Aa
Aa
A
A
A
Close
Avatar universal

Palpitations

I am really worried.  I have palpitations daily but nothing like I had last night.  I have been checked out by a cariologist and they say nothing is wrong with my heart other than skipped beats. I was feeling really anxious when this happened.  

I was watching TV feeling anxious thinking about my heart when it skipped a beat.  It then skipped again the next minute and then again.  This happened every minute for so for 5 minutes.

I have a stethascope and I went to get it and laid back down on the couch.  I listened to it skip every other beat for 10 minutes!  It would beat normal, then do a little skip then a hard one.  I counted it 30 times per minute.  This went on for 10 minutes until I stood up.

I started to calm down and just laid there and listed to it skip.  I was going to get my husband to take me to the hospital but it seemed to stop and go back to its normal beating after 10 minutes.  Needless to say I slept in my clothes because I was so worried it would do it during the night and I would have to go to emergency.

Could an anxiety or panic attack bring this on for it to continue skipping like that every other beat for 10 minutes even after I had calmed down?  I am just absolutely horrified!  Now I see the single skips are not big deal compared to what happened to me last night with this irregular rythum for 10 full minutes.
53 Responses
Sort by: Helpful Oldest Newest
Avatar universal
Hi there,

Your so intelligent! I have a question. I have spurts of very fast heart beats that feel "not normal" but maintain a steady pace, they are not all over the place. (not irregular) its something I can't seem to time with a holter....should i be concerned?

Also, I have noticed that the pause I feel before my next beat after a PVC is lengthening. I counted 3 secs on the last ones today. Should that concern me? It feels like my heart stops for so long during those 3 secs. I am scared again by all of this after a while of peace. I had an echo done about 2yrs ago, all normal, ekgs normal, bw normal, stress test normal. Is there still room for issues? Or with these tests should I forget about this funny run of fast beats and my longer pauses?

I look forward to hearing what you have to say. Talk to you soon!

Nurse Kagome
Helpful - 0
Avatar universal
Hi there,

Your so intelligent! I have a question. I have spurts of very fast heart beats that feel "not normal" but maintain a steady pace, they are not all over the place. (not irregular) its something I can't seem to time with a holter....should i be concerned?

Also, I have noticed that the pause I feel before my next beat after a PVC is lengthening. I counted 3 secs on the last ones today. Should that concern me? It feels like my heart stops for so long during those 3 secs. I am scared again by all of this after a while of peace. I had an echo done about 2yrs ago, all normal, ekgs normal, bw normal, stress test normal. Is there still room for issues? Or with these tests should I forget about this funny run of fast beats and my longer pauses?

I look forward to hearing what you have to say. Talk to you soon!

Nurse Kagome
Helpful - 0
Avatar universal
I have been having PVC's for the last 10 years and I am 43.  I have seen a cardiologist, had an echo-stress-ech done, EKG's obviously, and have been told that this is nothing to worry about.  I take Tenanol 25mg when they get really bad, other times when they get less frequent, I will wean myself off of them.  I make myself not worry or stress over them...but it is not always easy. Now I have them back, worse than ever, I have then one after another, non-stop, for hours at a time. I wonder if this means anything, or if I should see my cardiologist again, or just assume that all is well and this, too, will pass?  I have been really tired lately and more that the usual amount of stress, that is, historiaclly been my recipe for getting these things back.  I have never had then like this before, however. Any comments?
Helpful - 0
Avatar universal
Hello all.
I am a 20 (almost 21) year old female and started feeling paplitations alot about four months ago. I have them pretty much everyday and don't see any correlation between getting them and something I'm doing. I have had an EKG, blood work, echo and holter monitor. I'm still waiting on the results form the monitor, but everything else came back normal. I have a feeling the monitor will too, because, of course, the one day I only had one palpitation was the day I had the monitor on. I also have had really bad chest pain for the same amount of time. My doc had me take large doses of pain reliever, but that didn't do anything. I can't stand not knowing what is causing this. I don't feel like myself and I can't do most of the things I used to be able to do, because I get exhausted very quickly. I can't even go up one flight of stairs without getting a really fast heart beat and tired. I'm only 20 and this shouldn't be happening!  I worry,  because I know my mom's biological dad died in his early forties from either heart disease or a heart attack.
Thanks for listening to me rant on and on. I'm sure others out there have more problems than me, I just want to know what's going on.
Helpful - 0
84483 tn?1289937937
From what I gather and understand, please note I'm not a MD, exercise induced NSVT in a normal heart pose very little risk, I can't say that it doesn't pose none because I really don't know , if you have exercise induced nsvt then a consultation with a good EP might able to put your fears at rest or he/she might even discuss a possible cure with ablation if the cause is that easy identifiable.
Helpful - 0
Avatar universal
Thank you so much for this explanation.  Have you any idea of an exercise induced NSVT in a normal heart is also benign?
Helpful - 0
84483 tn?1289937937
3 PVCs in a row without any normal beats in between is arbitrarily defined as NSVT once its above 120 bpm, anything below as i understand it is defined as AIVR(accelerated idioventricular rhythm , aslo known as slow Vt). It really doesn't matter with a normal cardiac work up. Some cardios and EPs regard 3 PVCs as a triplet, 4-6 PVCs as a salvo, and 7 more and  above a run of NSVT depending on the rate usually above 110-120 bpm, everyone( cardio & EP) usually has their own interpretation, other than that it's just basically semantics. With every test coming back normal the prognostic significance is of little importance if any at all( meaning you have nothing to fear but fear itself). Take care and Good luck.
Helpful - 0
Avatar universal
TickerTock,

I had a post/question to you above... Not sure if you missed it or not. It's ok if you chose not to answer. I've seen what happens to some if you bombard them with questions...

I did notice that he was jumping around a bit in his posts. But I think we were all just hopeful that we were tapping into some knowledge.

Carrie,

Just be glad that you found out about Dr. Jeckel and Mr. Hide on the web and not in his office...
Helpful - 0
Avatar universal
Yeah I never thought about that one that the person has to have the name and password.  You are probably right.  Oh well, I guess that is what I get for being nieve.  I actually believed in this guy!  Sounds like a nut case to me.  I will be more careful from now on who I do and don't talk to.  I will just stick to the people that I know are regulars on the board......
Helpful - 0
84483 tn?1289937937
Unless someone else has access to the persons email to get the password then I would assume it's the same person, if you read all his/her comments carefully and know anything or even a little about psychology you should been able to see into this person's psychological profile and know that they would eventually turn on the persons they were commenting to , a comment must have hit them the wrong way and they took it out on all, that is why I warned in my last comment to watch out for those posting comments on the net no matter how qualified they might appear to be, these persons can't stand facts that hit home as long as they are in control its fine but when something no matter how insignificant it might appear to others hit them,they lose total control, not that they ever were in control to begin with. This world is full of dangerous individuals who play some very dangerous games you have be able to pick up on them very fast or you'll find yourself on the bad end of stick. Be careful.
Helpful - 0
Avatar universal
If anyone should get a life it should be you.  If you have nothing better to do than look over the postings and say mean things then you are a very self person!

I don't believe for a minute it was LuciousBrown posting that last comment.  You should be reported to the medhelp org for using someone else name!

There are people on here that value opinions of people such as LuciousBrown so maybe start purusing other forums where you can batter and cut people down.  THIS IS NOT THE PLACE.
Helpful - 0
Avatar universal
Wow if Luciasbrown is a doctor, I wouldnt give him one penny after speaking like that. If he is a good doctor why would he sit on this forum does he not have real patients or what? That just blew me away very immature also. I just cant believe what I read from him very shocking. Also if you are a doctor and there werent people like you wouldnt be making a living we are your meal ticket so I hope you dont treat all your patients like that if you are a doctor.
Helpful - 0
Avatar universal
Yeah, I would definately say that it's someone else posting using his name or he is Bipolar or Schitophrenic(got the spelling wrong on that one...)

Or his lady got really irritated that he was spending time comforting us and lashed out! :)

But, if it's truly some shmo... That person will have a time in their lives where they feel vulnerable, also...

I got a laugh out the post!!! We all have issues behind closed doors. If yours isn't what we have here - it's something else.

We are simply not masking our concerns with alcohol and drug abuse - but are trying to be as certain as possible that we do not have anything life threatening - because we truly want to go on with our lives...
Helpful - 0
Avatar universal
you are all hypochondriacs.

REMEDY: Get a life!!

Whatsamatta with you?  I have no idea, but if you sit there all day wondering about your heart, then you are a selfish person. You COULD be doing something better!
You people, to be honest, make me wanna puke b/c you chew up valuable  healthcare dollars that can really help someone. But you pukes rather take advantage of the system and screw everyone else over so you get an "ok"
YOU dipshits have gotten the "OK" and STILL Persist
Go away you boils, you are the ones that screw things up for everyone else.
REality check
Helpful - 0
Avatar universal
Okay now I am freaked again because you said you don't know what is gonig on with me.  Do you think the caridoligist or EP docs missed something?  Is it possible that I didn't have v-tach in 1990 and they thought I did and made a big deal out of nothing??  I mean is it possible that a holter could ge mixed up with someone elses?  They have never seen v-tach on a holter again after that one time.  They saw a couple of PVC's together and said don't worry about it.

Can you give me the black and white of it?  I mean all I ever get now if about 10 skips per day where it goes beat..beat..quick beat....thud.  Somedays I only get around three of them.  There was just that one time on Tuesday when I was totally anxious about them laying on the couch that it went totally irregular for about 10 minutes.  Can a panic attack do that?  Make it go irregular for 10 minutes or so??

I really value your opinion.  I wish you were in Canada and I would come and see you as my doctor.  No other doctor I have ever seen has said any of the stuff you stated above but it all makes sense.  
Helpful - 0
Avatar universal
I'm going to try and make this my last question to you...

To sum things up a bit. Adrenaline may be causing the brunt of my PVC's/Bigeminy.

So, my question is since adrenaline can cause various forms of arythmia, PAC's, PVC's, etc. - Can adrenaline cause harmful arythmia's?

Which was kind of my question earlier, can it push the arythmia beyond bigeminy - into a harmful arythmia?

Please, no excerpts from the technical medical manual! :D

I think you've already answered by stating that arythmia's that occur in a structurally normal heart are typically benign - but please humor me with a somewhat straight answer - since this seems to really be the biggest road block for me... Either sudden death from one of these or the arythmia's progressing into harmful one's with more adrenaline being dumped from fear, etc.
Helpful - 0
Avatar universal
Hi.

In terms of what I notice - I can get zero to less than 10 single ones throughout a given day.

However, there are those occaisions where I might get 3 or 4 within an hour or so.

Then, sometimes when I'm sexually active I may get a few or I may get bigeminy. Depends on the event and duration, etc... Sometimes it's really unpredictable, but as I've said before I think anxiety plays a major role, because sometimes I approach it with more confidence, knowing for almost a fact, that it will not harm me. And then there are times when I feel very uncertain of what I believe - those times seem to be when I have a lot more...

The sex part feels like a curse! :D

What's also awkward is going to work and feeling stressed that you may get these away from home, away from where you feel comfortable... It's tough to remain confident about yourself when your heart starts doing those back flips...

My wife has no problem taking med.'s - she's Bipolar, so she really has to... But I don't like to take them. I was on Xanax back in the day for panic attacks, then just a few years ago I was on SSRI's(had some strange sexual side effects and felt like just sitting and doing nothing most of the time, although it did stop the worrying).

I know it's not good to stay on Xanax for too long, but I know it will have an immediate effect, without the odd side effects... I just want to try a low dose to start...

Unfortunately, I had taken my daughter(6 years old) to a father daughter dance and we got strep throat, so we had to take antibiotics. There was a post about certain antibiotics causing long QT times, so I was really freaking... And asked the doctor, he said some do and prescribed one that doesn't.

Fortunately, my common sense kicks in every now and again and says something like - everyone gets PVC's, I've had a normal workup, I wouldn't be any more at risk than anyone, else. But then it leaves and I hear something like - but what if I get bigeminy and the medication has some impact...

It's like a never ending series of questions that come to mind and feels like noone with ever be able to reassure us enough to just move on... I've had days/moments where I forcce my self to get involved in what I'm doing/not check my heart rate/etc. and have done well. Then when I find myself checking my pulse or something, I try to reference those times and say to myself thay, hey, I survived and actually felt good doing so. So, don't pay no mind to my fears...

My psychologist keeps telling me just to get on the treadmill and run as fast as I can to see that I won't croak. But it's not that simple - I know myself and I know just that one time won't do it - I might consider myself lucky that time. And in the state of mind I'm in - I might have a panic attack.

Sorry, I know you simply asked how many skips I got daily. :D
Helpful - 0
Avatar universal
Two glasses of Champane? I thought you said alcohol biproducts can stimulate the heart???

I'll admit I'm intimidated by trying alcohol again. I would like to drink red wine again... But just knowing it could cause PVC's and elevate my blood pressure has kept me away from it...

Helpful - 0
Avatar universal
I have a technical question.  I've read that an exercise induced nsvt is dangerous.  Why is that?  Is it also dangerous in a normal heart?  Is there a treatment?
Helpful - 0
Avatar universal
Thanks for your post. I usually find your explainations along with your history comforting...

I actually posted a question to you in the Patient-to-Patient forum - but I've never seen you respond in there, so here it is:

I know I had asked you before about bigeminy and what your Cardio said - which was in the presence of a normal heart structure, they are harmless.

Did he ever explain why the bigeminy wouldn't progress into another harmful arythmia if you simply continued your activities while havig it? Like having back to back PVC's such as a couplet or Salvos(3 or more in a row) without the normal beat in between?

This is my fear when I do get bigeminy or trigeminy...
That it will just keep progressing to less and less normal beats... Then a harmful arythmia.

I thought I read in one of the posts that one of the doctors replied to someone regarding a protective mechanism of the heart... (in a normal heart)

And was hoping that couplets and Salvos were due to heart disease or something.

But, then again, I also recall someone posting that they had couplets and their doctor said not to worry? I've read so much, sometimes it becomes a blur...

And now just reading your recent post - you did mention that you had back to back PVC's and your Dr. said it's ok. Is NVST and Salvo's the same thing?
Thanks.
Helpful - 0
Avatar universal
Please, the reason why I wanted to stay away from posting that jargon is because it does not apply to youse folks as far as I can tell.
But, it is true nonetheless.
I just do not have time to answer it right now. Listen, if I can't just not state the truth, but I can also assure Rag, from everything you have said, that the heart is the best part of you, so stay away from cardiologists.
Carrie, I dont what is going on with you and cant diagnose you given this is the internet.
BUT, if you read what I posted. That UNLESS you have organic heart disease, then you fall into the important exception of it being meaningless.

To the both of you, in the limited time I have in the next three days to respond.
I do not believe that I would categorize you as a significant problem.
There are times when I get patients the truth with both barrels to try and change their wreckless behavior with nicotine, drugs, alcohol, diet.
I do not think I need to do that to you.
So please, enjoy the weekend and have a couple of glasses of champagne and dont worry.
Your problem is anxiety, not cardiac. You both seem to have been diagnosed with normal cardiac structures rendering ANY thing I posted completely exceptional to your cases. Meaning, you have 'internist's disease'
Which is characterized by reading too many medical books.

I have alot of people who hug me or shake my hand b/c I tell it like it is in a way people can understand.
I am telling you right now and going out on limb. That you have done the right thing and your persistance means you have had many doctors tell you are ok.
So, relax, you are ok.
I just dont have time in the day to completely convince you, but if I was you, which I aint, but if I was, I would no longer worry about your heart for the next five years. Fair enough?
Just take a five year break and then start worrying again, in the meantime, eat right and limit cardiac risks.
Otherwise, you risk getting treatments that may actually put you at more risk than just leaving it alone.
Have a good weekend and two glasses of champagne. Doctor's orders!!
Helpful - 0
84483 tn?1289937937
I have suffered with PVCs Off and on just as much as anyone that I know, 10-20 Thousand on a very bad day, then in 1000s from weeks to as long as 6 months, had all the tests possible (besides an heart cath or EP study) which both cardiologists and electrophysiologists told me would be bordering on malpreactice , at least in my case.My holter in 1987 showed a 5 beat run of NSVT or salvo of PVCs, was reassured from then that I was fine and would not drop dead,also my PVCs are more adrenaline triggered and exercise can induce them which I was reassured via a stress test that I was not at increased risks , apparently some PVCs kick in at higher heartrates and others at lower rate, though generally more at lower rates from understanding, the prognostic significance depends on whether any structural abnormality or CAD is present, other than that is really doesn't have significant prognostic importance at this is what I've been told. I'm male 42 and rarely have PVCs anymore, take atenolol , cozaar and htcz to controlled HTN which is very controlled, drink a few beers when I care to, dont smoke at all(never did), exercise as much as possible though I'm limited because over exercising in my cases can agggravate the symptoms or relieve them because of a connective tissue disease that i have, other than that Ive told that I'm otherwise healthy. Bottomline trust your doctors and cardios, listen to others experience and symptoms , realise you are not alone, watch what others write on the net regradless of their qualifications, be careful of the article you read (most don't apply to the everyday PVC sufferer) and try to to enjoy life, it's too short not to even if you live to be 90 or 100. I know PVCs can be disruptive, disheartening and scary, but try and harness the anxiety and move on. LIVE!!!!
Helpful - 0
Avatar universal
Sorry to keep bombarding you with questions...

I just read your reply to someone else...

In regards to the vtach thing, my fear as I tried to explain in my prior reply is that bigeminy may turn into couplets or salvo's (back to back with no normal beats in between).

Could this happen withing a normal heart? And if so, would it still be harmless?

And lastly, can you explain what vtach is and if back to back PVC's could lead to it in a normal heart?

As you can see I'm always worried about things progressing, especially if I have skipped beats and I become terrified, panic, etc.

Or am sexually active while having them and continue...

Thank you very much!
Helpful - 0
Avatar universal
No Carrie, not a heart doctor














BUT, I DID stay at a Holiday Inn last night :P



I still am hesitant to say your rhythm on tuesday is ok. If you had a PVC every other beat, that is bigeminy and is of little concern more than just PVCs are in a 'normal' healthy heart. I.e. someone without a diagnosis of heart disease. I dont want to open another can of worms by saying anymore about that.
As far as your EP study, I would trust the EP doctor as that is a sub-speciality in the specialy of cardiology. So when a cardiologist needs an electrophysiology specialist, they send them to a EP doctor.
As far as them maybe using the word salvo, I would tend to lean towards a misunderstanding or a bit of confusion.
In my previous post, I mentioned PVCs that occur right in a row, a salvo is one of the things I was referring to, I believe you have PVCs, maybe bigeminy, but they might be a bit more aggressive with salvos with medication. And panic attacks can release adrenaline and can cause PVCs in a low heartrate who is not exercising. (I know, I said adrenaline overrides but I was referring to exercise and a bit confusing my choice of words)
If they told you it was normal. Believe them over me. I have not looked at your ecg tracings, I can comment very generally on subject matters but there is no such thing as a doctor on the internet. A proper history and physical with your medications as well as a review of all of your tests is why you go to a cardiologist in person.
Helpful - 0

You are reading content posted in the Heart Disease Forum

Popular Resources
Is a low-fat diet really that heart healthy after all? James D. Nicolantonio, PharmD, urges us to reconsider decades-long dietary guidelines.
Can depression and anxiety cause heart disease? Get the facts in this Missouri Medicine report.
Fish oil, folic acid, vitamin C. Find out if these supplements are heart-healthy or overhyped.
Learn what happens before, during and after a heart attack occurs.
What are the pros and cons of taking fish oil for heart health? Find out in this article from Missouri Medicine.
How to lower your heart attack risk.