23 y/o M, insignificant cardiac history, family history unkown.
Well, the title does a good bit of explaining. A couple of weeks ago, I was sitting right here, screwing around on my computer, and I felt a fluttering kick in my chest. I sat up and thought to myself, "That felt like a PVC." A few seconds later, I felt another one, and another after that. They were irregular. To give a background, I've been known to throw PACs due to stress, caffeine, nicotine, and the like, but I've never had noticeable bouts of PVCs. This continued on for a while, and since it was of such rapid onset, and there was mid-sternal discomfort, I decided to go to the ER. When they put me on the 12 lead, I was looking at the monitor. Most of it was normal sinus, but then I started seeing irregular PVCs show up (They looked odd though, almost like they were sitting on top of a QRS). I believe they were unifocal, but I couldn't get much of a detailed glance at anything but the 3 lead because these brilliant people don't like printing strips. I also noticed I was quite bradycardic. My RR was hanging around in the low 40's for quite some time, and I was hypotensive with a diastolic in the mid to low 50's. It seemed I would brady down, throw a PVC, come back to a rate in the low 60's or so, then brady down again, ad nauseum. I also felt what could be regarded as sinus pause, and a few times I thought I caught it on the monitor, but I certainly felt it. The doctor copped it up to nothing more than palpitations and an athletic heart, but I have yet to buy that. My resting rate is usually 70 something. This was an acute onset that has continual persistence, it wasn't asymptomatic due to the angina, and later on, fatigue and occasional mild dizziness, and not to mention, I'm not a marathon runner, but am somewhat sedentary, so his diagnosis seems more like CYA mixed with end of shift syndrome.
Anyways, I had a 48/hr Holter done, and have yet to get anything back from these people, despite having called quite a few times. (They're well known for procrastination)
Until recently, I was consuming large amounts of caffeine via energy drinks, and was a moderately heavy drinker. I still smoke, but am working on quitting. I'm thinking this could either be some manner of node issue, or, heaven forbid, HCM. Either way, the last thing I want to deal with is the worst case scenario due to complacency by the doctors. I have a tendency to like living.