Hello,
I am a 29 y.o. Caucasian female, otherwise healthy with no previous history other than mild depression on Zoloft and PRN Xanax and Ambien (as well as two previous C-sections). I'm a normal weight (128lbs at 5'3''), exercise regularly (walking/running at least 2-3x a week for 30 minutes), eat fairly well, and have yearly physicals/OB visits.
After a period of tremendous stress (mother diagnosed with terminal illness and subsequent passing, separation leading to divorce, and birth of child) I began noticing an increase in fatigue, anxiety, and began getting lightheaded. I work on a telemetry unit and hooked myself up to the tele boxes one night and noticed I was having PACs/PVCs.
I was seen by a cardiologist who preformed a resting echocardiogram, and EKG, and drew a set of cardiac enzymes. Everything came back normal except for occasional PVCs/PACs; I was sent on my way with the notion that my anxiety was causing the irregular beats, rather than vice versa.
A month later I am still have symptomatic irregular heartbeats, though they are now typically PACs only. I notice my heart "skipping beats" in my chest and become very anxious as I can feel my heart pounded into my neck and head (my heart rate is in the 80s when this happens, though I can tell it is irregular by taking my peripheral pulse). I am still fatigued, frequently lightheaded even while sitting or laying (it IS worse when I change positions). At times I even become nauseated. This happens more in the evening/night (although maybe it's only that I notice it then?) but I do work nights.
My doctor has since prescribed 25mg Atenolol PO but I have not filled the prescription yet as I'm concerned with my BP as I'm normally 90/60 to 100/70; I'm afraid of my blood pressure lowering further.
Because I'm feeling so very yucky, is there anything else that I could try? I've been told to "lower my stress" but I'm not sure how this is possibly given my situations. Should I try a different beta blocker or other meds altogether?
Thanks