Im going through same thing all of sudden at 23 after having a huge rage screams constantly for days after breaking my hand really bad punching a wall. My heart was going “pop” “pop” with my beats a couple times then stopped and kept doing this. Before i go to ER i tried drinking a juice much like Tampico with Vitamin C hoping it’d help, it made it worse. Happened first at 11:40 AM its now 2:47 PM all i could eat around here was peanut butter and that did not help at all. Starving at moment after what i did next. i was about to call an ambulance from the popping but out of fright and desperation last moment i did equal consistent gulps and guzzles of water. Id give it couple min, it be alright then it kept doing it again so i drank again, kind gulping one part of the total water in my mouth, letting it go down while more water in my mouth but i hold my breath for a second or 2 max WHILE gulping and pushing that water through my heart.2 normal water bottles later over the 2 hours I mightve made it now seems to have stopped its only been 15 min but best yet today since it happened, im saying all this just in case it can physically help and relieve you. Im starving to death now which seems to help relieve my symptom, curious if it’d be same for you. Looked up my issue saw this and now i just want to help you cuz you were experiencing more severe symptoms than me i havnt slept yet only my first day in my life this ever happened. For me it was after Screaming in Rage bad mistake ive never felt this in my life. But now starving and the popping stopped. For what its worth im 5”8, 125 ibs. (Horribly skinny always have been poor and underfed) and 23 old. So if you’re like me, try this. I dont know any other way to help i pray you please make it out of this. Love you brother may God help when nothing else can cuz thats the point i was about at.
More than likely you have had an echo done and your heart is structurally normal. You dont have heart disease so the risks you have for serious heart problems is very low. I have lived with PvC's, PaC's, NSVT, and bigeminy for years now and I am just fine. Your condtion is more than likely benign, listen your cardio doctors, they know what they are talkiing about.
I work in the OR as a nurse and there is nothing minimally invasive about an EP study. Especially when they shock your heart to make the abnormal rhythm occur. I have seen 2 people die from an EP study, granted they were 62 and 65 years old. When the doctor shocked the heart to make the abnormal rhythm occur, the heart went into V-Fib. They tried for 10 minutes to to get the heart back into a normal rhythm, and it never did. The patients both died from the same exact way. If the electrodes they place around your heart induce this bad rhythm, there is no guarantee that they can restart your heart back to normal. Ask your EP they will tell you that. Also it is possible that your vessels could be damaged and you could bleed to death internaly. There are risks involved with an EP study, at your age I would not do it unless it was absolutely needed.
I would recommend an EP study at least and then perphaps they can ablate the spot that is acting up. If a heart rhythm expert said you need one, why would you not listen to him? It seems rather rediculous to live your quality of life and then refuse a possible solution when it is offered. Having an EP study can at least let the doctor map the pathways and either assure you that there is no serious problem, or if s/he finds something, they can ablate it to try to fix it.
If you go on not knowing, you are going to drive yourself crazy. And I definitley wouldn't trust a cardiologist: they oftentimes don't know all that much about heart rhythm issues as symptoms and findings can be so ambiguous. Your electrophysiologist seems to be on the right track. He too is not soo concerned but he has enough reason to suspect that it COULD be something dangerous and wants to do a minimally invasive EP study to determine what is wrong.
In the mean time, I would suggest seeing a psychiatrist and talk about getting on an antianxiety medication as well as having a few benzodiazapine pills around for when you get really freaked out. Everyone is different but for me, I don't like to take antianxiety meds but do take a benzo from time to time when my palpitations are really acting up. It lets me stay cool and ride it out. Without the pills, i'd have missed too much sleep, gotten fired from my job for bad perfomance, etc.
Good luck. And you don't have an 80 year old heart. So many people our age have this kind of diseased heart.
Why get an ablation, which can have serious risks, sometimes even death if the cardiologists says that it is nothing serious. If you wore a loop monitor for a month and it did not show anything serious (it probably showed some PAC's , PVC's , maybe a short run of SVT) than it is not worth risking your health on an ablation. Sounds like an ablation is more risky than the heart problems you are having. If I were you I would start you on Celexa maybe 30 mg a day along with a regiman of Xanax 0.5 mg twice a day. That should calm you down and help your situation.
As the above poster touched on, you basically need to chill out. Anxiety will make your symptoms 10X worse!
I'd also seriously consider the ablation, it may provide you with the relief you seek.
I know it can be a living hell dealing with this kind of medical situation, but you need to relax and do everything in your power to put yourself in a better place, both mentally and physically.
Good luck friend and I hope things get better for you :)
Sorry you are having such a bad time, sorry too that I can't be of more help than you have already gotten from medical doctors. I do recall the one proposal for an ablation, you didn't however, state what the condition it would correct is. That knowledge will not help me much, but it may help me and others give more specific experience, such as ablation as or has not worked for them for the same condition. Ablation is a rather serious procedure, so one would not do that unless there was a strong reason, and it sounds like you have several reasons.
Has any one talked with you about anxiety? Emotional stress can/does aggravate heart rhythm problems, so one effort that may pay off is to be as calm as possible and try to distract yourself from thinking about your heart to see if that helps at all.