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PVCS and possible NSVT in young male

Alright so I am 20 years old and healthy weight, don't smoke, drink occasionally, and don't drink caffeine. I suffer from pvcs as well as anxiety disorder/panic. I have had all cardiac workup including holter, echo, ekg, blood test. Everything normal with like 20 pvcs on holter.

I can go months without pvcs or have as many as a few thousand in a day. A few nights ago I woke up and was having exceptionally bad pvcs. I felt trigeminy, bigeminy, couplets, and then what felt as maybe 5 or 6 pvcs in a row without a normal beat. I am not completely sure that there wasnt a normal beat in this span, but im probably about 75% certain. I had no noticeable symptoms and when I got up and went to the bathroom, they evened out for a few minutes.

I woke up and the palpitations were gone for the most part. I have an appointment with my cardio on thursday.I'm guessing i will be put on an event monitor.

How rare is nsvt in young and healthy males? Am I in significant danger ?
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1124887 tn?1313754891
NSVT just refer to the fact that a ventricular "pacemaker" is taking over the pumping function for a brief moment. If an arrhythmia is dangerous or not depends on how your body responds to it.

If you can feel 5-6 weird beats in a row, I assume they are producing a palpable pulse. In order to produce a palpable pulse, the beat must produce a blood pressure of at least 80 mmHg.

What is important is if your heart is healthy or not. Some people with severe heart diseases can get in trouble (the heart isn't able to pump efficiently) just by having a sinus tachycardia at rate 110-120 bpm, which is why they are given high doses of beta blockers. On the other hand, people with healthy hearts can have benign variants of RVOT VT (I assume you've done enough research to understand what this means?) at rates 220-240 bpm without having more problems than they would get from a supraventricular tachycardia.

I agree with Michelle - runs of 5-6 beats are usually PACs (atrial tachycardia). Even if your premature beats are wide complexed on EKG, they are not necessarily ventricular. As long as you don't have any symptoms, I would recommend that you leave your heart alone and try to pay as little attention to it as possible. Your stress and anxiety is probably to blame here. Your heart is healthy.

But ask your cardiologist on Thursday. Good luck, I'm sure you will be OK!
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1807132 tn?1318743597
Considering you have had a full workup previously and your heart was deemed structurally fine it is not likely you are in any danger.  It isn't necessarily a run of pvcs you feel either.  I get pacs and pvcs and usually when I feel a run of something it is pacs not pvcs.  The fact that you didn't have any troubling symptoms with the pvcs is good and likely means you really don't need to do anything about what is going on beyond doing your best to work on managing your stress and anxiety which is very likely as you well may know a big contributor to your pvc issue. Well good luck at the doctor and let us know how it turns out but from what you have described I don't think you have anything to worry about.  Take care.
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