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irregular heart beats and quitting smoking

iam a 22 years old male .. am 65 kg and 170 cm
i used to smoke for 4 years .. in my last year i was smoking irregularly .. i mean one day i stop and the next i smoke a week of smoking and a free one .. till i got those irregular heart beats .. which is realy annoying me .. i prefer i die and not to have those feelings ..
i do an ECG and the Dr said that i have a PACs which he said that it is  normal with stress .. but i dont know why  i feel that i have a more serious condiotion .. any way i went to a another Dr which he suspected me of mitral regurge . i make an echo and every thing was normal .. and lastly i was suspected of high thyroid horomone level .. and yet .. i make the test .. and my t3 and t4 blood level were normal ..
i realy dunno what should i do .. i dont like medication .. so i dont want to use them especially in my young age (iam 22)
am really confused .. am only 22 .. and whenever i got those irregular beats .. i stop doing any thing , and just gazing and my mind stop working .. and all what i think in is how those irregular beats will end ?!! will i die now ??
is it the end ?!! .. iam also noticing that iam having fine twtiching of the muscles  of my body . (leg face and ches)
usually i feel that my muscles are stretched .. when i do concentrate with my muscles .. i just order them to relax ..
iam realy tired .. please .. please .. some one tell me what should i do .. or what exactly iam havin inside my heart
22 Responses
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97628 tn?1204462033
Hey Al,

I'm sorry about your faint as well.
I understand what you mean about family history. It stays in the back of your mind because of what you've witnessed. I'd be SO happy to have a good cardiac history in my family. Ours is just awful.

When I went to a GI doctor for the first time a few weeks ago, I had to fill out the patient history form and almost felt like the TV character Monk because I had to ask for extra paper to list all the problems in my family :-/


Are you able to contact your doctor immediately or do you have to wait until Monday? Please let us know how you are doing.

Kit
Helpful - 1
Avatar universal
A related discussion, PVCS!!! was started.
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Avatar universal
*Jeez, sorry to see that you had that 'faint' thismorning Al, Mabey you should get checked out, just in case.!! I hope everything settles and is ok. Very best wishes...8)
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97628 tn?1204462033
Hi,
I was referring more to the rate increase and decrease (and accompanying pounding) folks feel when they are anxious, that kind of variability. People with poor recovery of their heart rate from exercise, or limited variability, have a greater chance of SCD then people with more variability.

Perhaps a medically trained person (or a patient who has been through a great many tests)could elaborate more on things like healthy hearts, vagal tone  etc. and why a healthy heart with a PVC/PAC is, indeed,  going to be fine. :-)

A palpitation is an awareness of a senstion, not necessarily accurate definition of what the feeling represents.

One person may feel a palpitation and get tested and have no PVorPACs. One person may not feel anything out of the ordinary and have them found when being examined in general (my son). Another, like the very young (7 year old) child of a former coworker of mine, will feel what she calls a "zapping", be taken to the doctor and diagnosed with WPW. She had an ablation at 8 and is doing well and doesn't worry about it. She remains very active.

They don't dismiss anything that looks wrong. It would be great to be happy about that, though I know it's hard.

The difference here is the awareness of the heartbeat. Being occupied with something else that absorbs one's full attention may help.

I wish I had the knowledge to help.

Helpful - 0
84483 tn?1289937937
We're all different and respond differently, with medicine its all trial and error , what works for one might not work for another. Good luck.
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Avatar universal
I tried the atenolol thing and I felt like **** on it.  I have very low blood pressure at the best of times and that just made it go lower and I couldn't stand the way I felt on it.  I was also anxious all of the time and still got the PVC's.  I just wish there was an answer on how to cope when you suffer so much with these.  I will see what my doctor has to say.  I take celexa right now but it doesn't seem to be helping and think maybe I will try zoloft and I have been doing a lot of reading on it and it looks like it may take away my obsessing feelings.
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Avatar universal
thannk u guys any way .. but i wish that some one suggests me steps which help me not to think about those PVCs ,i mean even when iam not having those PVCs i just stick to my desk waiting them .. and when they reach .. i start to think about next life.
i will visit my psychiatrist nest week
thanks again
Helpful - 0
84483 tn?1289937937
I used to have bad attacks of sinus tachycardia along with the PVCs, now that's a nasty feeling, I also had mild hypertension, as a results I'm on 100mg of atenolol daily in divided doses and cozaar 25mg twice daily, also a low dose of hydrochlorothiazide12.5mg daily. I also have had a glucose intolerance not full blown diabetes for years that has not gotten any worse even with the beta blocker and diuretic usage.basically if i stay on a diet my blood sugar levels are completely normal. I would say the beta blocker in combination with the ARB cozaar has helped tremendously or maybe they just disappeared on their own . I really don't know, another thing that has helped I've learned to control my anxiety and realise that the PVCs will not kill me, I think that's probably the best therapy of all. good luck on finding a way to try and get over your anxiety about the PVCs and you'll probably see a great improvement. Good luck.
Helpful - 0
Avatar universal
So Tickertock how in the world have you stopped these things if you had the so much before?  Are you on medication for them?  I have had every test on my heart imaginable and they say nothing is wrong but I just can't get it thru my head that nothing is wrong when it is so irregular.  I think I have developed agrophibia now as well becuase I am so scared these things will hit me at any time.  I am going to see my doctor today to see if I can get on some sort of medication to make my head stop obessing about these things.
Helpful - 0
97628 tn?1204462033

"should i treat my self as diseased heart patient ??!!
should i stop playing soccer ?!!"


You can do that if you want to, but there's no medical reason to.
Try to remember that what you feel is VERY common. In a structurally sound heart they are simply not dangerous. Try to stop anticipating them. If you simply cannot cope perhaps you should see a professional who deals with anxiety.

A heart that runs like a metronome is actually not as healthy as one with some variation.
Helpful - 0
Avatar universal
Kicurious, is that true that a heart that runs perfect all the time is not as healthy as one that skips?  I am just freaked out again today.  I was laying on the couch last night and I felt a skip and then another one and then five minutes later another one and maybe 20 minutes later another one.  Do other people get them that much in a row??????  I HATE THESE THINGS!
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84483 tn?1289937937

I've been in bigeminy lasting 10 minutes non stop about 15-20 times daily when i used have bad episodes of PVCs that is a PVC every other beat. Like I wrote before I rarely have PVCs anymore but used suffer terrible episodes of them lasting for months at a time.

HRV( heart rate variability) is often a sign of a healthy cardiovascular system , rather than a heart that beats in a perfectly timed fashion, it is my understand that even in the CCU of a hospital HRV usually favors better outcome in most patients, just what I've read and even had some doctors tell me.
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Avatar universal
I do.  I had the same thing happen to me last night, only I was laying in bed.  I had to keep rolling over until I found a position that made them stop.  SUCKS!
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Avatar universal
"guys , how can i stop thinking about such things .. i need to know the reason .. "

gaaz, take a look at my previous post.  A good counselor can help you feel better and enjoy your life again.
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Avatar universal
No, please don't limit yourself and live the life of a hermit waiting to die.  I, too have had these for 30+ years.  I am currently taking a beta blocker (Toprol XL), and it does seem to help.  I don't do caffeine, chocolate or anything that I think may cause them.  But, you have to live your life, and trust the drs that this is not something that is going to kill you.  I would consider asking your dr. for some anti-anxiety medication - perhaps the kind (like xanax) that you can take on an as needed basis, when the heartbeats get bad.  I can now go for a couple of weeks without them, and other times I have many in one day.  Please - you are going to be okay - I know people have told you to just ignore them, and don't worry about them - but I personally know that is impossible.
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Avatar universal
guys , how can i stop thinking about such things .. i need to know the reason .. i mean i thought it was smoking .. i gave up smoking ..and i can give up any thing which can be the cause of such beats .. another things i want to ask .. should i treat my self as diseased heart patient ??!!
should i stop playing soccer ?!!
should avoid journeys to another cities with my friends and just stay in my home beside my stop watch to check my heart rate whenever i feel them ?!!
i tried to play football .. 3 times .. 2 times were normal ..
but one of them .. i feel as  my chest will rupture from the strong beats iam having ..
should i continue my life as a 80 years old deplitated man with no exercise ?!!
should I ?
Helpful - 0
Avatar universal
what does the heart beats feel like for you.  For me i feel a contraction sort of feeling, then there is a pause then a strong thud.  I have had an ekg, blood tests, and a holter monitor test.  all the dr said about the holter monitor test is that it was very good.  
   Should i see a cardiologist about these sensations?  I am 26 yrs old.  No medical history in family of heart trouble, no high blood pressure or anything wrong.  I am a heavy smoker though.  Sometimes i can chain smoke. Will quiting help?  I dont get these beats often.   sometimes days or a week can go by without feeling anything
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Avatar universal
Hi.  I sympathize with you because when I get extra beats, I too stop whatever I am doing and gaze off into space and I get afraid that this is the end.  I have had the extra beats for almost 8 months now and I am still doing o.k. and you will too.  Hang in there.  I know it stinks to deal with this at a young age, but remember you are not alone.
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Avatar universal
"...iam also noticing that iam having fine twtiching of the muscles of my body ."

These are classic--and I mean classic--signs of anxiety.  

Your heart has been checked out and found to be OK, but you are clearly miserable.  I can assure you, based on my own experience, that if you now make an appointment with a nice psychiatrist (or even a counselor), you are going to start feeling better.  It doesn't mean you're nuts; it just means that you see the right doc for a particular problem.  You saw a cardio person for your heart; now, go see the right doc for anxiety.  A counselor will be able to teach you some technques to deal with your feelings.  A shrink can do the same thing, but can also prescribe meds if you need them (and they can be very useful, too).
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Avatar universal
I'm not the doctor, but PLEASE stop worrying. If you've been tested, then you have no reason to worry. I am 55 years old and have been having them for about 30 years. Sometimes so bad that I too thought I was going to die. I was told by my cardiologist that "yes, you may drop dead tomorrow, but it WON'T be from these irregular beats". It will take a lot of effort to get yourself to stop thinking about it and start living. You are way too young to be worrying about these, I know its hard. My irregular beats last a few months and then disappear for months, yours probably will subside in time too.
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Avatar universal
by the way .. i forgot to tell that i stopped smoking for 3 weeks now .. and i have changed my life style .. iam sleeping regular 7 or 8 hours every day .. i stopped having coffee at all .. but i still have those irregular beats
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74076 tn?1189755832
Hello Gaaz,

I am sorry you are having symptoms from your PACs.  If your symptoms correlate with the findings on EKG or monitor, you really have nothing to worry about.  PACs pose no long term risk to your health and there certainly is not a risk of sudden cardiac death.

If the PACs and twitching are bothering you as much as you describe, I do recommend that you speak with someone.  I am concerned that depression or anxiety may be a significant component if your symptoms.

I hope this answers your questions.   Good luck and thanks for posting.
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