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Ectopic beats have me VERY scared! (Read 19409 times)
Ella
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Ectopic beats have me VERY scared!
Nov 23rd, 2010, 6:28am
 
I went for a walk earlier today. I stopped in a shop for a few mins and i got a giant flutter and thump in my chest. Walked it off, wasn't too woried then again **FLUTTER** ...THUMP! I managed to shrug it off somehow.

Got home and reached up to grab a plate **FLUTTER**...THUMP X3!!! In a row. Got a bit worried after this if I'm honest. In the next 5 mins after, I had another one. 20 mins later, I had a very strong awareness of my heart beating in my neck, lump like feeling in throat and mild chest pain. I got REALLY REALLY worried.

Rang my doctor, said I can come down tonight at 6.30. I am so scared though. Keep thinking I have a deadly arrhythmia that hasn't been picked up. I've had many ECG's (The last one was about 4/5 months ago) an ECHO, 24Hr holter, chest x-ray's etc... How likely is it that these symptoms are down to me having an arrhythmia? I can't think sensible, I really can't. Just keep thinking I'm gonna drop dead!
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Stav98
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Re: Ectopic beats have me VERY scared!
Reply #1 - Nov 23rd, 2010, 7:48am
 
I'm no doctor but I'd say pretty much zero.  If you had a deadly jobby then the odds are on you'd be....well dead!

RLR has posted on many occasions (and it's something that has helped me endlessly), that we, as sufferers, only know what we feel when these things happen.  From a medical professionals perspective they look at dozens of other 'things' (symptoms that are / aren't there) to see make a diagnosis.

From what I can gather from my time on this board, and discussions with my own GP, a key part is around conciousness.  A 'proper' issue surrounding the heart will:

1.  make you drop dead on the spot
2.  cause significant 'crushing' pain/discomfort
3.  make you pass out

Note for point 3 there's a distinct difference from feeling 'wobbly' like you're going to pass out and...well doing so.  However, even this isn't the be all and end all.  I myself have passed out due to a panic attack (combined with heat and being dehydrated).

If your heart isn't functioning properly then there will generally be a 'block' to proper flow of blood and oxyden to your brain and other organs causing 'big issues'.

This needs to be separated from your body going in to flight or fight mode in the event of panic/anxiety where your body releases all kinds of funky chemicals that can make you feel 'wired'; some of these causing your body to redirect oxygen rich blood to your muscules in preparation for running away.  This is (as I understand it) one of the msot common reasons for feeling like you're going to pass out as there's a general drop in blood pressure (oxygen) to the brain.

The symptoms you mention in your post are very similar to my own (historically), and others on this board.  99% of people will also tell you that their bangs, bobs and flutters evolve over time to feel different and cause a different effect (on you).

Honestly I very much doubt you've got anything to really be worrying about.
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Ella
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Re: Ectopic beats have me VERY scared!
Reply #2 - Nov 23rd, 2010, 8:32am
 
Thanks for the reply stav. I really appreciate it. I don't usually get myself worked up about ectopics as I get them from time to time but usually singular, not in 3's and 4's. It really has scared me. I can't see sense as to why, if I'm apparently fit and healthy, (So my doc says) then why do I get them so intense? I asked my sister if she gets them and she was like, "No, Don't think I do", I'm 22 and she's 36. I thought if everyone gets them from time to time then surely she would had felt atleast 1? Maybe some people just don't feel them? I don't know.

They stress me out big time. They caused my first ever panic attack as I thought I was dying! Ugh! I wish I had a Magic wand that I could use to take these horrible beats away from everyone that sufferes with them!

Rant over.  Undecided

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Ella
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Re: Ectopic beats have me VERY scared!
Reply #3 - Nov 23rd, 2010, 11:40am
 
Went to the doctor. Feel worse to be honest.

Told him what happened he said I'd need to have the palps caught on a holter to be able to see if they were anything to worry about. Despite having all of my other tests.

He said my pulse was quite high 113bpm, but I always get anxious when in the doc surgery, it's only 85bpm now.

He asked me when my appointment with the cardiologist was (he referred me to another cadi a few months ago, he's a specialist) I said May and he said " If you have a serious heart problem you could be dead by then" I nearly cried.

He sent me away with a prescription for new beta blockers as the other ones didn't agree with me.

Forgot to mention, when I came in and told him what was up he asked me if I wanted him to send me to hospital... I said I didn't know, that's what I was there for to see if it was anything to worry about.

Told him that it could just be my anxiety and he said, "But we don't really know, which came first the chicken or the egg..." WTF!!!? I feel sooooooo sad and scared now!!!

RLR, can you help in any way?
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Stav98
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Re: Ectopic beats have me VERY scared!
Reply #4 - Nov 23rd, 2010, 12:17pm
 
I'd suggest changing your GP by the sounds of it!

My OLD GP was much the same.  I'd suggest that if there was anything to worry about they'd have sent you to hospital without a thought so I'd not be too concerned about that.  Maybe somebody had a bad day!
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AbbyH
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Re: Ectopic beats have me VERY scared!
Reply #5 - Nov 23rd, 2010, 12:59pm
 
Oh My!!

You poor thing, your doctor does not soind very nice at all.

Hun, you are 22 years old. You've had an echo with no abnormalties and that's the main thing you need to keep in mind. ALL Palps are benign in a structually normal heart. You've had all the tests. I get the same Flutters you do some days too. You do not have some type of arrythmia thats going to make you drop dead. To be honest after all the tests you have had, I cannot believe your Doc would scare you like that. My own Doc did 1 EKG and said if I want to have more tests I can for peice if mind, but he does not feel it is nessicary.

Please do not worry yourself, you are just fine Smiley These things just like to present themselves in different ways. Gosh I want to go kick your Doc for doin that to you!!!

Feel Better

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emma09
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Re: Ectopic beats have me VERY scared!
Reply #6 - Nov 23rd, 2010, 2:32pm
 
ohhh you poor thing, change ur doc, only reason hes saying them things is to cover his own back. I am 23 i have probs 50 plus dodgy beats a day i went to the doc the other day and he praticlly dismissed my palps and said there nothing .... ur doc sounds awful i bet he isnt very clued up in anxiety/panic. dont get ur self worked up hun ul be fine xxx
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RLR
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Re: Ectopic beats have me VERY scared!
Reply #7 - Nov 23rd, 2010, 2:33pm
 
Okay Ella. I'll first comment by telling you that I have little regard for physicans who would address a patient in such a manner and I suggest that you seek someone more mature and capable.

The second point I'll make here is that you must realize that you're painting yourself into a corner. You continue to believe that something is wrong with your heart and you have prodded this physician until they respond in a manner that graphically and erroneously lends weight to your fears.

Now I'm going to tell you this and you can either stop your present direction and listen or you can continue to run head-long. I've been a physician and specialist for more than 40 years, which is almost twice as long as you've been alive. There is nothing wrong with your heart.

You are experiencing benign vagus nerve-induced palpitation events as a consequence of significant anxiety and stress. These events do not originate from within the heart at all, nor do they constitute some kind of warning sign that something is wrong. I have encountered literally thousands of patients who demonstrate the very same symptoms and in all my years in practice, I've never once even heard of a single patient ever subcumbing to any type of cardiac event or risk to their heath whatsoever. Not even once.

Now it's time to get a firm grip on yourself. I also note that you stated your doctor commented that he "needed to catch the palpitations on the holter in order to rule them out as anything serious" and this paraphrase very ironically reels in direct conflict of my comments regarding the holter test and tend to support almost precisely to the word your own notions.

I will once again for the last and final time tell you directly that we do not need to observe this type of event to determine its nature and while guests and members here are free to accept or reject information provided on the forum, I do not have the luxury of time necessary to debate perspectives. If you believe that these palpitations are placing your life at risk and that they need to be recorded to determine their nature, then you must take this position entirely of your own accord and assume the consequences which arise. I am unable to rescue someone from themselves.

When you're ready to become grounded in a logical approach to your situation, I'll be more than glad to help offer you insight and guidance. You have to realize that you're not alone in your difficulty and there are hundreds of members and guests to this forum that have never even once encountered any true risk or suffered a single cardiac event as a consequence of benign palpitations. Your instance is no different than theirs in any regard.

Best regards and Good Health


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Best Regards and Good Health
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Ella
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Re: Ectopic beats have me VERY scared!
Reply #8 - Nov 24th, 2010, 4:29am
 
Thanks for your replies everyone. I am definitely going to change my doctor. It's the second time I have seen him after my Mum told me to see him as she's been going to him for over 30 years. But I don't know what happened when I seen him! It really scared me! Feeling better today though, no ectopic beats yet which is good.

Thanks for replying RLR. You have really helped me in the the past and present. I know the doctor saying that they had to be caught on an ECG is coincidental to what we were talking about on another thread but he DID really say it. His exact words were "Well, we'd really need to be able to catch one of your funny turns on tape to see what exactly is going on" I explained to him that I already had a holter monitor and then he proceeded to read the report from it againa nd said "I see it showed 3 incidents of sinus tachy where your heart rate reached 168bpm" I explained that I had exercised on 3/4 occasions throughout the day (as I was advised to but the cardiologist) and that probably explained it. He just said "It's quite high, but maybe". You can see my frustration with this man!

He then prescribed me with Bisoprolol Fumarate, Emcor 5mg to take 1 a day, and wants to see me in 2-3 wks to see what effect they will have on me. I'm nervous about taking them though, as I was taking Inderal at the start of the year briefly and had to come off them as I got terrible headaches and dizziness. Should I go back to him and discuss, get a second opinion or just not take them?

I understand your explanation very well about not having to catch the ectopics to know that they are harmless. It's just highly frustrating when GP's such as the one I seen last night tell me different. But I know that what you are saying is right.

He's sending me to see an Electrophysiologist (I think that's how you spell it!) he referred me in August, I got my appointment and they said that he (The Electrophysiologist) reviewed my files and he just wants me to come in for a routine appointment in... May!!! Which my 'lovely' doctor told me last night that I could be dead by then, charming! My doctor said he would do more detailed tests... How more detailed, I've had 30+ ECG's, a holter, Echo, Chest X-Rays... so I don't see any method to his madness really, but he's causing me a lot of worry.

Kind Regards,

Ella

x
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AbbyH
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Re: Ectopic beats have me VERY scared!
Reply #9 - Nov 24th, 2010, 5:03am
 
Ella,

EP Studies are usually for those with severe palps, VT and SVT. None of which you have from what I have gathered. An EP study is usually a precursor for having a possible abalation done but I would not see why you would need that in your case. I dont even understand the appioment....I can see him sending you to a regular cardioligist but not to an EP doctor.

I think you need to gather your medical records and test results and consult with another GP.

I really feel for you, I'm shocked that a medial professional would cause you this much stress.
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Ella
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Re: Ectopic beats have me VERY scared!
Reply #10 - Nov 24th, 2010, 5:26am
 
Thanks for your reply Abby.  Smiley

I'm as confused as you as to why he would send me to see an Electrophysiologist.  Sad

I went to my GP in August as I was getting increased palps, he referred me to the Electrophysiologist straight away. Even though he read my records from the cardiologist that I had seen several months before then. And seen that he had given me the all clear, my GP still felt in nessesary to send me to him. I don't know why. Although in August he did say that it probably wouldn't be anything serious.

Maybe he's just covering his back? He knows my family history well too, and there has never been a heart complaint in my family, EVER.

You're right, i've never had SVT or runs of VT, it's always been sinus Tachy. And i do suffer from anxiety so logically I thought he would attribute it to that, but he thinks it could be something else that's causing my palps and tachy. Although to be honest I don't get a fast heart rate anymore only in stressful situations, such as last night when he told me I could be dead in 5 months!!! I told him that but it's almost like he doesn't believe me.

I'm going to make all the inquiries into changing my doctor later today and hopefully it will be an easy and quick transition.

I was expecting him to tell me that i was fine and send me on my way so I was shocked when he said what he did!
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Stav98
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Re: Ectopic beats have me VERY scared!
Reply #11 - Nov 24th, 2010, 6:38am
 
GP Surgeries have a Patient Liason office (or complaints officer).  Have a chat with them and they'll usually move you immediately without fuss or question (I went through this when my GP missed that I had a Pulmonary Embolism).

It looks that you only suffering these things when you're stressed says a HUGE amount.  Looks to me as you're normal like the rest of us ;P
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themoabird
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Re: Ectopic beats have me VERY scared!
Reply #12 - Nov 24th, 2010, 9:21am
 
Ella

"If you have a serious heart problem you could be dead by then"

It was very clumsy of him, but are you sure he wasn't just commenting on the absurdity of waiting six months to see a heart specialist?

You know, sort of - "God, if you had a serious problem, you could be dead by then (so it's a good thing you don't)", kind of thing.

That would make much more sense (given that there's no reason at all to think you do have a serious problem).
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Ella
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Re: Ectopic beats have me VERY scared!
Reply #13 - Nov 24th, 2010, 11:03am
 
It didn't come across like he was just commenting on the absurdity of waiting six months to see a specialist. I was looking right at him and even his body language didn't come across like that. But maybe he did mean it like that, I don't really know.  Undecided

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Ella
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Re: Ectopic beats have me VERY scared!
Reply #14 - Nov 25th, 2010, 8:54am
 
RLR (or anyone Smiley) Any idea as to what I should do about the beta blockers?
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