Chest pain/dizziness possibly PVCs?

[abh2m]

A little over 2 weeks ago, I was at work and became very lightheaded. I was concerned at first because I had been having issues with that for about 8 weeks, but it would just come and go. 2 hours later the lightheadedness was getting worse and my chest started pounding and after 3 hours I noticed chest pain too. EKG at that time was normal and so was all my blood work. Echo was normal a few days later, except for PVCs on the EKG during the echo. Four years ago, I did a stress test for chest pain but I did that just to rule out anything. I had a stressful job and only had the chest pain at work, so I was pretty sure it was anxiety. I was not stressed when it came on this time. I have a great job and I'm single without kids. I don't really have much too about. I know you can have panic/anxiety attacks without feeling stressed but when the episode started it lasted for 12 straight days. The only relief I got for symptoms was laying down and it would take a while for the symptoms to fade. They also came back as soon as I sat or stood up. I went almost 2 days without symptoms, but the chest pain came back while I was watching Glee last night and has yet to go away. Lightheadedness is still better. I'm a nurse, so I know PVCs are not really harmful unless they cause runs of VT which would be rare. The only other thing I can think to do is call my cardiologist from before to get a holter monitor, just to make sure no other arrythmias are going on. I recently switched PCPs due to insurance and she wanted to put me on Xanax before she even got the echo results back. I don't feel like that should have been a first line treatment. I would have possibly been open to a milder antianxiety or antidepressent medications, even though I don't feel depressed or anxious at this time in my life. My main concern was prolapse, and since the echo was normal, I'm not sure if the holter would be worth it. What's the likelihood that it is anything else in addition to the PVCs? I'm 27 years old and don't have any other underlying health issues except possible mild asthma (it's so mild that it's not even definitive, only have issues when pollen count is high).

[abh2m]

Holter monitor showed 2nd Degree Heart Block Type 1 (Wenkebach) so I get to wear an event monitor for 30 days. They were also concerned because at one point when I was sitting my heart rate jumped up to 175.

[MichelleP_3811]

The lightheadedness then is likely simply due to the pvcs but considering this is a new symptom I would definitely consult your cardiologist.  It's better to get checked out then to do nothing and then regret it later I always say.  Good luck and keep us posted.  

[abh2m]

Also BP is 130-140/80 when standing or sitting. 120/70 when laying down. So doesn't seem to be orthostatic.

[abh2m]

I had an EKG after I had been sitting and then laying down for awhile so the symptoms were very mild during the EKG. The EKG during the echo when I was having symptoms (although still milder than when sitting up) showed several PVCs. Now that my heart does not always feel like it's pounding I'm noticing irregular beats, almost a flutter but now quite.