[31M] Experiencing heart palpitations and anxiety

Patient Description

A 31-year-old male has been experiencing heart palpitations identified as premature ventricular contractions (PVCs) for the past four years. These palpitations feel like a pause followed by a thud, often accompanied by a short adrenaline-like sensation. The palpitations are triggered by stress, certain positions like sitting, exertion, and specific foods such as beef, soups, sugary, and greasy foods. They occur daily, typically lasting under 10 seconds, but there have been episodes lasting hours with frequent palpitations. The patient experiences significant anxiety related to these palpitations, affecting his daily life and limiting his ability to travel far distances. Laying down provides some relief. There is a family history of heart-related issues, with a great grandmother who died at 45 due to angina. No other symptoms such as dizziness, shortness of breath, or chest discomfort are reported. The patient does not consume caffeine or other stimulants.

Arora's Assessment

What might be happening

Based on the information you've provided, the heart fluttering and palpitations you're experiencing could be related to:

Premature Ventricular Contractions (PVCs): These are extra heartbeats that start in one of the heart's lower chambers. They can cause a sensation of a skipped heartbeat followed by a strong thud, which matches your description. PVCs are common and often harmless, but they can be bothersome, especially if they occur frequently.
Anxiety and Stress: Given your history of anxiety and panic disorder, stress and anxiety could be contributing to the frequency and intensity of your palpitations. Anxiety can cause or exacerbate heart palpitations, creating a cycle of stress and physical symptoms.

While PVCs are often benign, it's important to monitor them, especially since they are affecting your quality of life and causing significant anxiety. I recommend discussing these symptoms with a healthcare professional who can evaluate your heart health more thoroughly and provide guidance on managing both the palpitations and the associated anxiety.

What you can do

Consult a Healthcare Professional: It's important to discuss your symptoms and family history with a doctor. They can provide a formal assessment and recommend any necessary tests or treatments.
Manage Stress and Anxiety: Consider techniques such as deep breathing exercises, meditation, or yoga to help manage stress and anxiety. These practices can help reduce the frequency and intensity of palpitations.
Monitor Triggers: Keep track of foods, activities, and situations that trigger your palpitations. This information can be valuable for your healthcare provider in determining the best management plan.
Use MDandMe: You can use the MDandMe app to journal your symptoms, track your progress, and gain insights. This can help you share detailed information with your healthcare provider.

What you should look out for

Seek Medical Attention: If you experience new symptoms such as chest pain, severe shortness of breath, or fainting, seek medical attention promptly, as these could indicate more serious heart issues.
Monitor Changes: Keep an eye on any changes in the frequency or intensity of your palpitations, and report these to your healthcare provider.

Remember, while I can provide information and suggestions, it's important to consult with a healthcare professional for a formal diagnosis and personalized treatment plan.

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13 d ago

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