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dbranden
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New to this great site
Sep 01st, 2008, 6:49am
 
Hi,
I just recently came across this site and think I have finally found what I've been looking for! I have struggled with palpitations for over 5 years now, and have been looking for advice about how to move forward and live life instead of focusing on my heart.

As for a bit of my background, I am a 38 year old female, who first noticed some palpitations in my late teens. I had an echo and several EKG's and the only finding was RBBB. My 20's were basically palp free. It was only after giving birth at 31 that my heart went nuts. 20 minutes after having my daughter, my heart rate spiked up to 160 and stayed there. The doctor felt it was a blood volume problem. After several months of racing heart, it was determined that I had Inappropriate Sinus Tachycardia. Toprol did not control it well, so after a year I had an ablation. The ablation did not go well and I was left with a spot that was not fully ablated in my heart. My EF dropped fom 65 to 40 during this time, so a second ablation was performed and my EF came up agin to a normal range. I had 6 months of my heart feeling great. Then I developed bigeminy. Any time I get even a tiny bit stressed, excited, scared, whatever, I get a 1 to 2 minute run of bigeminy. I hate it. I also get it more and more frequently now if i exercise. During my yearly stress test I will always get it during the test until I reach a fairly high heartrate, then it seems to quit. I've been told to exercise through it, but it scares me and makes me feel uncomfortable.

And most recently I seem to be getting more frequent heart "flutters". They only last a few seconds, but send me in a panic.

So, I guess what I'm saying from all of this is that I am tired of running to my doctor every 6 months or so with different symptoms of palpitations. I would like to know what steps I can take to reduce them by diet, exercise, etc. Would regular exercise reduce the amount or frequency of the palps? I have basically put my life on hold the past five or six years, and I am fed up and ready to do whatever I can to mentally and physically get past these palps and the fear that they have caused in me. Thanks for taking the time to read this and I appreciate any input!
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RLR
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Re: New to this great site
Reply #1 - Sep 1st, 2008, 8:57am
 
Okay, I've read your posting and welcome to the forum.

I think it's a good idea for you to spend time perusing through the various postings by members here to gain some insight into the general perspective about how people respond to palpitations of the type being discussed here. Indeed, they can induce lifestyle changes that are sometimes very restrictive in nature.

I am aware of a number of cases in the literature concerning the onset of PVST following childbirth but it is not common. I am of the opinion that it is invariably tied to an event of childbirth that causes an upregulation of sympathetic stimulation of the heart or the restriction of necessary parasympathetic threshold. Think of the sympathetic nervous tract as the gas pedal and the parasympathetic nervous tract as the brakes. It requires a proper balance of these opposing nervous system functions to create cycles of normalcy in the human body in physiological response to changes.

There are also cases of persons experiencing this same complex following surgery of the heart, abdomen, gall bladder, etc. and even reports of palpitations or PVST following trauma. It stands to reason that a common characteristic in all of these examples has to do with rather acute or abrupt changes or damage to the physical structure that is proximal to the parasympathetic and parasympathetic nerve tracts. In other words, the same result can potentially occur from over-stimulation of the sympathetic tract or under-stimulation by the parasympathetic tract.

As for the ablation technique to disrupt it, I'm becoming more convinced that in some cases it represents treatment of the symptom and not the underlying cause. While it is scientifically evident that anomolies such as re-entrant nodes are developed within the heart that cause PVST to occur, it is far less likely that this could develop as a consequence of childbirth. It is, however, highly likely that the parasympathetic tract can suffer damage of some type during any of the above-named scenarios due to the fact that the parasympathetic tract innervates areas of the entire abdominal cavity and organs within, so it's proximity to the source is far more relevant.

What I will tell you is that your condition will not cause your heart to stop functioning for any reason. It's not on that order of magnitude and the normal pacer of the heart is, by diagnostic definition, quite healthy. So I would use this medical fact as a basis to undermine your fears that you may suddenly and unexpectedly experience a catastrophic event related to your heart. While the prospect of exercise may need time to develop more confidence, the basic nature of your problem is not life-threatening. You must employ logic to incorporate this into your daily life and realize that you are not among those with heart disease of any kind and the tests support this fact.

As for taking steps to reduce the frequency of palpitations, some basics are recommended; If you're a smoker, then the only advice that will work here is to stop completely to avoid certain risk. If you drink caffeinated products or eat products containing caffeine, they have a trememdous effect as a central nervous system stimulant and will work against any reduction efforts concerning the palpitations. If you are also experiencing any type of GI discomfort, ie constipation, IBS, etc, then getting these factors under control will demonstrate a corresponding decrease in the frequency of palpitations. Make certain to get quality sleep, at least 6 hours and preferably 8, the absence of which is directly associated with an increase in the frequency of palpitation events.

You're going to be just fine. We'll talk more and thank you for a very interesting post.

Best regards and Good Health







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Best Regards and Good Health
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beadbabe
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Re: New to this great site
Reply #2 - Sep 2nd, 2008, 3:49am
 
Hi there
I took exercise and it helps me a lot. I was a scaredy-cat about it - terrified in fact, but I feel great when running on the treadmill. I never thought I would say that and I never thought you'd find me in the gym. My family all find it hilarious that my idea of relaxation is to go to the gym. I'd like to reassure you that it is well worth a try at least for a few weeks (as long as your doctor says it is fine for you to take up exercise). My cardiologist recommended it to me to give me confidence in the strength of my heart. Well, I don't know about that but I do run 1.5 miles twice a week, and that is an enormous thing for me.

There are a couple of people at my gym who have serious heart problems, and even they have been advised that exercise is good for them. so if we have nothing serious wrong with our hearts, then we have little to concern us, and making that muscle stronger is in our best interests, physically and mentally.

I hope you can find the confidence to try it - find a friendly non-intimidating gym where you will get plenty advice and support, or find a friend and head out where you live!

I don't know why exercise helps anxiety but most people say it does. Perhaps rlr can explain why it reduces anxiety, and thus palpitations. Or does the exercise relieve the palpitations? I am going to put this in a separate posting because it is something I have been wondering about.

Good luck
bead
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Steff1573
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Re: New to this great site
Reply #3 - Sep 2nd, 2008, 6:03am
 
Welcome DBranden.  I am glad you found this site.  It is extremely helpful in understanding why we get these pvc's, where they originate from, etc.   Before I came here I had no idea WHY I got these.  I was told "You'll be fine, don't worry, you heart looks great."  BUT I still continued to get them, and we as humans get symptoms and want to know WHY, and automatically think they will harm us as we relate physical symptoms to disease.  And that is simply all we are taught.  Doesn't help those with anxiety disorders does it!

We are not usually taught WHY we get them and that is why RLR is here, to help us understand the "WHY'S."  

I like his analogy of calling the wrong phone number.  We call a number not thinking twice if we dialed the wrong number.  The signal goes across the phone lines and the wrong person answers the phone because we dialed the wrong phone number.  Well, we wouldn't think twice if we damaged the phone lines in regard to dialing the wrong phone number would we?  Absolutely no harm was done.  The same holds true for our hearts.  We gets pvc's as a result of parsympathetic and sympathetic nerve stimulation, which results in irritation to the vagus nerve, hence our pvc's.  (I hope I said this right RLR, but this is how I understand it).  And when this stimulation happens, we feel the extra beats, the strong thuds, etc and its variations are all over the place.   Whether we feel 10 or thousands no harm is done to our hearts.  It all comes from the same reasoning.  

What we must do as the folks feeling them is not let them get th best of us.  Try and focus on the underlying issues which is moreso the anxiety in our lives and how we cope with that!  Once we can get our anxiety under control, we can and will feel a lot better!

We are here for a reason on this forum.  We have been checked out by our physicians and told "we are fine."  If we did not worry even more about an underlying cause, we would not be here, right now on this forum.  But we are because we are worried even further about something being "missed or overlooked."  

Nothing is being overlooked.  Tests are based on a algorhythm scale.  This means it looks for certain criteria for disease and if none is present the test is truly negative (as RLR says).  We are fine, it's out anxieties over physical diseases that is contuining on with this cycle and telling our brains we are in "danger" hence turning on our fight/flight response.

We are not in any danger.  We all really will be okay, it's just a matter of telling ourselves that and truly believing in it.  

I hope this helps and a lot of what I am saying, I am quoting RLR, and I apologize RLR if I am not saying exactly as you would, I am trying to explain it as I understand it.   Smiley

Best wishes to you dBranden.  Coming here is the best thing you could have done as you work to better understand your condition.

Steff
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dbranden
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Reply #4 - Sep 7th, 2008, 11:22am
 
Hi,
I want to thank everyone who has posted a reply to me. I really appreciate it. I am spending some time today reading older posts on this site and am learning quite a bit. I am so ready to move on from the paralyzing fear that I have felt the past few years from heart palpitations. I have lots of digestive problems (had my gallbladder removed when I was 20, frequent bouts of gastritis, etc.) so I do know there is a strong connection between the stomach and the heart. I have been told that my skipped beats are benign several times, but it never quite seems to sink in I guess. The palps will present themselves in a "new" way that I haven't felt before, and then I am back at the cardiologist's office, looking for reassurance. It is a terrible cycle that I am very ready to break. I get angry at myself because I quit doing things that I want to do like swimming, riding my bike, and sometimes even playing outside with my daughter because I always end up getting bigeminy and skipped beats when I do these activities. It has affected not only me, but also my family.
I have gotten much reassurance just from reading the posts  on this site. Thanks to all!
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