I haven't yet been fully diagnosed.

Hello Bhaggya99. I am about your age and am going through some almost identical stuff. A small TIA kicked off my testing. I sort of ignored it, then I decided to get an appointment to get it checked. Hopefully your cardiac tests included a cardiac ultrasound (echo). I have a PFO show up, which I already knew about. Its common. I also had a 7 day holter test. I have small vessel spasm, which is being treated. However, in combination with arrhythmias, angina, migraine, or small vessel coronary spasm, PFOs become an issue. Blood clots are the big ugly! Anyway, I learned all this over the past month. Crazy! My cardiology and PCP visits are coming up. So I will know more soon, and hopefully have a plan I can LIVE with going forward. I hope this has helped, so you can go in with prepared questions. Good luck with your upcoming appointment and your journey!

I wore a Zio patch monitor which can be worn for a month. Maybe a longer monitor would be helpful. In my area they don't use the Holter anymore.

I have a Kardia at home, which does an EKG and sends results to my phone. But since you don't have symptoms maybe a smart watch would be an option. I have never used one and don't know what it monitors.

Glad you are seeing a specialist. I had an echocardiogram and a stress test was ordered and these seem pretty standard along with the monitor.

@bhagya99
First I wish you luck.

I can pass on my experiences with this. In the past I have had a lot of PVCs. I also had episodes of VTAC. This resulted in ICD (I have had a ICD/Pacemaker since 2006) shocks. For a lot of time just could not get under control.

What you experiencing with the hard thump sound like what was explained to me was a adrenaline. This will really give you hear a thump and start beating like crazy. This was confirmed to me (VTAC) as I have my ICD/Pacemaker record tested and confirms the VTAC and leading up to it high pulse rate.

Many things can cause adrenaline rush and/or what you are feeling. Are you under a lot of stress. If you are talk to your doctors about it. There are a lot of medications out there to help with it along with suggestions from your doctors on exercise, hobbies, consuling.

Very new and ongoing good medications are out there to help with heart arrymias (spell) and helping prevent VTAC. I was put on them and really helped me as have not had those feeligs in over a year now.

Good luck!

Thanks for weighing in. I'll be getting an ultrasound right before seeing the doctor next week. It feels like a good idea!

A friend has an ECG function on her iPhone and it will even ring an ambulance if things go south!
I'll ask the doctor about it.
Early days!

Gosh! Adrenaline! I hope to know next week. It was the only time my symptoms have started with a bang. It was good as I am now crystal clear in my mind about this needing to be sorted out. There is no denying it!

The pronounced thump is as likely to be a premature atrial contraction, but it could also be a premature ventricular contraction. The issue is that the heart always pauses after such a premature beat and repolarizes longer, and then beats sort of out of sequence, but still in normal sinus rhythm. This is accompanied by the sensation of a heart beat, the thump. It is unsettling, but until the total number of beats in a day reach 4% of the total number of heartbeats, they are considered to be benign and the cardiologist will only treat symptoms. What I'm talking about is called the 'burden'. At or above 3% is when the research suggests that a close watch is in order or that the patient should be referred to an electrophysiologist for a finer assessment and remedial measures.

I shall wait and see. The 'bang' was the beginning of the longest session of symptoms I've had to date. I was trembling like a leaf.
Thank you for weighing in. You sound very learned in this area! I've only started to investigate this mysterious organ in more detail in recent weeks.

@bhagya99
Adrenaline is the flight or fight hormone. What my doctors have told me adrenaline responds to stress and anxiety. It can built up and then you get a rush. Most panic attacks are from adrenaline (from my Mayo doctors not me) adrenaline build up and the body just has to release it.

It is why I mentioned are you under a lot of stress.

I used to have PVCs at the worse every few beats. The worse ones were those happening one after another. When this happend the heart would give me a real hard thump when it recovered and got a full beat in.

This caused me a lot of stress and axniety thus contributing to the number of PVCs (per my EP). We worked as a team EP, HF, Psychiatric Prescription Specialist, and got on medications to help reduce PVCs, VTAC and another to reduce anxeity/depression.

For me it worked. My PVCs are about 50% less and thus less anxiety and stress. When I have my AICD/Pacemaker history checked for the last two checks I did not have any epsiodes of VTAC and my PVCs down almost 75%. Exellent medication and excellen care at Mayo Jacksonville.

Good luck andchope it is fixed.