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Avatar universal

Palpitations

Hello Doctor.  I am a 33 yo male who been suffering from pvs/pac's for about three years.  After several doctor/specialists visits including all tests under the sun, it was determined that nothing was wrong with my heart.  The tests included the event monitors/stress test/x-ray/blood work etc. and all was good.  Cardiologist initially prescribed digitek for the palps.  My pcp thought this was an odd choice of medication as it is a "major" heart drug according to my pcp, although it seemed to work, it made me nervous and i stopped.  I am now on metoprolol 25mg once a day.  This medication however, doesn't seem to do too much.  My father passed from heart disease/diabetes at the young age of 67.  Although we are opposites in that I exercise, try to eat well and dont smoke.  In conjuntion with the palps, I was getting slight pain on my heart area when I jogged then after a few minutes in, it stop.  Since ive been on metoprolol, while running i dont get pain anymore.  Not sure if this is related.  Questions are, is digitek bad for me to take FOR JUST PALPS; Is the metoprolol working and i dont know it; Should I get more tests, i am not 100% certain that I am ok.  My dr thinks anxiety is taking a TOLL. Help.
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Avatar universal
You'll want to read all the posts in here they'll help u understand what you've got. i've read several posts in here that are an exact duplicate of what i get, skipped beats then a big thump, sometimes i freak out panic, anxiety. they come and go and seem to be completely random to me. I have had several ekg's been to er a few times always comes up negative for anything besides anxiety/panic attacks,pvc's. Wish i had answers for you but i'm still working on dealing with mine, the best i've found is when they start getting to me i try to occupy myself anyway i can, if i'm sitting around i jump up and start doing something, get on the phone, the net and chat (tv doesnt help much lol)
  When trying to sleep its easy to listen to your heartbeat when lying down so i get in a position where i cant feel it like on my back, try to occupy my mind looking outside to relax. it's an ongoing battle.
  this forum has been key tho because i didnt even know what pvcs were till i came here cuz hearing other peoples stories it finally made sense as doctors usually dont lol!
  oh one question tho, is there any way to know if your pvc's ARE serious??  Well if anyone wants to drop me a line email ***@**** we'll share horror stories.
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Avatar universal
ive been having them real bad as of late.

the symptoms i get are..it feels like my heart stops for a sec (sometimes it feels like 5 sec) then when the next beat finally comes, its sometimes a hard one that makes me take a deep breath like i got punched or something.

it freaks me out when it happens. but when i get them in "sperts" ( a bunch at once, or in  a row) i realy start to panic.
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Avatar universal
I would like to know how many of you get symptoms, such as chest pressure, light headed or sob?
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Avatar universal
I don't know if you would be able to help me. I will give you a bit of a history;

In 1999 I was admitted to hospital with a heartbeat of 250/ min. It must have beating for hours at that rate. The doctors did everything to try to stop it racing with little success. Eventually they said they will have to stop the heart and re-start it. I guess the heart must have got scared because it went back to normal.

I did an ECG, Angiogram, EPS (twice), MRI, ct-scan   and they found nothing. I am a mystery to them. I don't smoke, I don't drink, I have low blood pressure. They all look good, the only thing is I am a little bit overweight and the cholesterol was 8 at the time.

The Doctor put me on 25mg of betalock per day. In the morning it made me tired and in the afternoon my heart would start racing. Another doctor said that taking it once a day was useless, I can take it twice a day or stop it all together. So I Stopped taking it.

This was fine till this year. I have irregular beats (not racing) so I went back to the hospital and they said that I need to take Beta blockers (Noten). That just made me more tired and it seemed to make my heart even more irregular. So I stopped it for about 1 week and then while sitting down my heart started to race for about 10 to 15 mins. I went to the hospital 3 times this year and finally they told me to stop the medicine again. so I am back where I started, they are non the wiser and the only solution they have at the moment is to put in a defibulator. That worries me. If the made a mistake with the medicine I can stop it or change it but I can't take a defibulator out. Once it's in it's in and I will be under their mercy. I have to see them every 6 month.

I really need some advice because I am feeling tired all the time and I don't have enough energy to get through the day.
Helpful - 0
84483 tn?1289937937
I have come to one conclusion, sometime the heart beats like how it wants to regardless.

The key is having a healthy heart with normal heart function, this way your risk of developing a malignant arrhythmia is on par with the normal population that suffer with no arrhythmia or symptoms at all, just my 2 cents worth ,I'm not a doctor, just my personal observations and being an occasional out of whack heartbeater myself.
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Avatar universal
I had PAC's for years.  Beta blockers really didn't help much.  I certainly wouldn't be on an anti-arrythmic unless very symptomatic.

If you had echo, stress test, etc. and things are normal I wouldn't worry about the slight pain in chest; especially if it goes away in just a few mintues. Sometimes "pains" are muscular or related to tension.  The fact it goes away after a few minutes probably is just a warm-up reaction; especially at age 33.

If the beta blocker doesn't work, I would go off of it.

How often do you get PAC's?  I found they tend to ebb and flow when I had them.  Sometimes they would come in waves and then settle down quite a bit.  Read previous post below on how I got rid of them altogether.

The biggest problem is the psychological stress.  We are obviously heart sensitive.  I know it took me about 2 years to deal with them, and not freak out when I had them.  But they can be uncomfortable and cause panic.

Most of the time there are triggers.  I would find out what those triggers are for you and then try to eliminate them.  Not a cure however.  This will just make them more bearable.  Do you have an anxiety issue?  Anxiety (Stress) is probably the biggest cause.

Good luck.
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