Question: Hi Dr, I had some queries which I need advise. I started feeling skipped heartbeat one year ago. Got a holter n showed 461 skipped beats. Otherwise normal. No treatment then . Over the year it come n go. 2 months ago came full vengeance , wore a holter showed 385 skipped beats, this time showed T wave low flat at one interval. ST normal. Went for a echo. Heart normal but showed mild regurgitation. Otherwise structure normal. Saw 3 doctors and none were too concerned. Now my questions is, I might not even know I got mild regurgitation if I didn have echo. I wouldn have echo if I XXXXXXX felt the skipped beats. Are pacs pvcs related to MVP? As I research some say yes some no some maybe? If your answers are yes n related, then I supposed the skipped beats will be constant. But there were intervals that none were there or even days when there is only a few felt ? Initially it started off with few huge "thumps" in my chest especially after I had my meals . Letting a burp out can ease a little but it comes back shortly. Tried eating small meals, taking care of digestion , took medication etc. Are they related? Since then I started notice it became more ? How does anticipating the beat causes more beats? I'm suffering from anxiety disorder for 7 years, which adrenaline accumulate in the bloodstream I know, but can they be constantly there? How long do they take to "wash out " from the blood stream? Y does the adrenal gland produced adrenaline non stop for so long? Doesn't it get tired or "dry out" ? What can we do to clear the adrenaline in the bloodstream after so long of suffering from anxiety disorder. I done a lot research n googling apparently , there was sort of "no cure" n some ppl go on suffering that for many years. ? I can't find a trigger for that, food drinks, pattern , etc etc etc.. There is nothing that I can find that trigger them! The only closest I can find is after meals it seemed more obvious. But of cos it can happen empty stomach . I really wanna get rid of this zapping feeling in my chest. Pls advise

Thks for ur follow up reply. If pacs pvcs were to be caused by MVP, and MVP fortunately were mild and XXXXXXX required treatment yet, meaning there is nothing I can do to get rid of the annoying and terrifying skipped heartbeats? Yes when I'm gassy or bloated I felt them more often. But I can Oso feel them when I'm empty stomach in the morning . I drive taking anatacid etc. The pvcs pacs are less felt, the "thumps" are not so forceful . But I can still feel the "twitches" in it. I wil start to burp shortly after beginning a few mouthful of my meals. Is the gas irritating the nerve ? Potassium , magnesium had helped some ppl? Can I try them? I'm currently on coenzyme prescribe by my doctor. Which I felt it does improved a little . But when I get stress or anxious they came every few minutes. When I lay back or lay down, they were the least felt . I XXXXXXX feel then much when my gut is relaxing . Can the heart muscle twitch because I'm always have a tight upper abdomen or chest? This a problem which I believe a lot ppl has from wat I googled. And I belief is equally frustrating for drs to find a medicine jux like simple flu . I'm determine to know more n find a trigger . The 20 twitches I felt per day is destroying my quality of mood n life as it send me to a state of worry n panic immediately . Jux to add on , I understand that pacs pvcs are mostly benign in a structural normal heart. Along With MVP regurgition, is it stil consider benign? Is MVP consider under structurally normal Part of the heart in the case where all other sections were clear normal ? Will heart attack increases with this combination?