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childhood syncope or presyncope, does it always indicate a heart problem

I never actually passed out as a child, but up to the age of 12, I did have 5 episodes of presyncope.  None of these occurred during exercise and I never felt any discomfort in my chest or neck during these episodes, but talking to other normal people I know, nobody reported ever experiencing anything remotely close to what I did.  My mom is the only person I know who said she also almost passed out a few times when she was a child.  She also has frequent ectopic beats just like me.  Could this be indicative of some congenital heard defect?    
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I use to have the same thing. I often would get lightheaded when I was younger, especially when I was a teen. I also noticed that my HR would get high really fast when I was in the shower or doing slight exertion. Now I am 25, I’ve always had PVCs and now I get them during an exertion which is terrifying. My echo was normal with stress test showing occasional PVCs during exercise and recovery. Doctor doesn’t seem to be concerned at all but now I’m terrified to do any physical exertion including walking up steps or hills, that really brings them on. So now I get panicked over them which makes my HR even higher which makes the PVCs worse. The doctors say my heart is structurally normal so I don’t know what’s causing it. I think me and you probably have some form of Dysautonmia like POTS
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