Pac's getting worse and chronic chest pain left side

[wesk]

I recently have been dia. with PACS.... I'm a 41 yr. old male. smoker, non drink, non drug user, I have chronic chest pain now for about a yr. My cardiologist has done stress, nuclear stess, mri, ct, catheradization etc... Tells me I have pacs. I seem to have extreme episode at night in bed till I fall asleep. drive me nuts... All blood test neg. I do have a hiatal hernia as well, pain in the left chest and left arm sometimes in back and radiate to right side as well. had gull bladder checked and its ok too. cath was also negative and my cardio said I would be fine but these symptoms just get worse by the day. think I might go back to ER but dont want to be told the same stuff again.. pain is sometimes sharp and precise and sometimes moves around. I also get it center chest at sterdem as well. Antacids help sometimes but not enough. No caffiene and trying to quit smoking... pacs have gotten more often and longer as well as harder when skipping. next beat feels likes its gonna come through my chest. Hope this helps give you enough info on me and I do have stess in my life as most but I really dont think its stress. Please help with any thing you can. Thanks

[is_something_wrong]

Hi!

You are not alone. PACs are normal heart activity, we all have them, some have more, some have less. But, as you probably are aware of, they are sensitive to adrenaline and stress makes them extremely symptomatic and causes major impact on mental health.

It's typical they occur before sleep. In my case, they do, too. They manifest with all kinds of strange sensations, flip-flop sensation in throat and chest, or they squeeze in between the normal beats, causing short "runs" of three rapid beats. They may also manifest with the pause followed by a hard beat, and - funny enough, sometimes the PAC itself creates a hard beat. I still don't understand this, it's like a ba-BAM-- BAM sensation. Like two hard beats.

Bottom line is, they are completely benign, doesn't cause any dangerous conditions, and as long as they mostly appear before bedtime (this happens because the natural sinus node slows down, while your body is still full of adrenaline, upsetting the atria) treatment is only to accept them as normal phenomena. The fact that we expect them to occur at this time is releasing adrenaline and the prophecy fullfills itself. Annoying, yes. Dangerous, no.

[wesk]

Thanks for your comments! I understand the pacs but just not the constant, chronic chest pain I have everyday.

[wesk]

Went to mayo clinic last week. Spent 5 days. They only did echocardiogram. Looked at all my records from previous doctors etc. and told me they couldnt find anything. Still have chronic chest pain and PACS also looking at my records I noticed I did in fact have PVCS as well w/ a short run of tachardia. Can anyone tell me what benign is for pacs and how can they tell if they are not benign? They think maybe falbramyalgia (I think this is crap)! No clinical answer so they chose that one. I seen a GI, cardio, pain doc and a pain pysc. Still nothing. I believe I wasted a lot of time and money to go there when I already knew what they told me. Hell they seen my records and said they could help me before I came and then didnt do anything. Any help would be great. Thanks

[goingcrazy1029]

Not sure if this will help but I too have fibromyalgia and I have had frequent pain in the chest. I can tell because if I push on certain part of my chest it hurt like heck. That tells me that the muscle fibers are very sensitive today.Often it radiates to the back too. Lately I have been seeing a correlation with my PVCs. If my back/chest really hurts, then it seems it is a bad day for the PVCs. My PVCs happen even if the fibro isn't flaring up but they definitely are worse when it is.

[wesk]

Thanks for the comment! My chest usualy doesnt hert to the touch just internal pain. very hard to explain.