Hello everyone,
This is not the first time that I post about this theme, it's a kind of update.
Since a few months ago I am having episodes of anxiety / panic attacks with fast heart rates and frequent PVCs/PACs, sometimes in bigeminy. The panic attacks are not a new thing for me, I'm kind of "used" to them, but now they're getting a little more frequent. All of these episodes of bigeminy occurred after some panic, except one that came just after swimming. But even that one could have been caused by panic, I probably felt the first PVC and then booom.. they came in a row.
I've had a few EKGs and a Holter this year, echo and stress test last year, blood tests, they were all fine. (but none of these episodes were caught on Holter). I went to a cardiologist and explained exactly what I felt, I told her it only happens with fast HR, but she told me that it's ALL caused by my anxiety and that I'm perfectly fine, but to be honest that's hard to accept.
My big question is: Is it possible that you have PVCs and Bigeminy with panic but not with exercise when your heart is beating fast? Are the mechanisms different? What's the difference between a fast rhythm caused by anxiety and a fast rhythm caused by exercise? Is it the amount of adrenaline? This is the one question which intrigues me.
Thanks