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ectopics getting worse (Read 10142 times)
beadbabe
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ectopics getting worse
Jun 28th, 2007, 1:23am
 
Hi there
These ectopics are driving me to distraction. I am having them day and night again but this time even worse than I thought they could get. they are getting worse and worse - how bad is is possible to have them and remain without problems. If they are going to be every other beat forever for example, how is my heart going to cope?

They happen every time I move - stand up, sit down, lean forward, move my arm. any of these minor everyday non-athletic movements causes a run of 10 or more beats that then take ages to settle into a normal rhythm. If I lie very still in bed, I can minimise them to maybe one or two irregular beats per minute, but the minute I roll over to get comfortable another run is triggered which won't go away until I change position.

I met a cousin of my husband's the other day and she has had palpitations for 11 years but once had to have an injection in hospital to stop them. what is that? And I thought palpitations weren't dangerous? I keep reading about ectopics triggering a-fib - what is that and is that dangerous? If my ectopics are pvcs aren't they going to trigger something worse in the ventricles like ventricular tachycardia which could lead to something fatal? sorry I can't shake these thoughts and GPs don't seem to be able to answer my questions - nor did A&E last time I ended up there.

Please help. I am so distressed by all this.
I am working really hard on my anxiety with CBT every day, and taking SSRIs (not working yet). But I just have so many unanswered questions that rattle around my head.
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saab
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Re: ectopics getting worse
Reply #1 - Jun 28th, 2007, 2:32am
 
Really sorry to hear that things are so bad at the moment. It is absolutely terrifying when you are trapped in the cycle of palpitations and anxiety. I know you are working on your anxiety and hopefully the tablets will take effect soon.

Have you thought of seeing a cardiologist privately to help to put your mind at rest? I rang Bupa once and the cost of a resting ecg with a doctor (not a cardiologist) was £35. I think a cardiologist then looks at it. I think it is about £100 to see a consultant. I didn't get one in the end because the anxiety lessened, but sometimes it just helps to hear a second opinion. Of course, you could end up going from doctor to doctor until you find one who will confirm your catastrophic thinking that you really are ill. I did feel a bit like going back to the doctor was pandering to my anxiety, but when you feel really bad you sometimes just need that reassurance.

Do you feel them in your chest or pulse or both? After Christmas when I started feeling them in my chest I would sometimes take my pulse and could not feel them despite the chest 'flipping' feeling. That suggested to me that even though I felt like I was having ectopics I was just having stress pains or anxiety tension, even though it felt the same as the sensation when I did have missed beats in my pulse.

When you are really anxious you are so totally tuned in to what your body is doing that every little sensation is magnified.

If it helps, I read on another heart forum a reply from a cardiologist about ectopics - it was the same as RLR says - he had never seen a case of benign ectopics leading to cardiac arrest when the heart was structurally sound and not diseased. There were people on that forum who were having thousands a day for 10 years or more. He went on to say that if PVC's etc were that serious they would treat them much more aggressively - ie with pacemakers and such - because US doctors are so open to litigation that they wouldn't want to risk not having treated a problem.  I'm not giving you the web site name, you'll just make yourself worry more! I really hope you feel better soon. Best wishes.
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beadbabe
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Re: ectopics getting worse
Reply #2 - Jun 28th, 2007, 6:09am
 
The awful thing is I can feel them in my chest every time they happen (well perhaps not all - who knows) and they can be confirmed in my pulse as well. I do know what you mean about that funny feeling in the chest too when everything is normal.

I've already seen a private cardiologist but it has cost a fortune and I do want to ring him just asking - are you sure, are you sure, are you sure you're sure, all the time. Which probably would not endear him to me very much!!

Can these heart problems really cause anxiety? How does anxiety affect the vagus nerve or is it all down to excess adrenaline? Sorry even more questions.

How did your anxiety get better, saab?
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saab
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Re: ectopics getting worse
Reply #3 - Jun 28th, 2007, 12:07pm
 
When I feel really anxious about my heart I go through all the times I've been told I'm okay (by different doctors, of course, because one could be mistaken!):

- by a consultant after my emergency overnight stay in A & E
- by my GP (who has a cardiologist friend who I think looked at my results)
- after another ecg which I had because I was still anxious
- by the anaethetist who did my second op
- several times by the consultant who did my second op; she was great and I trust  
 her opinion
- by the doctor on duty overnight after my second op, when the nurse got him
 because she noticed the heart monitor readings. He was young and had tachycardia
 himself after exercise. I asked him if what I had was as serious as what he had -
 he said no, and he had decided not to let his problem spoil his life.

Make a similar list. (This is CBT type stuff). What are the chances of a serious heart condition going undiagnosed by so many medics? They will have seen heart arrythmias that are serious and know the difference between a serious one and what we have.

I can't put my finger on why my ectopics stopped (or seem to have). All I can say is to keep working on the anxiety - I am sure my anxiety fed my ectopics. The anaethetist said they stopped during the op - if I had a serious condition they wouldn't. Lots of different tests by different doctors can't all be wrong, can they?

I have felt just like you feel - it has taken a long while but I am much better. I used to think I would give anything to be my self again - now I almost am. You will get better - be reassured by what you read on here from RLR and keep on with the CBT. Eventually the anxiety will lessen and, ectopics or not, you'll be on your way to recovery. Best wishes.
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beadbabe
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Re: ectopics getting worse
Reply #4 - Jun 29th, 2007, 1:28am
 
Hi Saab
thanks for your tips they are much appreciated.

My problem is that GPs are quite dismissive, I have only seen one cardiologist who knew his stuff, and the A&E people were dismissive too because my ectopics didn't show up on the really short ecg they take (about 10 seconds if that) and my really awful palpitations episodes of 20 minutes or so have always disappeared by the time I get there. so only one doctor I feel took me seriously has told me they are okay but mind says he may be blase and have got it wrong.

Doctors have got it wrong with me before back in my twenties when I had constant dizziness and they told me it was stress. It turned out to be a neurological problem with my left eye which ultimately a neurologist told me was mostly caused by multiple sclerosis. Quite different problem to stress - and several GPs told me it was stress. Anyway, it didn't ever become MS (I don't quite know if it ever will after 11 years) but now they tell me they don't know why I have that problem.

I wonder if RLR knows if an episode like that can flare up years later (even though no demyelination was visible on MRI). Perhaps even flaring up on the same nerve in the brain. The eye movement was left permanently damaged. But often my eyes are very jumpy and (although they are telling me it is anxiety) I still maintain it is my eyes that make me dizzy a lot of the time. (Not always though because I am dizzy with my eyes closed too - perhaps this bit is anxiety.)

What a mess my head is - I can see how CBT will help eventuallly. But in the mean time it is raising more questions than giving me answers.

thanks, saab, I hope to be like you one day!! Kiss
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saab
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Re: ectopics getting worse
Reply #5 - Jun 29th, 2007, 6:51am
 
I initially thought that all my anxiety was heart-related, but looking back now I can see it started with other things. I became generally more anxious after being ill during my first pregnancy, then we had a car crash when he was 3 months old (fast motorbike crossed road and hit us). During my second pregnancy I developed an ovarian cyst which was removed at the caesarian. Then they found another one and I had two years of going back for scans - and it was never good news - until they operated, I was pretty ill, then they found the ectopics. Cue two years of misery. Can you see how you have a similar history of on going medical problems? Plus, having something misdiagnosed is going to make you expect another misdiagnosis.

So - point being - because of all this I now expect any medical thing to be a major illness. I don't wait to find out - I just assume the worst. CBT calls this 'catastrophic thinking'. And when it isn't diagnosed as fatal, I find it hard to accept. I should be jumping for joy that all I have are ectopics because of course there are people with real serious heart ailments who would love to have my problem.

When I went for my ecg to put my mind at rest about my anxiety, like you say, the leads are only on for 20 seconds. But remember it is as much about what they don't see as what they do - they didn't see a heart defect, they didn't see heart disease, they probably didn't see any ectopics. The other forum I look at had a doctor say that they don't necessarily need to see the ectopics to make a diagnosis. The heart must be the most researched part of the human body, I reckon, so I think it is the bit least likely to be misdiagnosed. If there was even the slightest sign of anything, they would send you for more tests.

Keep working on the anxiety. Eventually, peace will come. I used to say over to myself - relax, you're fine, it'll pass. It always did. Best wishes.
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Kathryn
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Re: ectopics getting worse
Reply #6 - Jun 29th, 2007, 8:04am
 
Anxiety irritates the vagus nerve because you tense up, your acid in your stomach gets irritated and you end up with nervous indigestion, it's not good for your body to be constantly in a state of anxiety!

You really need to try to relax, I know it can't be easy I'd struggle myself, but stress long term is really not good for you.  Have you evaluated your diet, you should keep a diary and then when you get bad times like now you can look back and maybe there is a link/irritation.  Tiredness doesn't help.  
Make sure you drink plenty of fluids (not caffinated, fizzy or alcohol) as you may think you drink enough like I did but it turn out I was slightly dehydrated.

You also need to stop fighting them and just accept them, it's not easy but that helps, you are still here aren't you????

Hope you feel better soon, do something you really enjoy and be determined not to let them bother you,

Kath x
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