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What Causes Palpitations?
I am a 24 year old male. I have PVC s and PAC s. I am extremely active and in great physical condition, I spend 1.5 hours, 5 days a week working out. I am 225 lbs, 8% body fat, and 6ft tall. I take no supplements. Recently I have been having some worrisome palpitations. Usually in the early morning my heart will either beat extremely fast (180-250bpm) for a few seconds accompanied with near syncope and SOB or it will beat erratically. I had an extended episode (30 seconds) of appx 200-250 bpm brought on by a sprinting session about 2 months ago. That is when these strange rhythms began. Normally I feel my PVC s, so I am very aware of my heart beat. My heart feels strange like it is tired latley. What could this be? I am worried about VTach, but as I do not have insurance I am wary of going to the cardiologist. What should I do? Thank You
posted on
Thu, 13 Mar 2014
Medically reviewed by
Ask A Doctor - 24x7 Medical Review Team
Sat, 8 Dec 2018
Answered on
Thu, 13 Dec 2018
Last reviewed on
Hello,
I passed carefully through your question and would explain that your symptoms could be related to anxiety. Nevertheless, I would recommend performing some tests in order to exclude possible cardiac arrhythmia:
- a cardiac ultrasound and an ambulatory 24-48 hours ECG monitoring
- complete blood count for anaemia
- thyroid hormone levels for possible thyroid gland dysfunction
- blood electrolytes for possible imbalance.
You should discuss with your doctor on the above tests. In the meantime, I would recommend avoiding caffeine intake and energy drinks.
Hope I have answered your query. Let me know if I can assist you further.
Take care
Regards,
Dr Ilir Sharka, Cardiologist
I passed carefully through your question and would explain that your symptoms could be related to anxiety. Nevertheless, I would recommend performing some tests in order to exclude possible cardiac arrhythmia:
- a cardiac ultrasound and an ambulatory 24-48 hours ECG monitoring
- complete blood count for anaemia
- thyroid hormone levels for possible thyroid gland dysfunction
- blood electrolytes for possible imbalance.
You should discuss with your doctor on the above tests. In the meantime, I would recommend avoiding caffeine intake and energy drinks.
Hope I have answered your query. Let me know if I can assist you further.
Take care
Regards,
Dr Ilir Sharka, Cardiologist
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