NSVT out of the blue on "perfect" pvc-free day

[Dolor_]

Lets start from the point that I have got confirmed record of NSVT that lasted few seconds, an 11-beat run on a holter monitor. I think I have already few NSVTs more, but I hadn't had holter then. I had numerous holters after the one that recorded NSVT, and none of it could catch it again, only few PVCs (max amount about 120) sometimes in bigeminy form. All the tests (echos, stress tests, blood works) have always came back normal. One exception is stress test that have been called due to high blood pressure, when I have reached about 10 METs, but without single PVC or PAC.

I am trying to deal with it for 2 years. There are better times, and sadly there are worse ones. What happened last time (yesterday) is really worrying me. For the last 2 months I am l going through the "better times" I have mentioned before, which means that I have almost no PVCs at all 1-2 a day is max, lots of days totally clear. And suddenly, without any warning, today I get NSVT. Again it lasted seconds, went away as quick as it came, but really scared me and I know it was NSVT, for someone who feel every single PVC, run of NSVT is trully nightmare, and there is no way that it could be mistaken with normal but much faster heart beating.

Now I am trying to calm myself dhttp://www.medhelp.org/posts/new_with_new_subject?forum_id=92#own, but I cant help thinking about it, askig why this is happening... What worries me most is that when I am going through bad times (hundreds of PVCs a day lots of them with bigeminy form) I feel really bad, tired of this, unsure, feared etc BUT I have never had NSVT then, the "worse times" somehow never ended up in driving to NSVT.
And now, when I feel perfect, heart works fine, BP and HR are totally normal, when I am starting to think, that everything is gonna be allright, that finally I am able to deal with my all heart issues, health worries, all this heavy stuff... BOOM - there comes NSVT, in moment I haven't suffer a single PVC for 3 days. I can't find anything in web, medical articles, I mean anything about case like mine that is the ratio of PVC/NSVT, about someone who doesn't have much PVCs, his/her highest number is few hundreds a day (which I know is not considered as huge amount of PVCs), but still his/her heart is able to go into NSVT. I read about people having thousands PVCs a day, burdens of 30, 40, 50 percent - sill NSVT-free. And it all leads me to conclusion, that something is really wrong with my heart, and soon it is going to end really bad for me. This is really draining all my will to live, no matter how strong I can feel before it happens :-(

[MichelleP_3811]

Who you are has nothing to do with your body or physical strength.  You are a soul having a human experience.  All of us are just trying to get by with the lot in life we have been given.  Some have perfect health while others do not.  It does not make you less of a person so try to avoid defining yourself by some standard that quite frankly doesn't exist.  So you are not a physical person that doesn't mean you don't have value in other areas.  If I were you I would spend some time focusing on those things that you are good at.  Odds are your grandparents have done physical labor their whole lives while you have not so you are simply not conditioned for that kind of work.  It doesn't mean you would not build up some stamina if you did it everyday.  The point is where you put your focus is what you will get in life.  The more you put yourself down for things you are not the more you will feel bad about yourself.  No one wants you to feel bad about yourself.  You deserve to feel good about who you are.  If this is a real struggle for you then maybe consider seeking counseling.  You are a valuable worthwhile human being who has much to offer the world. It's really not fair to you for you to think otherwise.  Be gentle and kind to yourself and life will treat you the same.  Take care.  

[Dolor_]

Thank you very much, again. I think I needed some words of reassurance, and it is so good to have here someone like you, michelle and is_sth_wrong.

At this point, I don't know what actually makes me upset - the fact of NSVT coming up itself, or the state of mind it has driven me into (biggest failure of mine). Few days ago I have felt so strong, self-confident and ready to face my deamons anytime, anywhere AND?  A little, short NSVT-punch has knocked me down cold, and here I am with all my strength and self-confidence left in the past, and its not the first time everything is going according to the same scenario.

There are too many things I can not understand - for example I have got two stress tests, both came back normal, without SINGLE PVC nor  PAC... but how can it be helpful, ressuring, if I had gone to the countryside last weekend to help my granparents on their farm, and to every physical activity (lifting not so heavy bags, putting some toolboxes on uppershelfes)  my body has been responding with PVCs making me feel like an old, weak useless man and my grandma right next to having tons of energy more than me? We had to make breaks in work not because she felt exhausted (she should as shes almost 80), but the one, who needed to sit down and take a breath was me? Sure, there were hot outside (really heavy weather here in Poland, 36-37'C since 1st of Aug) but should it be excuse for me, 29 year old guy? Now thats really depressing...

Just like if my body would play some silly games with me and my mind.

[MichelleP_3811]

I know how scary this can be but there is only so much you can control.  You can't control how your heart is going to behave but you can control how you react to how your heart is behaving.  How you react can have an impact on how your heart is acting.  The more you stress and fear about this the more you will trigger ectopic beats.  If this is driving you to a point of losing your will to live I highly recommend that you go and talk to someone.  That is no way to live.  You deserve to be happy.  The truth is we will all die at some point but if all your tests have come back normal odds are extremely high that your heart will handle any nsvt fine and revert to a normal after only short runs so please do work on the fear this is bringing up because that will be more debilitating to your health and well being.  You deserve to be happy not spend your days hyper focused on your heart and what it is doing so just go and talk to someone who can help you with your fear.  Stay strong.  All signs point to things being in your favor.  Take care.

[is_something_wrong]

The "PVC to NSVT ratio" does not have anything to do with if your heart is healthy or not.

Some people have couplets. Some people have runs. Some people only have singles. Some people have their singles in different patterns like bigeminy or trigeminy or other patterns.

Exactly the same is the case with supraventricular ectopics, although repetitive ectopics (couplets or runs) are more common if they are supraventricular; in fact, most people with a certain number of supraventricular ectopics have some short runs of SVT.

PVCs can follow several mechanisms, and if you have an "irritable spot" in your heart (increased automaticity) you may have one, two, five or eleven beats in a row if the spot decides to fire. The important thing is that your heart is healthy, and after several tests you already know it is. A healthy heart can handle NSVT just fine.