Hi everyone, I'm a 23 year old, male with no previous history of cardiovascular disease. Lately I've been experiencing these hard beats, I've been consulted a cardiologist, electrophysiologist and have had multiple trips to the hospital, all of which have concluded that I've got "nothing to worry about". I've done multiple echos, multiple ecgs (going on around 20 or 30 now) a holter monitor, stress test, chest xray's, and the standard procedure blood tests like cbc, trop and the like when going to emergency doctors.
The only thing that came back was transient early repolarization which seems to go away when I'm exercising or anxious. Which I've been told is benign. I've read some nasty literature to suggest otherwise, but I found that it was a different kind of early repolarization to the one I've been documented with, something to do with ascending vs descending s-t morphology. etc etc. (I probably shouldn't be reading europace)
I've experienced these beats that feel "harder" than the other beats. I've had no adequate explanation for them and the cardiologist appointment for a follow up regarding the holter monitor isn't for another 2 weeks, I've spoken to him briefly to see if everything was okay, and he wasn't worried at all, he said just a couple of ectopic beats. The problem is, I know that I've had pvc's in the past, but these are not pvc's, they're not out of rhythm, there's no compensatory pause, and on auscultation there's no evidence of "skipping" or "extra beats". There's no gallop, or other murmurs, it's just literally a harder beat than the others, it sounds a bit louder on the stethoscope, but that's all I could really gather. That and my heart seems to go a tiny bit faster, but this seems irrelevant because it does so normally because of the respiratory sinus arrhythmia.
could it just be be anxiety causing this noticeable beat that I keep experiencing? or is it something else? It's driving me mad and I know I shouldn't be seeking reassurance (I have a diagnosed panic disorder) but I feel as though I should ask someone about this.
Thanks in advance