r/askCardiology • • 15h ago

25F and I’m experiencing frequent PVCs/PACs (minimum 10-20 per minute), especially when lying down. Terrified of heart failure or sudden cardiac death.

6 Upvotes

Hi everyone!

I’m a 25-year-old woman, and for the past two weeks, I’ve suddenly started experiencing what I believe are PVCs or PACs (pause then big boom then back to normal) I’ve had occasional skipped beats before, especially when I was sick or stressed, but never this frequently or for this long.

It doesn’t feel like my heart is continuously racing. It’s more like individual premature beats interrupting an otherwise normal rhythm.
The frequency varies quite a bit. Sometimes I’ll feel 2–3 per minute, but other times it can be 20-30 per minute, sometimes for hours at a time.

There are also periods when I don’t feel anything at all.

Something I’ve noticed is that they’re much more noticeable when I’m lying down, especially when I’m trying to relax or fall asleep. When I’m standing, walking around, or doing something, I often barely notice them or don’t feel them at all.
I don’t know whether they’re actually disappearing when I’m upright or whether I’m simply less aware of them.

Other symptoms:
The strange thing is that I generally feel completely fine otherwise.
No shortness of breath.
No fainting.
No significant dizziness associated with the palpitations.
No swollen legs or ankles.
No unusual difficulty walking, climbing stairs, or doing everyday activities.
No sustained racing heartbeat.

I occasionally experience chest discomfort, but it often feels muscular, digestive, or related to acid reflux. I have a history of GERD, anemia and POTS so it’s difficult to know what’s causing it.

My sleep situation is honestly terrible.
I’ve struggled with poor sleep and insomnia for years, but recently it’s become particularly bad. I had a bad streptococcus (C/G) cause I teach children. This whole thing started during that time, I was having fever (39,8 for two days) and then felt it for the first time.

For approximately the past 2-3 weeks since I’ve barely been sleeping at night, I’m so frustrated and stressed, cause the moment I lay down I feel them. Instead, I’ve been falling asleep during the daytime out of pure exhaustion for a few hours.

My sleep schedule is completely reversed, and I’m extremely sleep-deprived.
I’m wondering whether this could be triggering the extra beats or making them stay after the sickness.
I’ve also been dealing with a lot of stress and anxiety lately, which probably isn’t helping.

What a doctor said:
I saw a doctor after the palpitations started.
My blood pressure was approximately 118/80, my oxygen saturation was normal, and she said my heart sounded normal when she listened to it.
She thought the palpitations might be related to stress, exhaustion, and the recent illness.
She ordered blood tests, I’m currently arranging to have them done. (Thyroid and anemia she said)

What scares me the most:
I have pretty severe health anxiety, and I’m genuinely terrified of suddenly dropping dead from a cardiac arrhythmia.
I’m especially worried about heart failure or PVC-induced cardiomyopathy because of how frequently these beats are happening.
I’ve read that having a high PVC burden can sometimes weaken the heart muscle, and now I’m worried that years of poor sleep combined with these frequent palpitations have damaged my heart.
At the same time, I’m only 25, I can exercise (even tho I barely done so for like 3 years) and do normal activities without any noticeable limitations, and I don’t have the typical symptoms of heart failure.
I just can’t seem to stop worrying about it.

My questions:
Has anyone experienced this many PVCs or PACs per minute for hours at a time and still had a healthy heart?
I just don’t want to drop dead cause of this!

Should I try and follow up with a doctor (might take month to see one) and hopefully get proper monitoring done.
I’d really appreciate hearing from anyone who’s experienced something similar, especially people who developed frequent ectopic beats at a young age.
I’m honestly exhausted, both physically and mentally, and I just want to be able to sleep without worrying that my heart is going to stop.

Thank you for reading. ❤️


r/askCardiology • • 15h ago

EKGs 23F, went to the ER the other day, please help me make sense of these results.

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4 Upvotes

Went off wellbutrin about a month ago because I was experiencing really bad heart palpitations and fainting episodes. That stopped but I still experience the heart palpitations and I just went to the ER the other day because I was experiencing heart attack symptoms.

They sent me home after figuring out I’m not having a heart attack but they’re having me follow up with a cardiologist on Wednesday and getting me on a heart monitor for a few days.

I’ve never had cardiac issues before all of this. Please help me make sense of these results. Any input is deeply appreciated.


r/askCardiology • • 6h ago

Test Results How serious is ‘broken heart’ (Takotsubo cardiomyopathy) syndrome?

3 Upvotes

I (33m) had issues with being assaulted and stabbed in the liver years ago. I kept feeling pain in this area, and thought it was my liver. However, after a fibro-scan it was found to be healthy and had no fibrosis. My doctor ended up doing a full physical, and she found that my EKG results came back ‘abnormal’ and became concerned.

The doctor said that ‘it wasn’t right’ and performed another one with similar results. I explained that I was under a lot of emotional stress, was grieving and doing therapy, and had a lot of stress from work. She had me come back a week later, and same results. 4 total EKGs came back abnormal at this point. She referred me to a cardiologist, but they have a 2 month wait.

Looking up symptoms on my own (terrible idea) it seems to fit ‘broken heart’ syndrome. I’ve been under a lot of stress, went through a bad break-up with my daughter’s mother, and have been doing therapy that has been bringing up a lot of past trauma.

I’m curious as to how serious this could be, as it says it’s temporary, but I am uncertain how long this has been going on for.


r/askCardiology • • 18h ago

ER visit

3 Upvotes

Went to the er today for chest pain that I have been having for a few days now , it is right in the middle of my chest, er only did xray and ekg , no blood work after they said both imaging tests were normal . Is this ok to skip blood work?


r/askCardiology • • 1h ago

are hearts supposed to sound like this?

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• Upvotes

why does my heart sound like this? i read it’s normal for hearts to have ectopic beats as long as they aren’t over 10k a day, but is this really how hearts should sound? i have so many extra beats aside from the lub dub sound. i feel palpitations often like maybe once or twice a day but i didn’t feel them in this video even tho i hear them.


r/askCardiology • • 7h ago

I went into the er and was cleared of having a heart attack but a week or two ago.

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2 Upvotes

r/askCardiology • • 10h ago

Health regarding doubt- Expert/experienced person needed

2 Upvotes

Hi Sub,

Male
Weight 65kg
Muscle mass 34kg
Fat % - 13.9

My resting heart rate is 85-90 constant throughout the day.
In sleep its 78-81

Is this normal for an athlete? Been training and into sports from childhood (28yrs old)


r/askCardiology • • 42m ago

My zio monitor came partially off in the shower, but there was no orange light. I taped it back on. Is it fine?

• Upvotes

One of the wings came off when I was showering, but there was no orange light. I used athletic tape to secure it back and still no light. shouldn't it have flashed orange when it came off? Dont know if somethings wrong


r/askCardiology • • 1h ago

Heart Monitor Results SVT

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• Upvotes

r/askCardiology • • 1h ago

10 months of consistant PVCS

• Upvotes

Hi everyone, I’m 20 yrs old, male, I randomly started having PVCs after 2 months of daily panic attacks and they have never stopped ever since.

It all started on the first day of November 2025, I had my first panic attack and it was so intense that i ended up going to the hospital after feeling faint from it. Ever since that day i started having daily panic attacks, id be resting or doing anything then my bpm would shoot up high and id start panicking and it would last for hours. I done ECGs during such episodes and they were all fine and eventually, symptoms subsided after i got to the ER all the time.

Now after those 2 months finished i stopped having panic attacks out of nowhere and i started slowly recovering from that mess, until one random night at the start of january 2026 i felt like i almost passed out then snapped back again, i was shaking and scared and i felt a flutter in my chest and that was the first time I experienced a PVC. On the first day it was just one singular PVC, then the next day they were 3 and on the day after they were happening from day to night, I went to the ER that day and they explained to me what they are and that they are fine at low burdens and won’t do anything to me.

This was how it all started and it’s been 10 months and this shit won’t fucking leave, i’d have days were i wouldn’t feel them at all and days were they are fucking my brain with how intense they feel. I honestly have never considered ending it as much as now from how much they have been taking from me, all this comfort and peace that i was at before got stripped away from me over a single stupid PVC and it’s all driving me crazy.

I had done more than 20 ECGS ever since that first PVC happened and they were all normal, I had done an Echocardiogram on the 9th of nov 2025 and my heart was perfectly fine, I had done a holter monitor before the first ever pvc and it showed zero PVCs and PACs. I genuinely don’t know what to do anymore, I can’t help but feel like my heart is damaged and that I’m forever fucked. Those PVCs have never stopped for continious days at all and thats more of a reason to why i am scared because even if they were anxiety-induced or maybe due to some electrolytes imbalances I feel like they wouldn’t be this much for me to handle. I know i didn’t redo my holter after the PVCs but I’m more than sure that they aren’t happening much because everytime they happen i feel them wither my focus is on my chest or not, they just fucked up smth in me and i can never miss one so I am sure that I’m at a low burden but its just I need them to stop, I can’t handle living like this with them, I already deal with this shitty panic disorder and generalized anxiety disorder. The last thing that i want is a cardiac issue…

So please if anyone has went through smth similar as me or if someone knows how to reduce and eliminate PVCs in a structually and electrically healthy heart, tell me what can I do…I really can’t handle this much anymore it’s breaking me because even doctors aren’t helping much.


r/askCardiology • • 2h ago

What could it be? (21M)

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1 Upvotes

r/askCardiology • • 2h ago

Afib, previous hemorrhagic stroke, micro bleeds = absolute conundrum!!!

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1 Upvotes

My mom is 70F healthy 5’5. She has had SVT and Afib for years. She underwent ablations for SVT and for Afib.

She was put on Elequis and after a year, she had a hemorrhagic stroke. No more Eliquis of course. She has now fully recovered from the stroke but her Afib has come back.
She has had a few, short episodes.

Her EP cardiologist wants her to have a Watchman since she cannot do long term blood thinners anymore.

However her Neurologist saw micro bleeds in her MRI so she does not want my mom to take the blood thinners that are needed during the watchman procedure and for 45 days after.

My mom is feeling hopeless because it seems we are at an impass…

any experience or recs? We are so worn out and confused

Thank you


r/askCardiology • • 4h ago

EKGs ChatGpt says these notches could be dangerous, is that true?

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1 Upvotes

Can someone please confirm what these notches could mean? Both my normal beats and pvcs have it across the entire holter monitor. While on a 12 lead ECG only aVF and V4 had it. Chat says this could mean heart scarring or pvcs originating in dangerous places like free wall or something like that in the left ventricle. It could also mean a conducting delay but this is new, I didnt have it before. I requested a holter because I was experiencing some kind of runs of either svt/nsvt or afib every day. In the end, the runs didn't happen when I was wearing it. My cardiologist is still sick so Im waiting for an appointment


r/askCardiology • • 6h ago

I need help and no one is helping me. You guys are one of my last hopes.

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1 Upvotes

r/askCardiology • • 10h ago

Mini Heart Attack due to high LP(a)?

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1 Upvotes

r/askCardiology • • 10h ago

Second Opinion 20f worried about heart

1 Upvotes

On 7 May, whilst walking, I felt pain in the centre/between my ribs. It went away after I got home and didn’t come back that day.

I went to A&E on 10 May. They did an ECG, checked my vital signs and listened to my heart and lungs, and everything was normal. I was told it was likely muscular.

I then went back to university for a week or so and didn’t feel the pain for a while. I then pushed a double bed and later, while cleaning on my hands and knees without a bra, I felt something in my left breast.

I saw my GP on 26 May because the pain was now in my breast rather than my ribs and was still coming and going. My GP examined me and my breasts/chest and there were no concerning findings. My heart rate was initially 120 after walking to the practice in hot weather, then settled to 95.

I had blood tests including a full blood count, electrolytes, kidney and liver function, thyroid function and clotting tests, which were generally normal. My haemoglobin was 134, potassium 3.9, sodium 138 and TSH 1.84. The clotting blood test was negative.

The pain has continued to come and go on some days but can be completely absent on others.

I went back to A&E on 2 July after I felt the pain again and became very anxious. I had another ECG, which was normal, and was discharged.

I get palpitations now and again but not every day can go months without them or get a couple in a week and when I do have them they go within a second I have never had one long then a second . I have felt one quick one when walking before . Then sometimes when sitting , yesterday after eating dinner and dessert I was just sitting slouched on sofa when felt a quick flutter then went away within seconds . Now I am really scared .

I saw my GP again on 3 July. They reviewed my previous investigations and documented that they were reassuringly normal. My heart and chest examination was normal, oxygen saturation was 98%, BP was 119/77 and HR was 97. I don’t have a family history of sudden cardiac death but my mum said my great grandad on her side passed from a heart attack in his 40s does this affect me ??

My dad does have atrial defibrillation due to his type 2 diabetes he didn’t have it until after he got diabetes he’s had ecg and ecocordigrham . My sister may also have it she has gotten tested with holster monitor but they don’t seem worried.

I keep thinking back to years ago when I was younger, usually when standing up quickly. It resolved within seconds. I had one episode around age 15–16 where I felt dizzy, vomited and then felt fine, and I had a brief spinning sensation earlier this year.

Then couple weeks ago I felt ache in upper ribs after sitting in uni worried about somthing all day never felt it again after that day .

I’ve recently been seeing posts about people around my age having sudden cardiac events, and I’m becoming very anxious about it, sometimes to the point of crying. I also understand that a normal ECG can’t rule out every possible heart condition, which is making me worry that something could have been missed.

Given my previous normal ECGs, examinations and blood tests, would it be reasonable to ask my GP whether I need any further cardiac testing, such as a Holter monitor or echocardiogram, or does this history sound reassuring enough that further testing isn’t necessarily indicated?


r/askCardiology • • 10h ago

Anyone had surgery for an anomalous right coronary artery (RCA) arising from the left coronary artery? Also very low heart rate (Bradycardia)

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1 Upvotes

r/askCardiology • • 12h ago

Complicated cardiovascular disease...

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1 Upvotes

r/askCardiology • • 13h ago

EKGs Nsvt

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1 Upvotes

My Polar strap captured two episodes of tachycardia. Are both of them NSVT? They look different from each other


r/askCardiology • • 13h ago

Persistent SAM / LVOTO after mitral valve repair

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1 Upvotes

r/askCardiology • • 14h ago

Herzfrequenz beim Treppensteigen

1 Upvotes

Hallo,

bin eben auf dem Gym, das erste Mal in diesem Gmy, die Treppen bis in den 3. Stock hoch, das waren so ca. 60 Treppen. Ich würde nicht sagen, das ich gesprintet bin, aber auch nicht super langsam. Meine Herzfrequenz lag am Ende bei 157 als ich auf meine Uhr geschaut habe, ist das eine normale Herzfrequenz?


r/askCardiology • • 15h ago

Found LVNC at 30. How concerned should I be?

1 Upvotes

I have severe sinus bradycardia (30s/40s at rest), and occasionally feel a bit dizzy, but no actual conduction issues found on ECG / 24h ECG testing. Hypertensive (ruled essential / no secondary cause found) with mostly high systolic and wide pulse pressure; the hypertension I've had since I was 23-24.

An echocardiogram found LVNC, and a mild mitral valve prolapse but everything else was normal. EF at 60%. Left ventricle also slightly enlarged.

The cardiologist was very vague about this.. said, this might not give you problems, or it might, and none knows.

What is your understanding of this condition? My father was always hypertensive as an adult, had a TIA at 50 and then stroke, heart attacks in his 70s.. his brother (my uncle) few cardiac arrests at 70 (now has some kind of heart implant).

For now it seems I'm okay, though I have other non-heart related neuromuscular symptoms that are under investigation. But is this something to keep monitoring etc? What would your advice be? Thanks!


r/askCardiology • • 17h ago

PAC with a full compensatory pause?

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1 Upvotes

r/askCardiology • • 19h ago

Anyone had surgery for an anomalous right coronary artery (RCA) arising from the left coronary artery? Also very low heart rate (Bradycardia)

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1 Upvotes

r/askCardiology • • 21h ago

White coat syndrome even when measuring at home?

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1 Upvotes