I am a 25 year old female. 188lbs, 5'6". Normal blood pressure, normal heart rate. Have been experiencing heart palpitations/skipping beats for a week. Saw my GP and had an EKG done. It came back normal. Doctor was able to feel the skipping beats so she referred me to a cardiologist.
He asked questions about sleep, caffeine, activity level, alcohol consumption and stress factors as well as family history of cardiac health issues. I don't usually get enough sleep, I am a coffee drinker, I have been consuming on average about 5 alcoholic beverages per week, I don't smoke, I do suffer from moderate anxiety but it's been manageable lately. Sometimes because of the anxiety I am highly stressed. I don't manage stress well.
As far as family history, my grandmother died from a heart attack in her 50's (she did have diabetes which may have been a contributing factor) and my grandfather had an irregular heart beat, had a pace maker put in and died from complications of stroke in his late 70's. Neither of my parents have heart disease. Only high blood pressure.
I have had palpitations in the past. They really started earlier this year when I went through a bad breakup and my GP diagnosed me with anxiety which she attributed the palpitations to. I decided to eat healthier and exercise regularly and they went away for many months.
Lately I have not been exercising, not eating right, consuming alcohol and not sleeping well. Thus my palpitations have returned.
So, my question is should I go through with the echo cardiogram and the holter monitor or should I make lifestyle changes and see if my heart palpitations go away? I am a little worried because I had them so frequently. Several every 5 minutes or so for a whole afternoon and they continued the next day. They've gotten progressively better as I've cut back on caffeine consumption. I just don't want to do these tests and get saddled with big medical bills, even though I have insurance. Any advice on my situation would be greatly appreciated. Thank you!