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Avatar universal

Palpitations

49 year old female.  Started having PVC's and PAC's around age 29.  Went to doctor and put on holter which showed short run of v-tach.  They put me in the hospital and did a complete cardiac workup on me.  Could not find anything wrong.  I became completely obsessed with this heart thing and have been worrying ever since.  I am so scared every time I feel a skip it has totally taken over my life.  Doctor has put me on Prozac for the last  two years but I still worry.  Had an EP study as well 15 years ago and could find nothing wrong with me and sent me on my way telling me that I have a normal heart and don't worry about it.  I have had every possible test on my heart done and I am still scared of the flipping and skipping it does.  After all of my testing the doctor said is was probably a mistake on the holter and there wasn't a run of v-tach.  Is that possible?????  How in the world could they see it and then say it probably wasn't???

There is the odd day that I feel nothing happen but probably 99% of the time I feel skips and flips around 10 - 20 times a day.  It also goes fast for not reason around once a week and then does a bang and goes back in to its regular beating.  The reason why I am writing this is that I was over a friends the other night and I was getting a skip probably every minute or so.  I go so scared and told her I had to leave and go home (she didn't know I was worried about my heart).  Is that a normal thing to happen to a person???  Scared the pants off me.  That only happens every so often when I get one every couple of beats and then it will go away.

Could they have missed something do you think??  Should I be pursuing this more?  The last time I saw a cardio was a couple of years ago and he gave me a clean bill of health on my heart.  I still find it hard to believe though!  I had an echo, thallium test and ecg.

I feel around 10 - 20 premature beats during a day, and probably 15-20 before sleep and I feel them when I wake up in the morning (normal)?. I feel this as a "long" heartbeat, a short break and a hard beat..  I still feel anxiety.  Everyone tell me this is normal and nothing to worry about them but that is easier said than done? How do I make them go away?  I remember the EP doc telling me that I am just much too tuned in to my heart beat and try to ignore it and that my reaction to these irregularites is what is not normal.  Can they be caused by some underlying heart disease that is not found yet?  Am I worrying myself sick about nothing??
4 Responses
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1124887 tn?1313754891
Hi,

It's funny - you're the first one ever describing your skipped beats the way I experience them (and believe me, I've read MANY posts and articles about PACs and PVCs!!). As a long beat, short pause, and hard beat.

For me, they happen at night before sleep, in the morning if I'm stressed or anxious. They can also happen during other anxious situations throughout the day, like walking through bad neighbourhoods, etc.

It's not necessarily easy to differ SVT and VT (v-tach) on Holter, as SVT can be so-called wide complexed and look similar. There are ways to tell the difference, but often a 12 channel EKG is needed.

Your skipped beats are nothing to worry about (but still we do, don't we?), the only thing I would think about, is the quick heartrate followed by a "thud" - as this is the hallmark sign for SVT or ectopic tachycardias in general.

Skipped beats once a minute for some time is COMPLETELY normal!

Helpful - 0
Avatar universal
Carrie41, you are so aware of what your heart is doing because you are thinking about it so much.  I tend to do the same thing but have found that if I get busy and am distracted by something else, I usually don't notice it.  If I think about it all the time I notice every little weird beat.  It will drive you crazy.  
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Avatar universal
Hi Jerry......I liked reading your reply (funny about my post sinking).....well I guess I am still here but I still want to know why I feel these dang things and other don't if they get them.  I just don't get it.
Helpful - 0
612551 tn?1450022175
COMMUNITY LEADER
This community if full of post about strange heart rhythm conditions that are called "benign" and  "not to worry".  I think some eventually get over worrying about the strange feelings that pop up from time-to-time.  

From what you have told us I'd say: try hard not to try so hard... yep, figure out some way to distract yourself when you mind starts so focus on how the heart feels.

I am a senior, old guy, so I may not be relating well to your concern... still I can say that after 55+ years with very minor heart anomalies - nothing that got any more than an physical exam EKG and passed, I now live with permanent atrial fibrillation and I think I can feel it if I focus real hard on it, but I try not to think about it and I normally don't feel anything unusual other than some low energy/fatigue due mostly to the medications I take to control/lower my HR.  

Not sure I've offered much help, but as your post is "sinking" to the bottom of the list I figured I'd give my thoughts.

Try to stay positive and optimistic by thinking about positive thing you do and want to do.
Helpful - 0
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