Heart palpitations
Dear Sir or Madam,
During a brisk walk, I experienced the sensation of a dull tightening in the stomach/heart area four times in a row. I suspect it may be an extra systole, but happening four times in a row. No dizziness, no pain, no nausea. Over the weekend, I also had the feeling that my heart was beating normally but slightly out of rhythm for about 20-30 seconds while lying down, with no other symptoms.
I did a bit of googling and found the following:
"Ventricular salvo
2 or more consecutive ventricular extrasystoles. When there are 3 or more of these extrasystoles, it is no longer considered a 'salvo', but rather ventricular tachycardia."
Ventricular tachycardia can lead to ventricular fibrillation or sudden cardiac death, and now I am naturally worried.
The last time I experienced heart palpitations was in October 2015, with 2 SVES on a Holter monitor but no organic findings. Two years before that, I had an ultrasound, 24-hour Holter monitor, and stress test, all without any abnormalities.
I am also afraid of myocarditis because I had a summer cold about a month ago, but without a fever. During that time, I did not exercise, I have no swelling in my legs, no shortness of breath, and I am not tired or fatigued. My CRP levels are optimal.
Although I have had Holter monitors done, none of the "symptoms" (a sensation like a strong heartbeat, a dull feeling in the stomach area as if something is tightening, or a brief feeling of startle, or the feeling that the heart is skipping a few beats, which usually goes away after sitting up) were recorded.
I am currently not in Germany and would have to book any treatments privately, hence my question.
Should I do another Holter monitor and get an ultrasound done, as something may have changed in the 5.5-3.5 years? And hope that this time it happens while wearing the monitor?
Or could it simply be due to stress and I am overthinking it. Age: late 20s.
I would be grateful for a response.
