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First time pvcs??

Can anyone help on this please, this is my holter 24 hours monitor results is it normal?
1.good recording quality.
2.clear sinus arrhymia.
3.normal QRS complexes.
4. 2 isolated PVCs, no couplets, no runs.
5. no isolated PACs, no couplets, no runs.
6. no significant ST alterations.
7. no pause > 2.5 sec.
8. 406 episodes of tachycardia rhythm- i guess maybe due to panic?

I have irritable bowel syndrome and severe anxiety and panic disorder and i always have upset stomach due to GERD, but i haven't started on a medication yet for the anxiety, i stay awake al night and in the last week i begun having ectopic heart beats sometimes after sleeping for only 4 hours especially when i enter the REM state, and it wakes me up scared and  my heart starts to race and then calm down, my blood pressure is normal, i did heart echo and stress test all normal,  i've noticed that sometimes i have the ectopic heart beats when i hold my breath and when passing stool, and sometimes when i get up all the sudden and when i sit down all the sudden and when leaning forward, and I also have it when there is strong pain in my abdomen due to the IBS and maybe Gastritis, so my question is can pain or lack of sleep or anxiety or panic affect your normal heart rhythm and cause what I'm experiencing right now?? any help will be most appreciated and welcomed,
Thanks to you all, and god bless you all.


This discussion is related to Palpitations during sleep wake transition.
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86819 tn?1378947492
I forgot to mention maybe the most important thing is to get this diagnosed and/or talk to a doctor to get some reassurance.  You'll sleep better knowing what this is.  See a doctor if you haven't been diagnosed, and in the mean time try not to worry yourself to sleeplessness. Nothing you've said here indicates there is necessarily something abnormal or hazardous.
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86819 tn?1378947492
Hi. #8 does not look normal, but the doctor should have told you something about the tachycardia and you dont mention it here.  If it is sinus tachycardia, well that is basically an inappropriately fast heart beat, but the ecg signature is normal looking. So based on just the ecg, a fast heart beat could also be due to just anxiety.  If it is not a sinus tachycardia, I dont think I would assume it is caused by anxiety or even panic. Those may have an underlying physical cause.

Ectopic beats such as PAC's and PVC's are usually not a big deal, but it depends. Your doctor can help you understand their significance, but a lot of times they are not significant.

I was told once that ectopic beats seem worse if you are aware of them when you are asleep or waking. I have experienced this problem myself.  The little buggers would wake me up with a scare, and my heart would beat fast due to being startled.

The doc might be able to prescribe a beta blocker if you feel these too much. It might help you sleep, which would be nice if you are dealing with other issues too.

If you have already seen the doc and been diagnosed, for reassurance you could call the office with questions.
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