PVC's turn into fast heartbeat

[Michaelccc]

Does anyone ever experience this?

i have very few pvcs per day maybe ten or so
but once in a while every few weeks or so. i am sitting down and resting and then bam!!! really hard pvc, the kind that jolts you, not the tickly fluttery kind like a hard thump and then boom heart races. very fast like 115 120 bpm. what is this? is it normal? is it sudden panic from the jolt pvc or a pvc that causes sinus  tachycardia?

[SillyHeart]

I was going to say it sounded like SVT except that SVT is much faster than 120.  I'm guessing it's just the adrenaline rush from the PVC.

[va_tony]

A PVC originates in the ventricles.  It can't possibly be a trigger for SVT, which takes place in the atria. Perhaps it was a PAC.

An easy way to differentiate between SVT and panic attacks: SVT starts and ends very rapidly. One second your heart rate is 70 and the next it's 120 and stays that way during the attack.  It ends the same way.  One second it's 120, the next it's 70. On the other hand, heart rate during a panic attack builds up slowly over minutes and afterwards slowly trails off as one calms down.

[SillyHeart]

va_tony I realize that and you're right, but on this board we tend to use "PVC" synonymously with "palpitation" since it's impossible to know without an EKG whether it was genuinely a PVC or a PAC.

[Momto3]

Like the others said, it could be a run of pvcs (nsvt) or pacs (svt).  




  

[nikgirl28]

I've gotten those for a long time now....it feel like a pvc and then if feels like it just keeps skipping...i also notice that they are not very fast...mine last for a minute...how long does your last for?

[Michaelccc]

[Michaelccc]

no they are not runs. i've had 2 echos. and they show very few pvcs. but like i said when i get a pvc that is really strong my heart races. sinus tachycardia races. what is that about ? anyone else?

[Momto3]

Not sure how you would know the flip-flops are not runs (unless you had a monitor on at the time).  Echos are not meant for diagnosing pvcs???  They are used to evaluate valves, chambers, pumping, etc.

As you already know, it could just be sinus tachy.  Probably just an "irritable" heart.  

[Michaelccc]

thats what i'm asking does anyone have a hard thump from a pvc and then get the racing heart right afterwards almost instantly. the reason i know they are not runs is because i've had 2 holters and they only showed like 10 or 15 pvcs in a 24 hour period. so basically im curious does anyone get sinus tachy following a really strong pvc beat?

[Momto3]

You can have a run on a one day and not have another for days, weeks, months.  Some people get very frustrated because they feel "something" and the holter doesn't pick up anything.  That's when an event montior comes in very handy.  When you are wearing an event monitor, you can record and "capture" the heart's activity when you feel the sensation.  The reason I suggested nsvt is because your description sounded like what I experience with episodes of nsvt.  My heart beats oddly and then kinda tumbles and rolls until it catches up with itself. Sometimes it feels fast and other times, it doesn't even feel like it is "beating," rather more like it is stumbling.  

Assuming you are not having a run of pvcs or pacs, it sounds like sinus tachycardia. Maybe a monitor would help. But, I'd be willing to bet it is sinus tachy based on what you've said.  
  

[Michaelccc]

yes i'm pretty sure its sinus tachy as well , but again, my question is does anyone have sinus tachy immediately following a stong pvc. basically   something like this  ...   one single strong pvc then boom!!!! immediate sinus tachy.  anyone? when i get a normal pvc just that tickly feeling one i don't get the sinus tachy afterwards. but when i get that one single one that feels like a quick hard pound in the chest it almost immediately is followed by sinus tach. has anyone experienced this? is it possibly adrenaline that is produced by fear of the strong pvc beat??

[degrassi]

I get that too......it was VT.  It stops suddenly.  sometimes it starts again in a few seconds.  It is documented most often as VT, although sometimes it is svt.

[nikgirl28]

actually that sounds like a pac...like a book has been slammed shut on your heart and then it races...pac that turns into a short bout of a-fib...or svt....

[sb786]

I have SVT and my SVT episodes are always triggered by PVCs never PACs. My EP explained that both pvcs and pacs trigger svts.

[sb786]

When i have an svt episode it starts with a hard single pvc followed by a fast heart rate 150-200 bpm. Sinus tachy is not triggered that way. If your heart rate is only 120 bpm then its probably just adrenalin causing your heart to speed up a little. Also when you have an svt episode your heart rate SUDDENLY jumps to a faster rate and and suddenly slows down again.