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Avatar universal

Palpitations, panic disorder, excercise

I would like to know why it is during activity as simple as walking up the stairs makes pvc's and pac's more noticable?
Can you reccomend any books that deal with panic/pvc's..
I have had panic disorder many years...fast heart rate was a common complaint but in all my years I never noticed the skipping til one day I was ehausted and dehydrated..
I am getting better and have learned to ingore them..I still do tend to notice them after excercise.
I have just come to the conclusion I have probably had them but neve noticed them before.
I am managing panic/pvc's without medication but it is so hard when your heart is racing close to 160 bpm...(I did use xanax for 6 months but do not liek the way it makes me feel fater use  but did help the panic)
usually it is brought on by hypervigilance or misinterpretting normal body sensations..
I have had echo,ekg holter and all tell I have healthy heart...my bp is wonderful(110/65)normal resting pulse is around 75 and I am 28 year old female...
my bp does go up (160/100) but quickly recovers but my pulse takes longer to come down...is that typical....?
I just wanted to hear if you have any experience/theories on panic/pvc's and is it normal to feel more aware of pac's after/during excercise?
my pcd keeps pushing paxil and tells me I am doing this to myself....
thank you for taking the time...


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Avatar universal
I have been slow in thanking Lavendar and now Wendy for your response. I am really grateful for taking the time to respond.

I think there must be a lot of people out there like us going from doctor to doctor. I agree it is great to have a site like this to share experiences with. Just last Thursday I was sitting in my office and suddenly off it went again. I took a small dose of a beta blocker, a zanax tablet and sat in the loo for three quarters of an hour until it calmed down!!! Worked fine although when I came out half the office was looking for me!!!!

Keep well.

Tokyo Joe

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Avatar universal
I have had a similiar experience and have been trying to find out if I have anxiety (panic attacks) or PVCs/Sinus Tachardia.  I have researched, questioned cardiologists, psychiatrists, etc.  Everyone one of them has their own theory. Diagnoses through the years include: PVCs, PSVT, Inappropriate Sinus Tachardia, anxiety attacks, panic attacks, just a "nervous" person, etc.  Last June, my heart would just take off racing - no reason.  I went to my cardiologist (a new one) and he put me on a 24 monitor.  The next morning, I was reading the paper and relaxing and all of a sudden, my heart rate when straight up.  I was relieved this happened while on the monitor.  When I spoke to my cardiologist, he asked me if I felt anxious or I was running up stairs.  I indicated to him that I was relaxing and reading the paper.  On my monitor, my heart rate was 158 bpm.  Pretty uncomfortable.  He started me on Tenormin 25 mg to slow the heart rate.  My psychiatrist has been on Klonopin and Xanax and wants me to take Celexia.  I have not decided whether I want to try it or not.  I really think these doctors just diagnose what their medical speciality is able to.  I believe it can work both ways, anxiety kicks up the heart rate (out of the blue) or the heart rate hikes up, inappropriately, and causes the alarm system in your body to go off, i.e., panic attacks.  It has taken me almost a year to get it together.  My heart rate would soar going into a mall.  Anxiety or inappropriate sinus tachardia?  I get anxious going into a social setting.  I believe we train our nervous system to react to certain situations and we then panic.  In addition, last year my heart would race after I ate.  That one, I have a hard time figuring that one out.  I went to a nutricianist, maybe it was low blood sugar.  So, I try to watch the foods I eat as well.  If you find out anymore information as to anxiety vs. sinus tachardia, let me know.  I will continue my search for an answer as well.  Stay well.  I hoped this helped you and others out there.  I know finding this website and helped me tremendously.  I do not feel like I am alone anymore.
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Avatar universal
In response to Tokyojoe,

I have something very similar and have had it since childhood but only on rare occasions, excerise has been a trigger along with sneezing or bending down.  My heart rate will be fine then just race to over 200 b.p.m.  I was told they were just palpitations and that they were normal, then I had an episode last year which wouldn't stop and I ended up in hospital.  After this I was referred to a cardiologist and have had a 24 hour and 7 day ECG and heart scan and everything came back ok, although the palpitations have never been on record.  Since I live in the UK and I'm being treated by the NHS they discharged me after these three tests and said that they were guessing that my palpitations were SVT as they were so fast and in which case it isn't dangerous, and because my attacks only happen once a month no-one will treat me for it as the treatment is more dangerous.  He also said that they may get more frequent over time and in that case I should come back but until then there was nothing he could do. Hope this has been some help to you, I know how frightening it feels, keep your chin up.  Lavender
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Avatar universal
I have been living with panic attacks for about 10 years but I had an experience around one week ago where I finished playing squash and then my heart rate would not reduce to normal for about one hour. I relaxed at the gym until it came down to about 70 and then when I got up to go, suddenly my heart raced to about 200+ for about one minute and I felt like my whole heart was shaking.

As I was worried, I did an echo and EKG and chest X ray and all is normal although during the treadmill test the same kind of post exercise attack hapenned except the heart rate rebounded only to around 160 this time.

The doctor says it may be that my nervous system is fragile and sends off a panic signal when my heart rate has been too high. He does not think this is SVT because my EKG shows that the increase in heart rate is a little bit gradual and he says in case of SVT my rate would go straight up to the maximum level. I had been taking a little bit of Xanax at the time of the treadmill test so I frankly would be surprised if it was panic and I think these are SVTs or something else. Support for my view that it is an SVT is that when I massage my neck (as the doctor told me to do if it is SVT), the rate does tend to decrease when these types of attacks occur.

Has anyone had similar experiences and know how I can tell definitively what is hapenning to me? How do I know whether this is panic or SVT?


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Avatar universal
Hi Y'all,
I was diagnosed with PVCs about 4 years ago and definately panicked when they first occurred!  They went away after about two weeks and I was told they would re-occur.  In August I had been working hard outside in the heat and had several stressful (minor)things in my life.  The PVCs returned with a vengence! It seemed like every other beat skipped.  I started doing research and noticed that magnesium and potassium were mentioned as contributing to a regular heartbeat.  I did not drink enough fluids(except coffee) and don't like bananas or drink much orange juice.  I began taking a dietary suppliment of magnesium(250Mg) and Potassium(99mg).  I also focused on drinking more water.  My heart beat returned to normal in two days.  Except for an occasional blip now and then (usually when I worry about something) it has been fine.  I also drink more fluids, half water and half Gatoraide when working in the heat.  I do exercize, running three times a week, lifting weights and yoga.  I have experience numbness in the two outside fingers of my left hand, and face and pain inside left elbow and forearm and shoulder.  I sleep on my left side and have attributed that fact to left side and back nerve problems.  If I go to a chiropractor regularily and get my back adjusted, these symtoms go away.  I am 55 years old and both parents are alive with no heart problems.  I can definately sympathize with anxiety and panic attacks, having had several which caused me to go to the ermergency room with chest pains, etc.  I expect PVCs now so am more prepared to deal with them and they are never painful, nor do I get naseous or short of breath.  I have had sress test, EKGs, and a procedure were I exercized on a treadmill to boost my heartrate(after one of my panic attacks) then laid on my right side while they did an ultrsound of my heart.  Everyone said my heart is fine, so I am trying to belive them and reduce anxiety via exercize and yoga.
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Avatar universal
Gdday,

Am I glad that I came across this web site.  I had experienced a skipped heart beat over the years I thought it was normal and nothing to worry about....most likely right.  Just 2 weeks ago I had my first irregular heartbeat which would not go away....scared the heck out of me and raced off to a doctor and then emergency where I was eventually cardioverted.  Since then I have suffered panic attacks and of course everytime my heart or my chest feels funny I think I am about to die.  I know this is not the case and have not gone into an irregular beat since the big event but still I suffer the panic attacks as it seems there is some doubt in my mind which builds and builds.  Can I just say thankyou to all of the people who's messages I read today for the first time and I now know that there are others like me and it seems people who comfortably live with the condition.  Just good to know I am not the only one in the world.  I am 37 and have lived, I thought a fairly healthy life, was extremely fit as a child and now walk for an hour, chin-ups, dips, pushups everyday and have had the opportunity to travel overseas and found myself in a number of serious situations.  I can say I think it is much easier to deal with a short term threat to my life, say a mugging or accident where the threat comes and goes quickly, than it is to do with long term stress which is what I have had over the past few years.   Once again thankyou to you all for leaving behind an excellent resource for newcomers like me to learn from......Andras
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