pvc's in throat, then short svt

[riverwide]

I have had pvc's for years and try to deal with them as best as I can.  Every once in a while I get a feeling that is very unnerving and was wondering if others share this symptom.  I will feel a fullness in the throat and then feel a drop in my stomach.  If I feel my pulse it is skipping every other beat and/or several at once, it's hard to tell which.

Then my heart will start beat quickly, not sure if it's anxiety from the pvc's.  I continue to have the fullness in my throat until I lie down and put my head a low as I can, like hanging upside down over the bed.  They will then stop in a minute or two.  Afterward there is a pain the chest and my heart rate will stay faster than normal for several hours.

I have seen many a doctor and there is nothing structurally wrong.
Does anyone have this feeling ever?

[herbee]

Absolutely ditto. Sorry it took me years to go to this forum and read what looks like the stories of MY life. Best wishes to all--for fewer pcs's and good health and happiness always.Peace out.  _/\_

@                                 ***@****  

[riverwide]

Thanks guys for the responses!  I just want to be clear, when I get this feeling it literally feels like my heart is about to leap from my mouth.  Almost like a choking sensation without the choking, if that makes any sense.  If this is normal then I will just accept it, but I wanted to make sure.

[itdood]

Right now I'm getting about 3-5 symptom free days followed by 3-5 days of 50-100 PVCs per day that I feel.  The days with PVCs there are no patterns.  They range from very light feeling to very heavy thuds.  I've noticed that when I get a "swarm" of them they feel very light.  The really heavy thuds happen as a very isolated event, meaning just one crazy thud out of the blue.

From 1-2009 until about 9-2009 I was getting 2,000 to 5,000 per day that I could feel.  They would be really bad at night.  I was sleeping on average about 2-3 hours per night of very broken sleep.  I was getting documented patterns of couplets, bigeminy, trigeminy, and every 4th beat in addition to what is called isolated-frequent (meaning a lot of them but not in any particular pattern).  

I did have one event in 2009 during which after exercise I had a PVC throw while my heart rate was at about 140.  I'm pretty sure I had a panic attack at that point because after reading too much online I remember thinking holy f#%! I might go into vtach or something.  When my pulse hit 190 just from panic I felt a long burst of what I can only assume were PVCs.  This lasted about 5 seconds, during which time my pulse ox jumped to a heart rate of 256.  On it's own everything stopped and my pulse went down to 137 and stayed there.  A co-worker had called 911 and I went to the ER in an ambulance.  I was ashen by this point.  My arms and hands were numb.  Nothing wrong could be found.

I no longer monitor my pulse during exercise and I have not had another episode like that since.

[is_something_wrong]

The symptom you refer to is completely normal, both in the setting of PACs and PVCs.

In the setting of a PVC, what happens is what Itdood described. In the setting of a PAC, the same can happen, if the premature atrial complex occurs while the ventricles aren't finished pumping blood out from the previous beat. The drop in your stomach is possibly the next normal beat, that is somewhat powerful due to the little pause after your PVC or PAC.

This is normal heart activity. After a premature beat, short runs of rapid heart rate (sinus tachycardia) is not abnormal, due to the what-the-h***-was-that-effect ;) In the setting of PVCs, the heart is supposed to speed up a little afterwards. It's named heart rate turbulence, and it's used to calculate heart disease risk. High HRT = a good thing.

[riverwide]

Thanks for the response.

How often do you get pvc's?  Do you get several in a row ever?
How do you experience them usually?

[itdood]

Yes, some of my PVCs produce those weird throat sensations and feelings in the abdomen.  Other feel different   This has to do with the timing of the PVC.  A normal heart cycle is rather complex.  In the course of about 300 milliseconds there is a lot going on.  If the ventricles fire out of sequence, such as in the case of a PVC, all manner of weirdness can occur.  It will feel different depending on when it occurs in the cycle.  Generally they can happen early, middle of late.    If it happens early, there's not too much blood in the ventricles yet.  If it happens late, there's a lot of blood in the ventricles.  The feeling in your neck and stomach are the result of pressure changes due to the premature beat.  Remember that your ventricles move most of the blood.

When a PVCs occurs the atria and ventricles are working against each other because they are contracting at the same time.  The ventricles will overpower the atria and slam valves shut as the atria are still contracting. Since blood cannot move into or out of the atria at this time there's no place for it to go when the ventricles push.  You will feel this as a pressure change and the first place for that to go is the aorta (neck and abdomen areas).  

The quick beating afterward sometimes happens to me, sometimes it doesn't.  I don't read much into these feelings or sensations anymore.  I guess because I understand them and I can dismiss them, but yea I used to monitor the heck out of myself.  A little knowledge is a dangerous thing as they say.  Understanding the complexities of it helped me cope.