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palpitations

I suffer from severe heart palpitations (female - age 39).  Five to six times per day I feel funny things going on in my heart.  Sometimes I get three hard beats followed by a pause and then a thump. Other times I just get a thump and yet other times a fluttering feeling.  I have been through every test imaginable and the doctors cannot find anything wrong with me.  They once caught a short run of v-tach on a holter monitor but I have had two EP studies and they could not induce anything so they told me not to worry.  I WORRY!!!!!!  I have read terrible things about v-tach and it really scares me to think that my heart can go into this rythum.  They say that I am super sensitive and too tuned into my heart.  Who wouldn't be when they feel all of these weird things going on?  Do you think the doctors could have overlooked something with all of this testing I have had done - or am I just making a big deal about nothing.  These things have really taken over my whole life. Should I really be ignoring all of the bumping, thumping, fluttering etc?

I was prescribed atenolol years ago (which I go on and off) - I hate being on any drugs.  I have very low blood pressure (90/50).  I started on 25mg of atenolol but I get terrible headaches and my heart still skips like crazy.  I thought atenolol was supposed to help people with migrane headaches as well so I can't understand why I get the awful headaches when I am on it.  Would 50mg of atenolol not drop my blood pressure too much?  I have heard of people that are taking atenolol that say their palpitations have stopped completely? Why some people and not others. My EP doctor said I could try mexitil if I really wanted to but it was not necessary (I think she was trying to pacify my because I have become such a nuisance worrying about these things).  I am too scared to try mexitil as well though.  I would like to try to get to am American Heart Clinic (one such as the Cleveland one), but I don't know how a Canadian would go about getting to be seeing in one.  I live in Calgary, Alberta, Canada.

Thank you for any information you can give me.

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238668 tn?1232732330
MEDICAL PROFESSIONAL
Dear Caroline,

You raise some good points in your question.  Palpitations can be very troublesome to some individuals.  We don't know why this affects some more than others.  We do know that the vast majority of these sort of palpitations are benign.  So I think in your case knowledge is the best weapon you have to fight this.  There are many postings on this site of individuals dealing with the same feelings you are having.  I would encourage you reading through these. You are not alone!  Some people dealing with the same thing have kindly posted their email addresses and you can contact them directly for additional support.

Medications such as beta-blockers and mexitil can often help with palpitations but many people do not want to take chronic drug therapy.  There are many recommendations for dealing with palpitations in a "natural" manner on this site as well. So I hope this helps reassure you.  Good luck.
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Avatar universal
Do you think the atenolol would drop my blood pressure too low?  Isn't it dangerous to have blood pressure that is super low?

Thx.
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Avatar universal
Hi -- I have the same problem with atenolol -- it induces headaches even at a low dose.  I'm currently at 25 mg once a day, and I still get headaches about every other day.  My doc doesn't think there's a connection to the beta blocker, since these medications are used to combat migraine (which I've also suffered with).

I can't tolerate 50 mg. of atenolol because I start passing out from low blood pressure, and 25 mg. is helping somewhat.  Not as much as I'd like (like enough to make the palpitations go away completely!), but it's the beta blocker that I tolerate best.

On the palpitations -- I have much worse palpitations (PVCs and PACs) since I had open heart surgery.  Again, my doc believes that I'm simply more tuned in to my heart than before the surgery.  I don't think so.  3,800 a day seems to be a lot to me, and I know it wasn't nearly this extensive prior to mitral valve and ASD repair.  But, the bottom line is that they've done all the tests up to and including EP studies, and these are benign palpitations.  So I'm getting used to them and working on not letting them bother me, mostly through a mental dialog when they occur. It's taken some time -- six months or so -- to be able to not freak out when I have intense PVCs.

Just wanted you to know you're not alone.  I think the docs are often at a loss of what to do when it's clear the weird rhythms are benign, and yet so bothersome and frightening.  It's not that your doctor doesn't take you seriously, I don't think -- it's more that completely controlling the rhythms via medications may create other problems, like your blood pressure dropping too low, etc.  So, on the whole, learning to live with them, identifying what triggers them, etc., is a safer road to take from a medical standpoint.

Hope this helps.

Shannon

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Avatar universal
Following a heart attack, my cardiologist perscribed 50MG of Atenolol.

I already had a relatively slow heart rate, and the Atenolol reduced it into the 30's in the morning.  I also felt like passing out, if I got up from a chair quickly.  I had a difficult time exercising, because it was difficult to even sustain a heart rate of 100 bpm, and it seemed counter-productive.

After a couple of months I reduced to 25 MG.  I found that it was much more tolerant, if I cut the pill in half and took 1/2 in the morning, with food, and one half in late afternoon.

After about 4 months, I quit taking the afternoon half and now only take about 15mg per day.  This dosage is still very effective in lowering my heart rate and I believe it has been quite beneficial in my recovery.  I suffered heart rythm problems for about 3 months, but they only come now when I am anxious and/or put substances in my body like caffiene, alcohol, or sugar.

I do believe that long term therapy with a small daily dosage of Atenolol is very helpful for people with heart muscle damage and/or rhythm problems.  I do think that 50MG is way too much for an active person.  

Bill



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Avatar universal
I started taking atenolol for pvc/psvt about 2 mths ago....i had terrible headaches. my gf (who is a pharmacist) said that although most docs wont tell you so, this is a common side effect and that it will diminish over time...it did in my case...headache free now.
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Avatar universal
Hi Caroline,

I suffer from PVCs, about 5000+ a day (as caught on a Holter).  I feel every one of them, very disturbing. I have had many tests, all normal.  I was on Inderal for a while, but the side effects outweigh the benefits.  My cardiologist says I don't even need to be on any drugs, that I am fine.  OK, I finally accepted this after 4 years of testing and panic over it.  Recently, I adopted an exercise regimen.  I take 4 martial arts classes a week.  In addition to this I take some taurine/magnese/magnesium supplements my doctor recommended. The drop in irregular heart beats has been amazing!  There are some days I only have a few!   Previously, I had quit smoking, caffeine, tried drugs, nothing worked.  But exercise did!  Just my 2 cents, it worked for me, maybe it could help you?

Peace,
Christine
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Avatar universal
If a Doctor reads this:
I know we are not supposed to post this way, but I really would like an answer to a question.  What is the normal QTc interval for a 13 year old female?  It .423  too high or too prolonged?
thank you if any one replies
This child has no symptoms of abnormalities, just an occasional skipped beat,  pvc's.
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Avatar universal
I have been on atenolol for over 10 years, and have taken varying dosages (my major side effect has been dizziness, not headaches, by the way)  Currently, I take 50 mg/day, but in divided doses - 25 in the a.m., and 25 in the p.m.  This seems to work great at controlling my palpitations, and since I also have naturally low blood pressure, this dose has been more tolerable than taking it all at one time.  Hope this helps.
Please know that there are lots of us out there who suffer with these darn things -- I mostly just ignore mine now when they occur, or take a deep breath and do something physical!!  Good luck.
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18954 tn?1314298117
Pam
Hi, Caroline,

I'm in the same boat.  I'm 49, tho, and mine started last year when my son and father were very ill at the same time.  They stopped for a month after my father died, but then started up again.

I have PAC's and the Holter monitor showed 2400 and the doc said they were benign with no evidence of heart disease.  He also said if they were under 8000 per day, it was OK.  They never showed up on EKG's until recently when I had a routine EKG before breast surgey (just another stressor to throw on the pile!).  This time they showed up and on the pre-surgery chest
X-ray, my heart was a bit enlarged altho it was still within normal limits.  A second cardiologist looked at all this and said it was no problem-have the surgery.  Well, I freaked!  

I just had a 3rd doctor look at everything over the past 2 years and he says he sees nothing to worry about.  I'm obese and need exercise but I've been scared I'd drop over dead!  Anyway, I am having an echocardiogram as I have never had one and he wants to view my heart.  I have all the symptoms of mitral valve prolapse but no murmur, but then I've heard if you are obese and/or "well-endowed", the murmur might be heard to detect, so if it's there, I guess the echo will show it.  

Anyway, I too decided to try some supplements.  I had been taking no vitamins at all and didn't eat right.  I got a book on the heart, The Miracle Heart, by Jean Carper.  She talks about what the various supplements do and some are good for the heart muscle specifically.  I've been taking magnesium, potassium, Co-Enzyme Q, Vitamins E and C, Calcium and fish oil capsules.  I've been taking them for 3 weeks and can feel a difference.  "They" aren't gone as I can feel my jugular vein and feel them periodically.  But, I don't "feel" them as much in my chest so they don't bother me as much.  Don't know if this is the reason, but it seems to be working.  

Like they said above, you are not alone.  I think we need a separate arrhythmia Board to support each other as it is scarier (even scarier to me than my possible breast cancer!).

Take care,    Pam
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Avatar universal
Hi.. I am new to this web site..I have started having what I describe as my heart "flopping" in my chest in the last 4 months..I talked to my Dr. about it and he thought maybe it was caffeine..So, I eliminated all caffeine and alchohol..don't smoke..and I am still having the "flopping"..ALOT..I don't take any medication at all except I am on a hormone therapy patch..Vivelle.01..have been for about a year..Why would this start now???  Any suggestions..I will make another appointment with my Dr....
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Avatar universal
hi Caroline,

My name is Cathy and I am 30 years old.  For the past 3 years i have gone through hell with the very same symptoms you are having.  I was amazed when i read your letter because it sounds so familiar. I gone through an EP study and now I am on a medication called Tambocor in which I need to come off of. Please contact me at my e-mail address.  We can talk about this more if you would like.  

I look forward to hearing from you.
Cathy

E-mail: ***@****.

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Avatar universal
Hi, I have these same feelings.  They are horribly scary.  Sometimes I have like 20 feelings in an hour.  All my tests have come back normal, too.  But now, all of a sudden, I found out that my thyroid is overactive, so my doctor is saying this is the reason.  I don't know, but I do know that I absolutely hate these flip flops, they scare the *#*! out of me!!!   Any suggestions?  I'm only 35!!

Thanks,
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Avatar universal
I am so glad I found this forum.  Does anyone out there get a lot of feeling of skipped heart beats one after another?  I went to bed last night and I felt a flip flop, then another flip flop about two beat later.  I rolled over to the other side and it kept flip flopping for about 3 minutes (I think it was about every other third beat).  Needless to say I was horribly scared and got out of bed to go downstairs.  It stopped doing it then but it sure scared me a lot.  Does anyone else out there get these flipping flopping sensations a lot of times in a minute or two?  I have been to the doc and they say they think they are pvc's and not to worry.  It is really controlling me.  Please respond anyone that feels the same thing.

Thanks!!!!
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Avatar universal
I am a male, age 57, and I have irregular heart beats from time-to-time.  It causes me to reach for my chest because of the sharp pain that results.  I have had an ekg and treadmill test with good results.  My doctor, who I respect, believes it is nothing to worry about.  But I do!  The pain does not last.  I have early stage peripheral vascular disease.  My legs swell at the ankles and I have regular leg pain.  The doctor says to stay off of my feet and elevate my feet.  I would have to retire to do that.  Any comments?  Thanks
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Avatar universal
Does the tambacor help your skipped beats?  I was also prescribed it but was a little worried about going on it.  Why are you going off it?
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Avatar universal
Glad to have found this site. I call the feeling I'm experiencing a "fluttering" and my doctor told me they are called PVC's. What does PVC stand for? (I forgot to ask and went to the Internet in search!) I've read the comments of others and am reassured that I am not alone. My PVC's were picked up on a Holter monitor, after nothing showed on EKG or treadmill stress test. Beta-blockers are an alternative, but my doctor is not pushing them. After reading comments by others, I think I'll wait. Questions: What does the abbreviation PVC stand for (vs. PAC) and are there any theories as to what causes them? (other then caffeine or alcohol?) Many thanks for any feedback.
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Avatar universal
I'm very glad I found this web site and enjoyed reading the previous comments. I have been searching for an answer to my heart problems for 11 years and I have been to 5 different doctors with 5 different results. I've had numerous EKG's, 5 echo's, 1 treadmill stress test, lots of blood work and more...I was originally told nothing was wrong and that I was too hyper - I gave up caffeine, alcohol, sugar, ginger and anything else that I could find that was a stimulant and have not touched them since!! I still have the fast heart rate, "Fluttering" feelings and skipped or missed beats (PVC's and PAC's). I take Atenolol 25mg and I have naturally low blood pressure (as low as 90/60 at one point). I have found that a little more that half a pill at night and half of a half in morning works best for me. I was told by my second doctor that I had MVP and some back-flow of blood to the upper chamber. One doctor hears a systolic click and one hears a murmur (1/6). One doctor says PVC's and one says PAC's. My latest doctore/internist did an EKG and has diagnosed me with atrial flutter and PVC's - this doctor, like all the others, has said that these conditions are benign and I sould not WORRY!  I was also told I had atrial flutters by the EMT's that came to my house one night when I was having a heart rate of 180 beats per minute with fluttering feelings. They saw a atrial flutter on the EKG screen while monitoring me. These problems also scare me to death. My medicine has help in the severity of the fluttering and missed beats but has not stopped them completely - like I had hoped! Good book for the definition on PVC's is the Yale University of Heart book.  You can access this by type "Heart" for a search word and the Yale book will be one the choices that will come up. You can view the whole book on screen. Boy, I feel better knowing I'm not alone with this problem.
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Avatar universal
pvc = premature ventricular contraction  pac = premature atrial contraction
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Avatar universal
What happens "in the heart" to cause a PVC? And what is it that we should be looking for in terms of going back to the doctor? PVCs have been diagnosed; I'm not sure now when to call my doctor--hate to keep asking her my questions. Have had the stress test, worn the Holter monitor. Beta-blockers, as I've read, can have side effects/or no result. So, do we just live with these things? For those of you who have managed to do just that, what kind of mind/body work do you do? Also, any vitamin/mineral supplements that anyone has found to be useful? Many thanks to any info anyone can pass along. Boy! These things can be annoying! I guess reassurance is what I'm in search of.
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Avatar universal
Kathy,

I too experience these PVC's in runs that can last for mintues at at time.  I had a terrible experience about a month ago where I had 6 different episodes all in within a few hours and each episode lasted a few minutes.  It felt like they lasted for hours though!!  They finally all settled down and by bedtime I was only having occasional missed beats.  It scared the heck out of you though!!  I absolutely hate these things.  The doctors all say that there is nothing they can do and that I just have to live with them.  On bad days, I sometimes feel like I can't live with them though.  I teach school and have two young children.  I am such an independent, outgoing person and when I'm having these episodes I become just the opposite!!  I just want to go home and crawl into bed until they stop bothering me.  I'm also a long distance runner and it scares me to death now to go on runs by myself.  I'm so afraid that I'll have an episode while I'm out on a long run by myself!  It is nice to have this forum available.  When I'm having a bad day it always helps to log on and listen to other people.  I wish you the best Kathy.  I just wanted you to know that there is someone else that experiences them in "runs" as my doctor calls it.  Take care!

Marie
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Avatar universal
I, too, suffer from heart flutters, which can be very disturbing. I tend to notice that they are much more common at night when I do to bed.  Would love to know why that is the case.  I can go all day and hardly notice them at all.   They seem like a sudden rush; and feeling seems to come up into my throat.  Sound familiar to anyone?

These flutterings have bothered me off and on for years not; they will disappear for months (sometimes even years), then for no apparent reason, they will reappear.  To this point, my doctors have not found there to be any problem with my heart.

Is it safe to be unmedicated for these conditions?

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Avatar universal
Last October I began having pvc lastings several minutes several times a day.  This lasted for a week and went away for a few months.  Then reappeared for a month and dissapeared again.  Needless to say each time it comes back it feels longer and more severe.  I go through the days now without hardly ever feeling my heart beat "normal".  I have had the 24 hoour monitor and they told me I had some occurances (I beg to differ) and that I was just very accune to my heartbeat.  I was told not to worry that it was just benign and they threw in some xanax to calm me when it really acts up.  Thanks for informing me of atenolol and beta blockers, I will look into that.  Thanks for helping me feel better.
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Avatar universal
I'm a 37-year-old female. My heart is doing flip-flops even as I'm typing this. Mine started several years ago. Then, it was just an occasional flutter every now and then. A couple years ago, I had a bad episode when I got home from work one day- it flopped around for a couple hours- I just laid on my bed and it really scared me! Since then, I've had 2 EKGs from two different doctors and they both assured me my heart is fine and palpitations are "normal". For the past year or so, I haven't been bothered by them at all, but now, 2 days ago, they started up again. This has been the third straight day and my heart's been flopping and fluttering almost continuously. In fact, my chest now even feels somewhat sore, like when you've overworked a muscle. Does anyone else feel this? This is more than an annoyance...it's very scary! I'm a single mom and I keep thinking what if I'm about to have a heart attack? I'm very overweight and am desperate to lose, but like another message-poster, I'm afraid if I start exercising, I might drop dead!

Does anyone know what exactly causes these?
Can they be associated with anxiety and/or depression?
If it's "normal", why doesn't everyone have them?

Thanks everyone for listening.
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Avatar universal
Someone mentioned their palpatations happened when they went to bed. I experience these usually early in the morning as I'm waking up or getting out of bed. Also, they seem to happen more frequently when I lay on my left side. My sister is a nurse and she mentioned that your blood pressure lowers when you lay on your left. I'm not quite sure how that relates though. Anyone experience these unique situations?
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