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jcris123 posted:
Hey doctor hey people i had an episode of chest pain and shortness of breath about 3 weeks ago.I went to the er and they keep me for 24 hours i did a a raido/stress test here were the results:

The patient was physically stressed under standard bruce protocol treadmill reaching 88% of maxium predicted heart rate 180bpm

The left venticule is normal in size on stress and rest.Nosignificant fixed or reversible perfusion defects.No abnormal lung uptake.No focal wall motion adnormality.LVEF equals 62%
impression normal left venticular perfusion post stress..

I thought i was fine but 1 week after the test i started getting about 3-4 noticable pvc's followed by a strong pounding beat that would stop me in my tracks while walking!!

With these finding on my nuclear stress test should i be worried because my anxiety is through the roof! thx looking forward to some advise on what to do..i have taken an echo last week on advise of my pcp and dont get the results until the 19th but im freaking out!thx again!
cardiostarusa1 responded:

"I had an episode of chest pain and shortness of breath about 3 weeks ago"

OI the various types/kinds of heart conditions, symptoms may/can be acute (occurring suddenly), be chronic (occurring over a long period of time), come and go (be transient, fleeting or episodic), or even be silent

......"because my anxiety is through the roof"

Though the findings on the stress test were normal, in general, anxiety and/or stress can cause various symptoms, even wreaking havoc on the entire body. The effects can still linger on even well-after after the stress/anxiety-causing events have ended.

"1 week after the test I started getting about 3-4 noticable pvcs followed by a strong pounding beat that would stop me in my tracks while walking!!"

The most common type of palpitations, premature ventricular contractions (PVCs, occurs even in many heart-healthy individuals), is described that the heart is flip-flopping, fluttering, jumping, pausing or stopping briefly (though it's actually not doing that), pounding, skipping, thumping, or strong, hard, or forceful beats being felt in the chest, neck, throat, and has various causes (cardiac and non-cardiac) or triggers, includes anxiey and stress, even at the subconscious level (affecting the subconscious mind).

Some individuals have reported, palpitations (PACs, PVCs), being triggered off by GERD/acid reflux/heartburn, swallowing (food or drink), gas, bloating, belching, burping, or coughing, or after a heavy meal/on a full stomach.

These are known as indirect causes or an "reactive-arrhythmia". This may/can also be a side effect of some foods (which includes additives and preservatives), drinks, or drugs. On the flip side, in some cases, belching, burping, or coughing may/can terminate/relieve an irregular heartbeat/arrhythmia.

PVCs are typically harmless, however, the main problem or concern (even more so, much more emphasized for those with certain major or serious heart conditions) with PVCs is when sustained ventricular tachycardia (runs of PVCs over 30 seconds) occurs.

Symptoms that may/can occur wih PVCs includes none at all or chest pain/discomfort/pressure/tightness, shortness of breath, lightheadedness/dizziness, and in uncommon to rare cases, near-syncope or syncope (temporary loss of consciousness, includes fainting and passing out).

Best of luck down the road of life. Live long and prosper.

Take care,


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