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Just let it go now?

by bess113, Jul 12, 2008 02:25PM
Tags: rhythm
Hi I'm an overweight, 35 yr old, soon to be ex smoker (just started Chantix) mother of 2.
I have hypertension which is now fairly under control finally.  I take Tekturna 300 mg, Cardizem LA 360mg, Hydrodiuril 25mg, and Lisinopril 20 mg.  

I do have a history of heart disease in my family on both my father and mother's side.  Mom had stents placed when in her early 50's.  Dad had quadruple bypass at 60 and recently passed from a massive heart attack in March.

I have had occasional pvc's since my early 20's.  They have increased somewhat over the years but never really concerned me. My mother had them, my siblings have them and I never have felt ill as a result of them.  
They never really bothered me and I was always told it was normal especially for the women in my family.

About 2 years ago I had some pretty bad chest pain while at work and went to the er.  My ekg showed Left Bundle Branch Block and ischemia.  My bp was pretty high at the time.  They gave me nitro and was I was observed overnight.  There was no enzyme elevation.  I was released the following day and scheduled for a stress test.  The test came back normal.  

I went on for awhile with no problems, except for the HTN.  

Last January had another episode of bad chest pain that radiated down left arm and into my jawline.  Also had a run of vtach...scary.  So I had the stress test done again and an echocardiogram.  Again, no blockages and echo was normal.  Rocked on for a few more months with no problems, just occasional, not really bothersome pvc's.

So that's all the history til now.  

In May I was lying on my right side reading, very relaxed, in fact almost falling asleep when my heart started beating out of rhythm.  It felt similar to pvc's but not organized and just more of a flutter and flopping in my chest.  This lasted for about 10 minutes. I saw my Internist the next day and he ordered a 30 day event monitor for me.  I finished it 2 weeks ago.  Nothing abnormal showed on the readings, just the same occasional pvc's and some pac's.  

I woke up and was getting ready for work this past Monday when my heart went into that weird rhythm again as that night a couple of months ago.  I just tried not to panic and thought it would go away.  It didn't, it went on for about an hour so I called my dr.  He wanted me to come in for an ekg.  I ended up stopping at the er  because it was closer to get to and the rhythm just felt out of control and would not go back to normal.  I started having chest pain with it and feeling light headed too.  I was triaged and they said I was tachy at 110 with some abnormalities on my ekg but they didn't tell me what they were.  3 hours later of continuous weirdness and some pain in my chest they finally took me back to a bed in the er.  Shortly after I lay on my back the irregular rhythm stopped.  They checked my enzymes-normal, did a chest xray and sent me on my way to follow up with a cardiologist.  I saw him the next day and he recommended the heart cath to rule out any blockages.  

The cath (on Wednesday) showed only one artery with hardening, but no blockages.  The cardiologist said my heart was "near normal" with everything looking good but that one hardened artery.   And the abnormal rhythm didn't return again until the next day.  Everyday now I have long runs off and on all day of this strange rhythm, sometimes it feels like 3 solid beats and then 3 little fast ones on top of another.  Other times it's totally different.  It's very uncomfortable.  And it will go on for hours. They happen when I'm walking, sitting, talking, eating, resting.  They don't seem to be brought on by anything particular and I have cut my caffeine intake drastically.  

Since the heart cath results were ok and my doctors really don't seem to be concerned, do I just try to ignore the irregular rhythms  and go on?  Sometimes I feel light headed, sometimes a little sob.  It's just so unusual and uncomfortable.  

I guess I just feel like this is significant but no one else does so maybe I'm just not understanding how my rhythm can go out of control so quickly like this and then be called  "normal."

I have started walking daily and have already lost some weight prior to these last episodes to try to get in better shape.  My doctor said to continue doing that and stop smoking and I would be fine.  My feelings right now about it is if they are not concerned I guess I shouldn't be and when I'm an ex smoker for a couple of months and lost a little more weight if this doesn't go away then maybe I should speak up again?  



I'm sorry this post is so long.  If there is any light anyone can shed for me, thank you.  


Bess



Member Comments (3)

by nicolette36, Jul 12, 2008 05:11PM
im sorry hun,cant really advise you.................im just as confused,sometimes benign conditions like svt only show up when you are having an attack,i went to and fro to doctors for a long time before i was finally diagnosed.on the other hand could these palpitations be brought about because you are stressed?

by dbab, Jul 12, 2008 09:46PM
To: bess113
WOIW, you have really been through alot.  I really feel for you.  It is possible that stress is causing all of your palpitations.  I know it has alot to do wiith mine.  I have recently started walking to lose weight. Since I had episodes of tachycardia, I have been afraid to resume walking.  I started about 3 weeks ago and don't you know that I started having palpitations while walking.  Just a few at first. I walk with my husband usually.  The other night he could not walk with me so I walked alone. Well, after about 2 laps, the skipped beats and flutters started and seemed to come in runs.  Every few steps I felt a flutter.  I finally had to come in and sit down.  They went away.  I  think I was extremely nervous because I was out exercising alone.  I went to see my doc to discuss these flutters and he feels that they are stress or anxiety induced.  He told me to call if they seem to get worse or more frequent and he would put a holter monitor on me.  I'm not positive, but I do feel that they are probably due to anxiety about walking and exercising.  I keep thinking that I'm going to have a heart episode of some kind or another while I'm walking and this is leading to palpitations.  Stress and anxiety can do some really strange things to our minds and our bodies respond.  I hope things get better for you but if you continue to have episodes, call you doctor or see another doctor and get another holteror event monitor.  Good luck and let us know how you're doing.

by bess113, Jul 13, 2008 07:54AM
Thank you both!  Stress may be a factor. Only I don't feel any more stressed out than usual. Maybe it's finally catching up with me. :-O

I really appreciate your help!

God Bless
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