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chest thumps

Hi im a male in my mid 30s in good health my problem started about a year ago when i entered the world of parenthood lots of sleepless nights going to work with little or no sllep etc anyway since then im getting these thumps in the chest no pain involved just a skipped or stopped beat followed by a more forcefull beat and a winded feeling lately tho im starting to get a lot of anxiety with them even the odd panic attack i google every heart condition there is and check my pulse countless times per day which always seems to be normal if this is some sort of ectopic heartbest how do i stop them and get rid of the stress that comes with it i really want to start my interval traing again but i dont want this happening to me when im on a treadmil and another question can taking epa fish oil help with this thing
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Avatar universal
Hi dir108,

It's normal for your heart rate to go up with activity, stress, heat, and a number of other environmental factors.  Usually, if someone is having V Tach, their heart rate is much higher than 105, and they will often be symptomatic (meaning lightheaded, etc).  Individuals usually also have some underlying heart condition.  That's a generalization, but for a relatively healthy guy like you, V Tach is highly unlikely.  I think talking to your doctor about a holter monitor like we discussed may help reassure you.  They can also order additional testing if they see fit.  

CCFHeartMD20
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Avatar universal
Thanks for the reply i really do need to get my stress under controll i have noticed when i dont think about these strange beats or ignore them they tend to happen less if at all but then i get one out of the blue and i start looking up stuff on the net and then they happen more i have read alot about pvcs and pacs and it does seem that alit of conditions that cause them be it envoirmental or lufestyle relate to me lack of sleep skipped meals working in poor air quality etc

One final question i check my pulse regular and my resting hr is always between 60-80 bpm but when im working running around a very hot kitchen it can go up to 105bpm no higher than that it only gets that high when its really warm in work is this normal my main worry is v tach
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Avatar universal
Hi Dir108,

It's always difficult answering these questions via the internet, but I'll give you some thoughts.  First off, this sensation you are feeling is very common in the genera population.  You are young (and sounds like you are healthy otherwise), so you probably fall into the category of people who have these skipped beats that are a nuisance.  

That being said, I would go see your internist.  They can refer you to a cardiologist depending on their comfort level.  It is helpful sometimes to get a holter monitor to see what these sensations are.  A holter is basically a continuous monitor of your heart rhythm.  You can alert the device when you're having these sensations, and then your doctor can correlate it with the rhythm seen on the device.  They may also choose to order additional tests give you say you are feeing winded, etc.  

If everything checks out, then you fall into the category of people that have occasional skipped beats.  It can be frustrating.  Try stopping caffeine and see if that helps.  Obviously getting your anxiety under control is a huge factor as well.  I would go get evaluated before you start your interval training, but that should actually do a lot of good for your stress and your skipped beats (if they end up being the benign ectopic beats we talked about).  I would also try to work out a schedule so that you are not getting up multiple times during the night.  Perhaps your baby's pediatrician can recommend ways to help with this.  If the baby is not getting up in the middle of the night and you're just experiencing insomnia, discuss sleep hygiene techniques with your doctor.

As for the fish oil, the research is all over the place.  Some old studies showed it helps with patients who have these ectopic beats.  It seems that patients have better luck with magnesium supplementation.  I would go see your internist or cardiologist first, and then discuss these options with them after you've been checked out.

Hope that helps!
CCFHeartMD20

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