are simply more sensitive to the toxic
additives in our food and drink. I had a terrible episode of heartracing after ingesting a pack of Wine Gums candy which is full of FD&C #5 food colouring and that is how I made the connection. Kentucky Fried Chicken, affected me in the same way and it is full of msg. If you do the research you will discover that these food additives are in nearly everything and you will have to really examine the packages of food you buy from now on.There is an excellent website at www.nomsg.com.
Helpful - 0
Avatar universal
I'm a 19 year old male and have been suffering the odd heart palpitation daily for about 8 years or so. It started gradually getting worse over the years, sometimes once a day it would feel like my heart was going crazy and skipping or giving extra beats in the time period of about 15 seconds. I would just get up and walk around, then I would be fine. This week has been really bad, in the past few days, these palpitations have been happening almost constantly during the day. There are periods of about 3 hours or so where I will be ok, but the rest of the time, particularly when I go to bed or wake up my heart will start skipping  beats like crazy and it feels like I'm going to die. There has never been any pain involved or pressure. Just basically the  very uneasy sensation of my hear skipping beats. This really scares me, I have had 3 ECG's and so far they have been fine. I don't smoke, drink alcohol or anything with caffeine in it. I am very concerned over this. I find my self feeling my chest and praying that it starts to beat regularly again. I find that when I am in a situation where there is a lot of adrenaline (like an ER visit) my heart seems to beat normally with not palpitations or at least very few of them. I have a bit of stress in my life, I am a part owner in a small business, had my mom pass away earlier this year and just crashed my car the other week. I don't know if this is related or not. Right now I'm wondering if it is safe to go to sleep with all these palpitations and if I'm going to wake up in the morning. I have also suffered so called "panic attacks" off and on in the past few weeks. At first, I thought it was just my blood sugar level because I was feeling very dizzy and felt like I was about to pass out. During this period, my heart rate might have been fast, but there were no actual skipped or extra beats. For all I know, these might not be panic attacks but somthing more serious, this is all up to my doctor I guess. Right now I wish I had a degree in medicine so that I knew what was going on and how to make myself feel better. If anyone has any suggestions on what I can do or even ask my doctor, please let me know. I am very fustrated over this and want to prevent or fix the situation. My email address is: ***@****

I would greatly appreciate any advice that anyone has, thanks for your time, Chris.
Helpful - 0
Avatar universal
I'm a 19 year old male and have been suffering the odd heart palpitation daily for about 8 years or so. It started gradually getting worse over the years, sometimes once a day it would feel like my heart was going crazy and skipping or giving extra beats in the time period of about 15 seconds. I would just get up and walk around, then I would be fine. This week has been really bad, in the past few days, these palpitations have been happening almost constantly during the day. There are periods of about 3 hours or so where I will be ok, but the rest of the time, particularly when I go to bed or wake up my heart will start skipping  beats like crazy and it feels like I'm going to die. There has never been any pain involved or pressure. Just basically the  very uneasy sensation of my hear skipping beats. This really scares me, I have had 3 ECG's and so far they have been fine. I don't smoke, drink alcohol or anything with caffeine in it. I am very concerned over this. I find my self feeling my chest and praying that it starts to beat regularly again. I find that when I am in a situation where there is a lot of adrenaline (like an ER visit) my heart seems to beat normally with not palpitations or at least very few of them. I have a bit of stress in my life, I am a part owner in a small business, had my mom pass away earlier this year and just crashed my car the other week. I don't know if this is related or not. Right now I'm wondering if it is safe to go to sleep with all these palpitations and if I'm going to wake up in the morning. I have also suffered so called "panic attacks" off and on in the past few weeks. At first, I thought it was just my blood sugar level because I was feeling very dizzy and felt like I was about to pass out. During this period, my heart rate might have been fast, but there were no actual skipped or extra beats. For all I know, these might not be panic attacks but somthing more serious, this is all up to my doctor I guess. Right now I wish I had a degree in medicine so that I knew what was going on and how to make myself feel better. If anyone has any suggestions on what I can do or even ask my doctor, please let me know. I am very fustrated over this and want to prevent or fix the situation. My email address is: ***@****

I would greatly appreciate any advice that anyone has, thanks for your time, Chris.
Helpful - 0
Avatar universal
I'm a 19 year old male and have been suffering the odd heart palpitation daily for about 8 years or so. It started gradually getting worse over the years, sometimes once a day it would feel like my heart was going crazy and skipping or giving extra beats in the time period of about 15 seconds. I would just get up and walk around, then I would be fine. This week has been really bad, in the past few days, these palpitations have been happening almost constantly during the day. There are periods of about 3 hours or so where I will be ok, but the rest of the time, particularly when I go to bed or wake up my heart will start skipping  beats like crazy and it feels like I'm going to die. There has never been any pain involved or pressure. Just basically the  very uneasy sensation of my hear skipping beats. This really scares me, I have had 3 ECG's and so far they have been fine. I don't smoke, drink alcohol or anything with caffeine in it. I am very concerned over this. I find my self feeling my chest and praying that it starts to beat regularly again. I find that when I am in a situation where there is a lot of adrenaline (like an ER visit) my heart seems to beat normally with not palpitations or at least very few of them. I have a bit of stress in my life, I am a part owner in a small business, had my mom pass away earlier this year and just crashed my car the other week. I don't know if this is related or not. Right now I'm wondering if it is safe to go to sleep with all these palpitations and if I'm going to wake up in the morning. I have also suffered so called "panic attacks" off and on in the past few weeks. At first, I thought it was just my blood sugar level because I was feeling very dizzy and felt like I was about to pass out. During this period, my heart rate might have been fast, but there were no actual skipped or extra beats. For all I know, these might not be panic attacks but somthing more serious, this is all up to my doctor I guess. Right now I wish I had a degree in medicine so that I knew what was going on and how to make myself feel better. If anyone has any suggestions on what I can do or even ask my doctor, please let me know. I am very fustrated over this and want to prevent or fix the situation. My email address is: ***@****

I would greatly appreciate any advice that anyone has, thanks for your time, Chris.
Helpful - 0
Avatar universal
I'm 49 I have had heart palps everyday now for the 2 past years -they sometimes make me cough, i'm sometimes light headed and get a headache from it. I do find that when I get them the most, I also have an upset stomach and have to take an antacid.I drink coffee everyday and drink sometimes on weekends I have a sister that has the same thing.Any ideas  ?
Helpful - 0
Avatar universal
Three years ago I started with palps everytime I would awake.  My Dr. had did a holter and put me on 240 mg veapamil once daily.  EKG showed a thickening of the left wall of my hert.  Stress test OK.  I only have palps which always end up in a flutter when I awake. I can fall asleep on a couch or just doze and will wake up with paplps or flutter.  Dr. does not seem to be concerned.  My quality of life is not good.  I am always afraid the flutter will not stop and I always get up and move.  This will stop the flutter.  My normal at rest heart rate is 56.  Same as my fathers.  I am 65 years old.  Staying off cafeine and chocalate decreases the severity of the palps.  Something as I awake triggers the flutter.  Adrenaline??  Anyone with similar problems.  Will flutter cause a stroke if I let it go.  I take one aspirin daily.  Sometimes I feel a sensation in left cheek, no weakness, just a sensation. Help.
Helpful - 0
Avatar universal
I have had Atrial Flutter and palpitations for 30 years.  I was tried on several cardiac drugs and finally doctors settled on Inderal.  I was on Inderal and Digoxi for about 20 years and developed asthma which doctors felt was started by the Inderal.  I suffered a lung hemorage and was taken off Inderal and was put on another round of drugs without much success.  I would get palpitations nearly every day and had many trips to the ER and wearing a holter monitor up to 3 days at a time with nothing really showing.  My doctor put me back on Atenonol and I am still having palpitations and have now developed panic attacks because of it.  I get palpitations when I eat, when I drink any alcohol, if I eat anything sweet, if I walk up a flight of stairs, if I have to go to the bathroom.  This is consuming my life and on top of this situation I find that I cannot get off of the Atenonol because of the negative effects it has had on my adrenaline.  If I hear a noise my heart races and I shake for hours.  I need some health and am not getting it from my cardiologist.

Helpful - 0
Avatar universal
I have had heart palpitations since I was about 13 years old and am now 39.I still have them and have been to the doctor several times.I have had all the tests and everything is normal.It helps to know there are others out there with the same problem.I don't like them in fact I hate them.
Helpful - 0
Avatar universal
I have had palpitations for 20yrs. Had all the tests, and my doctor says nothing to worry about..just ventricular ectopic beats. I am 45yrs old male in UK. I have just discovered this site, and what a comfort it is to know that many have experienced this utterly miserable condition, and we can all share our feelings about the condition, which I am sure is a great help in itself. It is very disturbing. The condition can dissapear for weeks at a time, and then for no reason reappear for days/weeks at a time. It has been so bad that I have taken myself off to hospital on many occassions convinced that my heart will throw a complete wobbly as it feels so unstable. No pain, but a feeling of light headiness, sometimes nausia, and slight discomfort in my right jaw.A general unsettled feeling inside. Sometimes a scary fainting feeling. Had the 24 hr monitor etc..everything ok even tho it picked up these missing/premature beats every few seconds. The crazy thing is that alcohol often calmes it all down..but the following day it can be bad again. Also noticed that a really good hot curry seems to calm the problem for a few days. There seems to be something very calming/soporific in curry (coriander)?? Any comments welcomed :***@****
Helpful - 0
Avatar universal
dear jack,
iam 24 years old, and i too have just started to have palpitations. it seems to be when i feel stressed, or excited. i have stopped drinking, and it seemed to have started after that! i went to the hospital, and they gave me a ECG, and said everything was fine. but that doesnt stop me thinking about it. i seem to waiting for the next attack to happen. the more i think about it when the attacks are happening, the more distressed i beome. it is like a circle!i think it could be a panic attack, as i have been feeling very stressed the past few months. i just hope that it goes away as it really gets you down, and scares you.
Helpful - 0
Avatar universal
dear jack,
iam 24 years old, and i too have just started to have palpitations. it seems to be when i feel stressed, or excited. i have stopped drinking, and it seemed to have started after that! i went to the hospital, and they gave me a ECG, and said everything was fine. but that doesnt stop me thinking about it. i seem to waiting for the next attack to happen. the more i think about it when the attacks are happening, the more distressed i beome. it is like a circle!i think it could be a panic attack, as i have been feeling very stressed the past few months. i just hope that it goes away as it really gets you down, and scares you.
Helpful - 0
Avatar universal
I am afflicted with the skipping heart beats too.  I have had them since I was 18 years old.  Now I am 47.  Recently they have gotten worse.  Every day I get up and it skips.  I wish just one day would go by without it doing it.  I can't enjoy doing anything because it makes it worse.  I finally went to the doctor again and he says it probably isn't anything to worry about but I'm going for a stress test next month.  I've had everything elses done.  It's great to read all these comments about heart palpitations because you feel so alone sometimes.  You see other people and you say to yourself, "I bet he or she doesn't have this problem".  I'd give anything if I didn't have this!!!
Helpful - 0
Avatar universal
My symptoms started a few years ago with feeling my pulse pound in my head when I exerted myself. I began to think I was devloping an anurism or worse, so a few trips to the ER and an MRI later, my Doc said my head was OK. Then a few months ago I started developing palpitations in my chest, felt so much like how they describe a heart attack......so, 2 or 3 more ER trips later, and still they say I am fine! I feel like an idiot when it happens, but it really, really feels like something is very wrong, but when I go to the ER, everything is fine.
Funny thing is, when I tell the docs about the hard pulse in my head, and the palps, they never seemed concerned. They all say its stress or anxiety, which may be so, but why can't I control it???..............I have cut out all stimulants, no coffee, nothing..........I welcome any and all comments you may have. Also, it does feel worse, sometimes, after eating......thanks!
Helpful - 0
Avatar universal
I'm a 50 year old male.  It's reassuring to hear my own story repeated.  It tends to magnify the credibility of my doctors.  I started having PVCs about 10 years while I was going through a divorce.  Very stressful time.  They reoccured periodically during times of stress and, a couple years ago, were accompanied by reflux problems.  About 2 months ago I ended up in the emergency room as I was having storms of them along with severe stomach and abdominal distress.

I've since calmed both problems down, but the frequency of my PVCs is much greater than the other times I've experienced this. My doctor is not recommending drugs -- other than the prevacid I'm taking for my reflux problems.

I find it interesting to note that several of you have mentioned both anxiety attacks or anxiety levels, esophigial problems and some sort of palpitations.  Think there's a link?  I had anxiety attacks when I was younger and suffered from agoraphobia for a number of years.  

Anyway, thanks for sharing your stories with me.  I figure, living with PVCs is annoying, but it's a hell of a lot better than the alternative.
Helpful - 0
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