Heart & Cardiology/irregular beats
QUESTION: Good day doctor
I write this post confused and anxious.
I suffer from what my cardiologist describes as ectopic beats, I usually have a cardiac check up once a year which includes a resting ecg,a stress test, and echo and at times a holter.
They never ever seemed to have picked up the irregular beats but they assumed it was VPB's from the way I described it to them. The doc refused to give me a beta blocker because he told me unless we actually pick something up then only and he reffered me to a psychologist I didn't like his handling of my situation beecause I have researched this issue and expect an explanation.
My job includes me flying around cities.
I've noticces these irregular beats occur during running (I run regularly) sometimes after a mean, at night if I lie on my left side. Twice and this was 2 years ago I got up with a racing irregular heartbeat I thought I was in vtach! I rushed to the ER but by the time I got there it stopped. I do remember taking zinc tablets during that period it seems to start it because I got the same spisode when I started taking it again
My concerns are...
Since I get ventricular premature beats am I slightly at risk in developing vtach?
Are their any additional tests you would recommend?
My job requires me boarding a plane often now that I have this I am concerned about getting vtach onboard is their a beta blocker I can take before flying to minimise the physical heart palpitations?
Am I at risk for scd? Or vfibb? Some doctors say individuals like me are slights at risk I just want a clear straight foward answer if I am or if I'm not more importantly a detailed explanation of why the heart acts this way especially in a person such as myself who doesn't smoke and does endurance exercise
Lastly can an anxiety attack or panic trigger vtach or a string of pvcs if yes is it dangerous?
I need to live my life instead of worrying about dropping dead please advise me by the I have seen your website it does not explain why normal hearts get these irregular rhythms?
ANSWER: Hi Razia,
You either have an arrhythmia or not. If present, the tests would have demonstrated it. W/o objective evidence, I cannot judge whether you are at risk for anything, but I suspect not. Anxiety does not cause VT.
Hope this helps,
[an error occurred while processing this directive]---------- FOLLOW-UP ----------
QUESTION: Like I said all my tests were normal except that I have ventricular premature beats all I need to knw is can these premature beats turn into vtach? With all my tests being normal am I at risk for sudden cardiac death or v fibb see I've done a lot of reading and I think that's my problem. But I need to know based on your experience.
Hope this helps,
---------- FOLLOW-UP ----------
QUESTION: Why are you so rude? You are a doctor I am asking you this out of respect for your years of experience as a cardiac thoracic surgeon, all I'm asking for is reassurance being a patient with this condition and the heart being central to the senses of a human would make any person anxious I did not expect a reply 'NO' I don't understand why the unclarified response I am sorry if I bugged you!
My answer is not rude, but concise instead. No, you are not at risk for SCD, and no, you are not at risk for VF. Read this:
Hope this helps,