SVT/PACs/PVCs

Posted by bsheahan @bsheahan, Jun 14, 2025

Hey there!

I'd like to share a little background to try to help whoever may take the time to read this to understand what is happening with my situation.

I am 24 years old, I am a female. Back in 2020, I got Covid-19 for the first time. I wasn't extremely ill (thankfully) but I was tired, I ran fevers, and I lost my taste and smell. I never had any issues with my lungs or my oxygen intake, I recovered quickly.. probably within a week and I was back to doing my normal activities. About a month later, I was at my father-in-law's house and I was helping him with some housework because he is not in good health. I bent over to pick up the dog's food bowl off of the ground and I felt my heart skip. When I stood back up, it felt like my heart rate skyrocketed to 300bpm. At the time, I had no idea what was going on. I laid down in my father-in-law's room, and tried not to panic (although I felt like I was dying) and we discussed whether or not we needed to call emergency services. Eventually my heart calmed down and went back into rhythm on its own.

The next day, I was cleaning the kitchen at home and it happened again. I immediately felt faint and sat down to avoid hitting the ground if I passed out. This episode only lasted for about a minute or so and wasn't as severe as the one prior, but it was still scary. After this, I made an appointment to see a cardiologist because I realized that something wasn't right.

They performed a series of tests on me. I wore a Holter monitor, and I completed a stress test. I was cleared of any issues, so I went on my way. A couple of years passed, and throughout this time I suffered through minor palpitations but I had no pain in my chest, no shortness of breath, and no accompanying symptoms. I still decided to get a second opinion. I visited with a different cardiologist, and performed all of the same tests. This cardiologist even performed an echocardiogram. All came back normal except for a few PVCs and PACs from my Holter monitor report.. my cardiologist reassured me that there was nothing to worry about, so I carried on.

Fast forward to a month ago when I had another round of SVT. My heart rate spiked to 226bpm and it lasted for several minutes. I tried everything that I could think of to break it. Vagal maneuvers.. coughing, bearing down. Nothing would make my heart rate lower.. so I called 911. Emergency services arrived and took me to the emergency room but by the time I got there, my heart rate was normal. They took bloodwork, and couldn't find a thing wrong with me. They checked all of my cardiac markers and electrolytes.. but nothing was wrong. They told me that I probably had a run of SVT but there was no way for them to be able to tell without seeing it happen in action. I understand that they can't just diagnose or treat me for something I may or may not have.. but this is just so aggravating.

Before Covid, I could do anything I wanted. I could drink alcohol, I could smoke, I could have a cup of coffee or a piece of chocolate without my heart rate jumping all over the place.. but after Covid, it's just been completely different. I can't walk up a hill without feeling like my heart is going to either explode or just give out on me. I've read some articles online about a link between Covid and ventricular arrhythmias.. but who's to say that it's true.

I was just reaching out to see if anyone may be suffering from something similar, or if anyone has any advice on what to do. I've tried everything that I can think of to help myself. Staying hydrated.. taking magnesium to help with the palpitations.. but to no avail. I am desperate for answers. I just want my life back.

Interested in more discussions like this? Go to the Heart Rhythm Conditions Support Group.

Profile picture for jc76 @jc76

@tlaun44
I was told by my primary care doctor that when you lie down on back, or either side your organs move and your heart beat is felt more.

It means that your PVCs, PACs, and VTAC will be felt more than when you are standing up.

For a while when mine was so bad I slept in a propped up seating position on my bed until heart calmed down. I did not feel the PACs, PVCs, and tachycardia and thus was able to get some sleep even though not much.

To add to all of this you say at work you don't feel it as much. What I am told by my doctors is that your mind is not on heart focus when working, exercising, hobbies, etc. thus you are not going to feel the arrythmia like you do when trying to go to sleep or at rest.

Then at rest you are in heart focus which causes more anxiety and stress and thus the fight or flight reaction body has which will create more PVCs and PACs.

I am on some great medications and as I type this (knocking on wood) my PVCs, and PACs, and VTAC have dramatically been reduced. And I am trying to not be heart focused.

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@jc76 thank you so much for taking the time to respond. It is truly overwhelming right now. I am usually able to handle stress but this has kicked it to another level. I will definitely take you words into consideration. 🙏🏼

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Profile picture for wcuro @wcuro

Yes, your instincts are correct. Find a new doctor, an electrophysiologist who specializes in irregular heart rhythm. If your cardiologist is already an EP, still switch. Sounds like yours has checked out.
It has been noted by my EP that most patients feel the heartbeats while trying to sleep. We are focused on it and there are no other distractions. There is no reason to think that your arrhythmia begins at night in bed other than the stress you feel. It can become a habit. Trying falling asleep while reading or watching TV as a distraction from coding on your heart. Good luck.

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@wcuro thank you so much for your response, this is all so new and overwhelming, it truly helps to hear from others who know 🙏🏼

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