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Old 11-30-2011, 08:47 PM   #1
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Jimmysyd HB UserJimmysyd HB User
Should I be going to the ER

I posted another thread some days ago about getting skipped and double beats, and my normal GP did an ECG which showed PAC's and some Ectopic heartbeats.

Sorry for a new post but I really need some other type of advice.

To recap, This nightmare all started 6 days ago. Since then I have made an appointment with an Cardiologist on the 16th December through my GP.

Last night I was unable to sleep for I don't know what reason and was one of the worst nights, I was awake still at 4.30am, was getting palpitations and skipped and double beats while lying down trying to rest. This time feeling them in the neck which made things worse and more stressful.

The frequency of this is more, and new to me than how it was days ago.

I have gently increased exercise, basically walking, (on my GP's order) never feel any pains during or after exercise.

Anyways last night, Sometime's it was constant lasting minutes, but I would have to say that something happened to some degree every minute for many hours. My heart was not racing, just normal speed with abnormal beats.

I will try to describe them (mostly feeling them from my neck when taking the pulse)

beat, beat, (beat/beat), beat, beat, beat, (beat/beat)

The double beat could happen at really any time, could be a beat after a few beats, or even up to 30 normal sounding beats then back to a short run of random double beats, then sometimes back to normal beating for a while. Sometimes throw in a skipped beat.

Resting, lying down, sitting, I usually get double beats, with activity, mainly skipped beats I feel.

So I get random double beats, and also skipped beat, and it driving me crazy, because it can happening standing, sitting, lying down.

I keep listening to the doctor and saying not to worry, other people have told me also. But they just seem to be more frequent now, I realize them all the time, they are now totally stressing me out, with them being noticeable more and more.

I am always having to stop myself in my head from getting up and going to the emergency room and just waiting till I see the specialist in a few weeks.

I have no chest pains, shortness of breath. nothing other than my head get's achy when thinking about this all. I believe the stress is really making me tired, because before I realized this was happening I was happy and really never stressed or tired.

The GP said the ECG showed I was not having a heart attack or anything like that. But when they become more frequent, and my mind is always on my heart now, I know that can make things worse.

So basically should I simply live with this and wait for the cardiologist.

Or only go to the ER if I basically get other symptoms like all those associated with a heart attack. Everyone keep saying to me, only worry if you get other heart attack signs.

 
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Old 12-01-2011, 06:04 PM   #2
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Re: Should I be going to the ER

When it comes to skipped or double beats of the heart, the two things they check for are how many times in a certain time period and also they look for runs. Runs are several of them together and the longer the runs are the worse it is considered.

Now you said you feel them in your neck while checking your pulse correct??? Do you ever feel them just like sitting there or laying there...not trying to find your pulse anywhere but you just can feel it your heart is beating so hard it feels like it is beating through out your body??? See if you are only feeling this while you are trying to check your pulse I wouldn't even think twice about it. What really bothers me is the pounding throughout my body that gets me annoyed or catches my attention.

Also you said your pulse was normal not too fast or too slow...knowing that 60-100 bpm is considered normal. To me when my pulse starts getting up in the 90's or above it is a clue something is going on, but I would actually have to be feeling actually sick, horrible besides just the beating of my heart to get me to the ER. That is just me and yes I do hear stories about how I should have gone in while I was experiencing things.

So I guess what I would say if you are feeling really bad while this is going on go on in to the ER and get it checked out. The fact it is keeping you up or awake means that it is bothering in some way so you must not be feeling the best. It is much better to err on the side of caution then to have waited to late.

When it comes to your heart no hospital or dr. is ever going to chew you out for getting things checked out to be safe Good luck and take care

 
Old 12-01-2011, 06:50 PM   #3
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Re: Should I be going to the ER

I think they need to check you for A-Fib, but it will only show up on a EKG if your having problems at that time. I posted about this on another thread. I have had what your describing most of my life, but one night I felt really bad, and my heart rate got up to 148 at resting, so I did go to the ER, and that is when they told me I had A-Fib.

I wish you the best!

hugs and prayers being said for you!

Last edited by hb-mod; 12-02-2011 at 06:45 AM.

 
Old 12-01-2011, 06:55 PM   #4
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Re: Should I be going to the ER

Thanks for the reply,

You asked if I would be feeling them normally if I was not checking my pulse. The answer is that 99.9% of the time the only reason I know they are there is because I check my pulse. otherwise I do not feel them at all.

So yes, checking my pulse is the only reason I can feel them at all 99% of the time.

Sometimes when doing exercise and the heart is pounding away I can sometimes feel a skipped beat, but it's not hard too when you have been out and about doing exercise.

That night I mentioned I mainly picked them up in my neck, being stupid like I am, felt them started to freak then started to get palpitation in the neck and the worse they got the more I stressed and kept checking them. So I was not feeling bad other than feeling an irregular beat and freaking out. (which may have made it all the more worse)

I am taking Micardis Plus 80/25 for blood pressure I am know I don't feel great on this medication. My last doctor visit I wanted him to change it, he said I could go off it but would have to see him every week till the cardiologist appointment or stay on it.

Well I said I would stay on it, cause last thing I wanted was to go off it with potential heart issues.

I noticed when I take the medication in the morning it can play up during the day, and I switched in the past few days to evening dose, and the nights have been crap.

I read about the 25mg diuretic can cause faster and abnormal heart beats, and other symptoms. I used to be on the 80/12.5 mg dose. So what I did yesterday was scrap off half the 25mg color portion of the diuretic so it is like I am having 80/12.5. And bingo, 95% of these sensations dropped.

My night was good, and the day has been good so far, once again I can only notice an off beat here and there when i go feeling the pulse in the neck and searching for it.

I am going to continue to lower the 25mg diuretic portion of the tablet to half the amount and see if I continue to have less symptoms.

Still 2 weeks till cardio appointment.

 
Old 12-01-2011, 06:58 PM   #5
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Re: Should I be going to the ER

Quote:
Originally Posted by Daisy65 View Post
I think they need to check you for A-Fib, but it will only show up on a EKG if your having problems at that time. I posted about this on another thread. I have had what your describing most of my life, but one night I felt really bad, and my heart rate got up to 148 at resting, so I did go to the ER, and that is when they told me I had A-Fib.

I wish you the best!

hugs and prayers being said for you!
A-Fib is rapid heart beat? I don't really get that, an rest it just normal with some double beats or a skipped beat every now again.

When this happens my pulse is usually normal.

 
Old 12-02-2011, 03:36 AM   #6
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Re: Should I be going to the ER

Quote:
Originally Posted by Jimmysyd View Post
A-Fib is rapid heart beat? I don't really get that, an rest it just normal with some double beats or a skipped beat every now again.

When this happens my pulse is usually normal.
Yes, but I only had the fast heart rate one time and that is why I went to the ER. I couldn't believe how fast it was. I had been under a lot of stress and they think that is what caused it. I am glad it happened because that way I got a proper diagnose, otherwise I would still be dealing with the slow/skipped beats heart rate.

I had all those same symptoms like you described in your other post, I still have them sometimes. Sometimes it feels like a something jumping in my chest, and I can feel the beats skip, that is when I have a low reading, is when I skip the beats.............sometimes it will get as low as 50. Since they have put me on Cardizem (this one regulates my heart rate) and I also take atenolol (to slow the heart rate). I very seldom have those symptoms.

hugs to you!

 
Old 12-02-2011, 11:30 AM   #7
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Re: Should I be going to the ER

Hi Jimmy. I too have very similar symptoms with the heart irregular beats. Mine range from single pvcs to short runs, although recently I had a run that lasted about 10 minutes with some normal beats within the irregular 10 minutes. For me it can happen when I sit, bend, lay down, or just out of the clear blue. Also stress or an emotional happening can trigger them. For the most part I have them every day and/or night. I do get a day, once in a while with very few to no pvcs at all. I have had this life changing problem for many years and have had many tests and been on different anti-arrhythmic medications. I , for a long time, that I must be the only one with this problem, but quite the contrary, there are numerous of people with similar symptoms, some more that others. For the most part we all probably have been told by our GP or cardiologist that we don't have anything to worry about, but that has been very difficult to accept at times. I wished my cardiologist could experience the way I do, for a while and then see how it is difficult to not worry. But I have to look on the positive side and realize I am still here after many years with this problem. You take care and have a blessed Christmas and a happy new year.

Last edited by man648; 12-02-2011 at 11:31 AM. Reason: mis-spelled short

 
Old 12-02-2011, 05:06 PM   #8
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Re: Should I be going to the ER

Quote:
Originally Posted by gman648 View Post
Hi Jimmy. I too have very similar symptoms with the heart irregular beats. Mine range from single pvcs to short runs, although recently I had a run that lasted about 10 minutes with some normal beats within the irregular 10 minutes. For me it can happen when I sit, bend, lay down, or just out of the clear blue. Also stress or an emotional happening can trigger them. For the most part I have them every day and/or night. I do get a day, once in a while with very few to no pvcs at all. I have had this life changing problem for many years and have had many tests and been on different anti-arrhythmic medications. I , for a long time, that I must be the only one with this problem, but quite the contrary, there are numerous of people with similar symptoms, some more that others. For the most part we all probably have been told by our GP or cardiologist that we don't have anything to worry about, but that has been very difficult to accept at times. I wished my cardiologist could experience the way I do, for a while and then see how it is difficult to not worry. But I have to look on the positive side and realize I am still here after many years with this problem. You take care and have a blessed Christmas and a happy new year.
Thanks,

Ever since I picked this up 1 week to this day, I have good and bad days. More stressful than not.

I have been unfit and lazy for a while, I have been caring for my very ill mother, and thus never got out of the house.

In the past week I have eaten nothing but healthy food, cut back totally on the tea and coffee (used to drink allot of coffee)

I used to get up and do the washing and sweat. But since I have been getting out and doing at least a nice 30 minute brisk walk each day. I am feeling better, more energy and the sweating at the simplest tasks have pretty much gone. I am so out of condition.

Yesterday was a good day, then I was sitting in front of the computer in the evening, felt my pulse. picked up some off beats, and well stressed right away. got worse and had a bad night, hard to get my mind off it, but I did at 2am and went to sleep. This morning has been fine, 40 minute walk and have not felt anything yet.

I too hope for a good Christmas, thanks

 
Old 12-07-2011, 10:25 PM   #9
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Re: Should I be going to the ER

Hi Jimmy! I'm sorry you're going through this, it is definitely stressful. I'm a healthy, in shape, 24 year old female and I've been having A-Fib bouts ever since I entered high school. I've experienced 2 different types of irregular heart rhythms, one is like what you describe where it's almost at a slower beat but it clearly skips/pauses for a beat or two. This one tends to feel like my heart is going to beat out of my chest even though it's not at an abnormally fast pace and happens to me mostly after exercising. The other feels more like a shudder or a spasm and tends to make the chest muscle feel like its tightening.

So I saw a cardiologist who did some tests and determined I have paroxsymal a-fib. A-Fib, or Atrial Fibrillation, is the most common type of diagnosed abnormal heart rhythms. Some people get random episodes while others have a real hard time with it, but it is not immediately life threatening. A-fib runs in my family so it wasn't really a surprise. Because of my age and the fact that the attacks are so brief and not super frequent (a handful of times a month), there isn't too much my cardiologist feels I need to do yet besides monitor the frequency of attacks. While my episodes are really brief, some people's A-Fib attacks can last for a matter of days at a time.

One test that my cardiologist did was to try and trigger the A-fib type of attack that is similar sounding to yours (the one I tend to get post-strenuous exercise). This type of attack doesn't always happen to me even after serious exercising, so I wasn't surprised when the test didn't trigger it. One thing he did say to me was that sometimes these type of attacks can be triggered mainly by a lack of water/dehydration before and after exercising. I know it seems way too simply but if you've been experiencing this since you started exercising more it may be worth a try!!

Either way, ABSOLUTELY get it checked out by a doctor because any heart issue is important. If you ever experience chest pain or feel like you are in serious trouble, don't hesitate just go to the ER. The amount of stress you're putting on yourself by the constant worrying (I did it too) is going to do you more harm than good so try not to get too paranoid until a specialist gets to check you out Easier said than done, I know. Good luck Jimmy!

 
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