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ectopic heartbeat

im 24 old and i have suffered from health anxiety for 6 months, ive been to a and e because my heart was skipping too many beats the paramedic said nothing serious though, got hospital did about 5 ecgs when heart was beating 150 per min then it would skip beats even skip constantly 3 hours later the nurse said i was fine to go home, ever since then ive had ectopic heartbeat either occassionally or now and then, how do i stop worrying over them?
Best Answer
1124887 tn?1313754891
First, my most sincere sympathy. I know what you're going through and I know it's awful. I'm suffering from health anxiety and cardiac neurosis, so I'm quite familiar with this.

Ectopic heart beats are (as you probably know) heart beats that origin somewhere else than your sinus node. They are almost always benign, but feels really scary. I would recommend you to read my post "facts about PACs and PVCs" that I wrote a couple of weeks ago.

In my opinion, worrying about cardiac events is worse than, i.e, worrying about cancer. The problem is; you feel an increased heart rate and/or skipped beats, your worrying will cause higher heart rate and more skipped beats, more anxiety, and eventually you will feel like going crazy or having a heart attack. A minor underlying condition (such as stress at work) can trigger this, and it's greatly elevated by your anxiety about symptoms.

I can give you some useful advice:

1. You need to accept that your symptoms are caused by anxiety and not heart disease. Always. It's a bit strange, because ectopic beats don't necessarily (though they can) occur during an anxiety attack. They usually appear after you've calmed down (or you believe you've calmed down since you in fact haven't completely). Your adrenaline levels are still high, making your heart believe it has to beat faster than it does. Since it doesn't, other spots in your heart would like to "help" as well, causing those extra/ectopic beats. I get mine after, not during, a stressful day at work, or before sleep.

2. Anxiety won't harm you. You won't faint, your blood pressure during these events is far too high (not dangerous).

3. Trust your doctors and avoid reading cardiology (believe me, I've got burned on this one)

4. If you get high heart rates, focus on counting backwards from 400. Do not count with the speed of your heart rhythm :)

5. Trust the fact that in a structurally normal heart (without congenital heart disease or heart attacks / MI), ectopic beats will not cause more dangerous arrhythmias.

Good luck:)
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Avatar universal
ive tried researching on the internet and reading about them made them worse, they're scary and im on my own all day til 7 at night just worries me in case something happens, they go for days and then suddenly come back. if there is 3 extra beats will the heart miss 3 beats?
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Avatar universal
Are you on sedative for you anxiety or anti-D's and if so does it lower you heart rate.

The best way I can say is use good relaxing methods to calm down I like music it helps to calm me. If the Dr's say you ok it proberly is but if you have other symptom that are not anxiety related talk to your Dr. Dont eva let people tell you its anxiety if you have real symptom and dont convince your self you sick when you not. It a balanceing act, can be hard but you dont want to go as far as me and talk your self out a real problem. if I had beleaive my Dr I would not know I have tachycardia right now cause I was diagnoised at 25 with OCD and general anxiety and depression and since 2007 Post tramatic stress disorder my recent sysmptoms were passed off anxiety for over 1y till got my self a pulse watch for the gym and discover the tachycardia, Dont research if it make you worse but dont ignore all your issuse look at as anxiety but it you know your trying your hardest to get over it dont be afraid to ask for help anti D might help or anti anxiety. Trust the evidance the truth dont let you head make up or add issues.
Helpful - 0
1124887 tn?1313754891
No - those "extra beats" are really just early beats, dependent on how early they are after your previous normal beat, they can either be percieved as "no beat" or a double beat (depending on if your heart is filled up with enough blood to make a pulse wave).

Your heart does not beat more or less.

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Avatar universal
i was on beta blocker propanolol 1 daily, i dont like taking medication so doc said i can stop taking them and to relax more, i had second child 9th october 2009 and had massive haemorrage and worried everyday i was going start bleeding again so that caused me to have  panic attack, ive got no other symptoms just get the palpitations when anxious or start thinking bout my heart. i did ecg when my heart returned to normal by heart specialist he said i was fine, what is tachycardia and how do you know you had it?
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Avatar universal
what did the paramedic mean by saying its not unusual for the heart to miss a beat but yours is missing a few, surely if there was anything wrong the a and e wouldn't have let me home
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Avatar universal
my question is how do you know your skipping beats often skipped beats sensation is really a extra or early beat and I've read thay often have little to no effect on your health. if you just feeling as if you're skipping beats try to ignore them. I have lived with that feeling most of my life and ignored them till recently when I started feeling like crap. Even now that feeling does not seem to be a symptom linked to my new problem I can seperate my anxiety symtoms from my tachycardia its hard and I use my BP monitor and my pulse watch to help me as well.

If you've had the test and nothing wrong then trust the Dr but if something was happening and your still worried ask your Dr why you should NOT worry ask for the evidance that shows you whats happening to you is not going to hurt you. your intitled to the info that says the Dr are right. Just dont let your self convince your self of things that are not true. You need to face you fear but not ignore your right as human to live healthy is a chalangiing idea but health is like food you cant learn to ignore it and avoid it like alcohole. It some thing you need to learn to balance find a good anxiety chat room thay helped me heaps.
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Avatar universal
tachycardia is a heart rate between 100 and 200 beat per minute I wear a pulse watch during the day in moniter my heart when i feel bad I check it to see if it my anxiety or real 90 % of the time it real I can get to 185 just walking slowly. sitting my pulse is around 80
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1124887 tn?1313754891
It means that everyone have some ectopic beats during a week. If you monitor 100 people during 24 hours with ECG, 80 will have at least a coupe of "missed beats" (ectopic beats, the "missing beats" term is very incorrect). At least 10 will have hundreds to thousands of ectopic beats. During a week, almost everyone have them.

During anxious times, it's common to "miss beats" (to use this incorrect term) several times a minute. It's not "textbook normal" as anxiety is a kind of disorder, but not dangerous!

If you get to the ER and there is ANY clues of cardiac disorder, they will NOT let you go home!
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Avatar universal
oh now i understand the term missed beats and what he said, ive read loads of peoples forum who get "missed beats", if he had explained this then i wouldn't of got so worked up at hospital, i thought he meant my heart was literally skipping loads of beats but i assume he meant i was having pvc's in a row?
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Avatar universal
thats why you should never be scared to ask question that will put you mind at ease. Speically with your Dr.
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Avatar universal
r9c
Hi,yes i have to agreed with is something wrong comment,if theres a clue or evidence that something might be wrong with ur heart rhythm they wouldnt have just let you walk out of the A&E,they would have performed more test on you just to make sure everything is on the safe side,beside having an ECG test,have u done any other test ? like stress test,echo or even a 24 hour holter.
Helpful - 0
1124887 tn?1313754891
It's very important to get the terms right here.

No, I don't assume he meant your heart had PVCs in a row. I assume he meant your heart skipped some beats (in other words, ectopic beats) several times with normal beats between, causing an irregular rhythm.

Anyway, those "skipped beats" during anxiety attacks with high heart rate are usually PACs, not PVCs. Runs of PACs may occur. If you had runs of PVCs, your doctor would NOT let you go home as this is a condition that needs more examination.

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Avatar universal
how do i tell the difference between the pac and pvc
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1124887 tn?1313754891
You can't, except when being monitored on ECG. It usually doesn't matter, though, as both are usually completely benign.

You should read my "facts about PACs and PVCs" post, though, I've written some ways to tell the difference there.

http://www.medhelp.org/posts/Heart-Rhythm/Facts-about-PACs-and-PVCs/show/1215807
Here is the link.

Be careful though, and don't get completely obsessed with this. An important strategy to get over this is to trust your doctors and not reading too much cardiology topics:)
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Avatar universal
just had ecg, because the doctor was happy with it she said they were normal, how do i tell the difference between PVC and PAC
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Avatar universal
what does the term benign mean? i wasnt told what was happening to me in hospital no one said its this or that, 2 be honest i was too scarred to ask,there were people there having heart attacks and there i was having a panic attack i felt a bit embarrassed after going for something so little, is it time to stop worrying now and ignore them before i start having more panic attacks, ive read its common for people with anxiety to think they have a undiagnosed problem with their heart, People say cut back on acohol and smoking and caffeine,i dont drink or smoke and have 1 cuppa tea a day i get ectopics BUT my partner drinks used to smoke and has more caffeine in his system than anyone cuz he drinks loads of energy drinks and has no ectopics?
Helpful - 0
1124887 tn?1313754891
The term "benign" means "not dangerous".

Here is my recommendation:
Order a 30 minutes consultation with your GP. Use this time to ask your doctor all the questions you have (write them down before you visit him). I think you need this, because the hospital has given to little information, and you are afraid. You need to get this explained in detail from a medical professional, to get it out of your mind. Follow this advice, it's important.

I'm completely sure your partner have ectopics. The problem is - only 20% notice them. I monitored my girlfriends pulse and found 6 PACs and 1 PVC. She was completely relaxed, in bed. (I know this is not the best activity to do in bed, but yeah, I'm cardiac neurotic;) She noticed none of them.
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Avatar universal
did you have a stress test or other test or just an ECG while laying flat. Anxiety or not if it were my heart I would not be able to fully be ok with my heart doing anything strange. PVC's are mostly benign YES but they can be a warning sign of other stuff going on as well. if you have other symptoms and have not had a stress test I would at least ask for stress test. Please dont let your self think to much use distraction to take you mind off it.

If it is anxiety ask for some meds to help you.
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Avatar universal
How did you know the difference between PACs and PVCs while feeling your girlfriends pulse? What do they feel like in the pulse? I think I may feel them in my pulse from time to time, but do not quite know.
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1124887 tn?1313754891
You can't be 100% certain, of course.

If you count your heart rate, and it's like:
1---2---3---4---5---6--------8---9---10 (just nothing where the 7th heartbeat should be, and beat 8 is where you would expect it to be, as if nr 7 was there) it's possibly a PVC.

1---2---3---4---5---67-----8---9---10 = PAC.
1---2---3---4---5---6------8---9---10 = PAC (beat nr 8 happens before you would expect)

Again, do not get obsessed with this, you can never be sure and it really doesn't matter if it's a PAC or PVC.
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Avatar universal
PVC is premeture ventricular contraction PPPPPPP being premeture  as in early not late or not existant.

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Avatar universal
only had ecgs, only one was normal on the way to hosp. then when got there my heart was racing skipping beats and couldnt get normal ecg, i was in for 3 hours and the doctor said i was fine to go home, ive seen a heart specialist when on beta blockers and ecg was fine he said its definately anxiety, ive asked my doctor what they are she explained and said because heart specialist was happy with ecg she was too they are normal, its taking time to get used to them, i think if anything was wrong they wold have kept me in.
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Avatar universal
what is the thump in the chest feeling is that a pvc or pac? or both
Helpful - 0
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