Hi there, I have a weird situation going on with my heart that I've had for the past 5 months or so. I am male, 22 years old with no family history of heart problems, only high blood pressure and stress/anxiety problems. I am mildy fit (5' 10" about 175lbs) and work out about 2 to 3 times a week. Before the problems started, I drank pretty heavily on the weekends, about 8 beers a night and also smoked hookah. Over the course of having these problems, I have ceased all alcohol, smoking, and caffeine intake. Sorry but this story is quite a long one, I just want to make sure everyone knows all the details, so bear with me.
Back in January of 2012 I came down with strep throat and was prescribed Erythromycin. The next day I woke up with pains on the left side of my chest and constant heart palpitations about once every 4 to 5 minutes. I was taken off Erythromycin right away and put on Cephalexin. They also did an EKG but all results came back saying I had a healthy heart. For the next few months I was still having chest pains, random palpitations, etc. This was quite concerning for me and was constantly believing I was going to have a heart attack. I went back to the doctors and they referred me to a Cardiologist. The Cardiologist did an EKG and ECHO and all results were normal. Later that week (end of March), I was in Seattle and had a night of heavy drinking with a few friends. The next morning after about 5 hours of sleep and having a full cup of coffee, I proceeded to have 3 very scary panic attacks. I fully believed I was having a heart attack. Thankfully my friends were able to help calm me down but the rest of the day my chest was very fatigued and I was on edge.
I once again went back to the doctors and had an EKG done and once again the results were normal. During this time I was finishing my undergraduate degree in aerospace engineering so it was a very stressful time with all of my projects, tests, and heart concerns. I constantly had panic attacks but since I had been cleared of problems I was able to mentally calm myself down and keep them from getting out of hand. As time passed and I graduated earlier this month, the panic attacks subsided and I have been able to remove almost all stress. With this new found calmness and relief, I decided to get back to my exercising schedule. This includes working out daily since it is the summer and relaxing/running errands in the afternoon. Unfortunately after working out, the palpitations returned. I also had a weird feeling of a heartbeat in my throat. Once again I returned to the doctors and they had me complete a stress test (all was normal) and referred me to a counselor to deal with any sources of stress. Specifically today, I went swimming for about 2 hours and then went to the gym for about an hour doing heavy lifting. About two hours later when I was sitting on the couch watching tv, I had a series of heart palpitations which scared me greatly. I have since calmed down but am still a bit on edge and my chest is a bit fatigued now.
I believe that covers all of what I have been experiencing. My question is what could this possibly be? I have been all over the place, attributing it to gerd, stress, anxiety, the works. I just want to get back to my old lifestyle without the constant heart concerns. I eat healthy, exercise, and have cut out all caffeine, alchohol, and smoking. Should I stop lifting weights and switch to light cardio? I'm hoping the palpitations are just from stress from heavy lifting now. Should I get any blood tests done? Check my thyroid? I really don't know what to do. Any advice is appreciated, I just want to remove the worry and move on with my life! Thanks for listening.
Many people are able to capture an "event" by wearing the "Holter" which is normally done for just one 24 hour period. I have worn a monitor for a longer period in one such study done on me. I think I wore the monitor for two weeks, day and night - took it off only to take a bath. That showed I had what was already known, Atrial Fibrillation, and it showed during the period I did not have PVC/PAC or other problems.