Is it bad to have occassional PAC/PVC during exercise (not hard exercise--just light)? I have had everything short of a stress test b/c GP didn't feel I needed it. I still get skipped beats from time to time, especially if I am getting my heart rate up for exercise (jumping, stair climber, carrying heavy objects up and down stairs) or if I don't eat regularly. In a period of 6 months I have had a 24holter, 4 ekgs, 2 echos, and several blood tests. If my GP (her husband is a cardio doc) says I'm good to go because my heart seems structurally normal just have some sinus tachy, should I seek further medical attention? I want to workout and not feel anxious that I will get more PVC/PAC....
Story below for more details if you wish...
I am 29, female, was very athletic until the birth of my son two years ago. I don't drink anything other OJ and water and I eat very well. About a year after the birth of my son I have developed anxiety and panic attacks that come and go. My first few skipped beats were felt while doing some jumping jacks and then push-up sets. I stopped and freaked out of couse b/c I thought I was having a heart attack or something. This caused the first onset of my anxiety and panic attacks. I went to my GP and they did an ekg, echo, and bloodwork. All was normal minus my cholesterol was on the high side 187 (good was low 37). Well my family has a history of horrible chol and heart disease. But, my GP said to not worry and go about my life because everything checked out. Well, I still was having skipped beats hiking or running up and down the stairs for laundry. So, I went back to my GP who ordered a 24hr Holter. I tried to induce the skipped beats, but no such luck while on the monitor. My GP did tell me that I had 7 PACs and that was it. He said my anxeity probably was causing them and I should try taking xanax during panic attacks or high anxiety. Well, I tried this and my panic attacks became less frequent and my anxiety only occus during parts of my menstral cycle (1/2 way and just before and during menstration). Everything seemed to be going fine until one day I was running a low grade fever and my heart rate at rest was 130's. I decided to go to urgent care after 5 hours of this. They did xrays, ekg, bloodwork...and everything came back normal except my WBC was very, very high. Worried I had cancer or a bad infection I was sent to the hospital. I stayed over night, on a holter, bloodwork, more xrays, antibiotics given, and nothing showed up. So I was sent home b/c my WBC was back to normal. Well, this same episode happened again a month and a half later. This time I decided to just see my GP. Got some bloodwork done and again my WBC was high with my fast heart rate and mild fever. GP wanted to watch and see, so the next day I went back for WBC counts, fever gone, heart rate gone, and WBC back to normal with no antibiotics this time. GP said he had no idea what it was. I was sent to another GP for second op. They talked with Cardiologists and other Docs and all said the same--no clue! GP said it was like my body went into slight shock and dumped all my young blasts (WB cells) in responce to some kind of stressor. Thinking it could be anxiety related, GP said to take xanax daily for a while. I did, and no more episodes of fast heart rate and high WBC. Just occassionaly PVC/PACs some during exercise some at rest.