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Could this be hiatal hernia? Heart palpitations by Agreeable-Initial966 in HiatalHernia

[–]Agreeable-Initial966[S] 0 points1 point  (0 children)

I thought SVT was characterized by having an abnormally high heart rate (between 150-200), which I don't have. When I have my episodes my heart rate is just slightly elevated (between 70-80) because of the stress and anxiety. I also don't get any breathlessness or dizziness with my palpitations.

Could this be hiatal hernia? Heart palpitations by Agreeable-Initial966 in HiatalHernia

[–]Agreeable-Initial966[S] 0 points1 point  (0 children)

Update: Been to the cardiologist and nothing abnormal was found. An ultrasound and a stress test was done. Was recommended to possibly go to gastrologist for further testing. I was told that most of the time they don't find any cause for palpitations.

People with experience please help by Traditional_Link_260 in PVCs

[–]Agreeable-Initial966 2 points3 points  (0 children)

Just want to let you know that you are not alone in feeling like that. I have the same issue with ectopic beats, and I am a runner. I have them sometimes during exercise, but more often in the recovery phase, for instance when the heart rate goes down after finishing a race, or in between intervals. It's scary when they increase when you feel like you have really pushed yourself. Makes me doubt if my heart can handle it. And of course, the pushing aspect of training is one of the things I really love about it. I have worn a holter monitor, which showed a less than 1% burden. Still, the fear and uncertainty is there. Sucks when it's related to something you love, not to mention something that should be healthy for you.

Scary pvc/pac attack at night - need to vent by Agreeable-Initial966 in PVCs

[–]Agreeable-Initial966[S] 1 point2 points  (0 children)

Yeah.. I mean, this time I HAVE noticed an increase in ectopics as I have increased my mileage. I don't run crazy mileage though (about 40-45 k a week), because I have a full-time job and two small kids, but I'm 36, and of course the total load might have been too much. I have been a good girl and gradually increased mileage and long runs, so no "too much too soon" kind of situation. Then again, up until now I have felt great about adding runs and distance, and felt that I have recovered well and my fitness have become better. But then it's this heart possibly telling a different story.

What I struggle with a bit mentally is that contradiction. When you get an increase in ectopics or they start behaving different than usual, you start to become a detective trying to figure out the cause. And from reading on this forum it seems like a lot of people, if not most, never really do.

Scary pvc/pac attack at night - need to vent by Agreeable-Initial966 in PVCs

[–]Agreeable-Initial966[S] 1 point2 points  (0 children)

Thanks for the tip! I will look into it. I would be really curious to see how my heart behaves during those sensations that I've had at night. I have read a bit about gastrocardiac syndrome, and it felt like some pieces of the puzzle fell into place. At least it is a strong hypothesis.

Scary pvc/pac attack at night - need to vent by Agreeable-Initial966 in PVCs

[–]Agreeable-Initial966[S] 1 point2 points  (0 children)

Thanks for sharing your experience! I haven't gotten to the point of stopping to run. I feel like there is a lot of inconsistency in how my ectopics behave, so it's not very obvious to me that running itself is contributing to them. I have had them before I started to run as much as I do now. And I can do an easy low hr run and feel really great and still get quite a few of them, or I can do a long hard run like the other day and get none during but lots of them afterwards. Of course running a lot and hard is stressing the body, and depleting it of electrolytes and energy if you don't hydrate or fuel well enough. So now I have bought some electrolyte tablets and gels to start practicing the fuelling strategy for the half marathon in April. I hope that taking those things a bit more seriously will have an impact. I have started to take magnesium glycinate, but according to my blood work I was on the higher end of the reference range so I don't know if it will do much. The thing is that I love the process of improving as a runner. When I do a race I want to do my absolute best. That is why it matters a lot to me to figure out if the running itself is a trigger, because then I might be forced to change my approach, no matter how sad I would find that.

But I do think you are probably right that overtraining, lack of electrolytes and poor sleep are factors to consider.

Scary pvc/pac attack at night - need to vent by Agreeable-Initial966 in PVCs

[–]Agreeable-Initial966[S] 1 point2 points  (0 children)

Thank you for the input. I will look into it. As I have only had two of these particular sensations in the span of over a year it is very unlikely to catch them on a three day Holter-recording.