palpitations and fatigue/short of breath

[Jim_C_Matherson]

Hello, in September 2007, 3 days after my colonoscopy and EGD (gastritis) [coincidence?], I was standing in line at the post office (like I do every day) and out of nowhere I felt strong quivering in my chest for many seconds, then my vision faded and I had to lay down right in the floor to keep from passing out.  Everything was back to normal within 30 seconds although I was shaken up and left with a tight feeling in my chest.

The EKG was normal when the paramedics arrived 5 min later, and my EKG, blood work and echo was normal once I got to the (University) hospital.  Later I had a stress test, chest xray and thyroid test that was normal.

I then wore a 30 day event monitor.  It was picking up isolated extra beats.  9 times out of 10, my palpitations are when my pulse is normal and they are just a single isolated palpitation that does not cause any type of syncope.   However,  very occasionally, it feels like I will have several of these extra beats in a row, lasting up to 10-15 seconds, (such at the day described at the Post office) and these are the times when I will get syncopal events.   I only had singular isolated palpitations with no syncope while wearing my 30 day monitor.    When I do get several palps in a row, it does usually seem that my heart rate speeds up a great deal, but only for the amount of time I am feeling the palps.  On days with many palps I am generally very fatigued and SOB with activity

I am usually quite shaken up and fearful for 1-2 days after an event, but then I relax and don't worry until the next one happens.  One other thing is that I have also experienced a funny pressure on my chest in the center since the first time this happened, it's basically always there.  

What do you believe is happening to me?
Do I need an EP study or an ICD?  
What is my risk for death associated with one of these events,  given that I am 30 yrs old,  50 pounds overweight, and I exercise almost daily, and my EKG / echo is normal?  

[National Jewish Health]

It is highly likely that you are experiencing serious heart arrhythmias.  You should have an electrophysiology study or at least consultation with an electrophysiologist (EP specialist).

[erijon]

Hey there TimmyT, in_YH, Jim_C_Matherson, not_again, bus_token, gettin_it, watermelon_bubblegum,erijshh, jimbc, glueby, beebay, if_i_had you, carlot, Thompson383, Bluedog, people013, zuzzu, ajibdi, stinky534, glueby, idathunkit, tactac, help30439, cheeta_breeda, neegnomer, crabdaddy358, save_a_heart & sleepy_pete. All in just a few weeks, impressive.

Still at it, should I post your email to me where you admit to being all these screen names? Should I re-post some of your previous questions? I see you're doing the same thing on the respiratory expert forum now as well........... read both posts and it's easy to see it's you again. Others need a chance too, please don't abuse the forum. Join the heart disease community instead.

Let me know.................