Just a little back ground I am 31 years old male, decently fit, 6’2, 245. I have been on blood pressure medicine since my early 20’s intake meds day and night because I have uncontrollably high blood pressure if I don’t. I have episodes of skipped beats that leave me breathless and are rather scary when they occur. They seem to be close to what is described as ectopic beats. I never had them until I started medication to control high blood pressure. I have had moderate LVH detected on a heart echo 6 years ago. I stay active by working out, typically weightlifting 4-5 days a week and have a low resting heart rate. I don’t use any stimulates, pre workout, protein powders or anything. I have had al levels of blood tested all are normal except slightly elevated cholesterol but triglycerides are good. I can feel when an episode of skipped beats is going to happen as I will start getting these body/nerve twitches first. Usually they occur a couple of times every 3-6 months but recently I’ve had it happen everyday for the last 5 days. I have checked my blood pressure and it’s abnormally higher than normal running 165/90 which is abnormal for me. I have a scheduled visit with my cardio soon to hopefully get answers. My wife has a stethoscope and we listened to her heart and we can easily hear it. My heart is very hard to hear and we can really hear it at all. Is this a bad sign? I typically have a low resting heart rate which dips into bradycardia (below 60). I am muscular but just slightly above an average muscular build again I do not take any supplements. I have also noticed my ecg on the able watch is different than hers. Her R wave points are more pronounced and mine are somewhat lower. Not sure if that means something. Just wondering if anyone has had similar things such as high blood pressure/LVH/and arrhythmias it’s all scary to be honest. I have two small kids and just want to be around for them.