First some background:
32 year old male. Former smoker. Former caffeine user. No other drugs.
First experienced sensation of "skipped beats" at age 11. Remained undiagnosed at the time, but was diagnosed with PACs at age 20 and PVCs at age 25. These diagnoses were made by 24-hour and 4 week monitors.
Late last year, while do nothing but standing, I had a sudden rapid increase of heart rate with the sensation of being out of rhythm. Was transported to hospital via EMS and released.
April of this year, I experienced the sensation again: rapid heart rate, rhythm disturbance. It feels as if my heart is beating out of control. It feels like there are 3 hard rapid beats, an off beat, a couple rapid, off. These chain together for what feels like a minute before rapidly calming down.
I was hospitalized for 2 days. Echo was performed which showed nothing wrong. I had one small issue while in the hospital which was told to me to be PVC bigeminy with right bundle branch block. This felt similar to my previous issues but ended as soon as it began.
Upon entering the hospital, I officially quit smoking and quit caffeine. As a precaution, I've made some strict dietary changes to reduce fat and sodium intake. In the months since I was released, I haven't had any major runs of palpitations, but on certain days I do feel off and can feel the episode acting like it's going to begin.
I've experienced left chest, shoulder, and arm pain which landed me in the hospital for another day. Despite not tests, I was discharged and told it was probably muscle.
30 day event monitor caught nothing of note. Just PVCs. EP prescribed Verapamil as needed and I haven't taken any.
Should I be worried or have I just been having runs of PVCs? I wouldn't know the difference between those and VTACH.