MikeCampbell1983
23-07-16, 17:45
This is going to be super long. I apologize in advance.
So about six months ago, I was sitting in church when all of a sudden I became super dizzy, heart started racing fast, felt faint, and was scared out of my mind that I was dying.
I went to the ER twice that day and had several EKGs run and the only thing that came back was incomplete right bundle branch block and tachycardia -- rapid heartrate.
However, ever since I have been constantly lightheaded and experiencing strange sensations in my chest. What feels like skips and or pauses.
I've been to the ER over 12 times during all of this and hospitalized once. I've had a stress test which came back perfect, same with an echocardiogram. I've had countless bloodwork which was come back good.
I had a 48 hour holter monitor that came back showing I had isolated PACs. I've seen a cardiologist who looked at the numerous EKGs, holter, ct scans, x-rays, stress test, ect. and said structurally my heart looks great and my heartbeat is strong despite the PACs.
It seems my doctors believe it to be anxiety, and I do suffer from health anxiety. No matter how much they seem to reassure me my heart is okay, I just don't believe them.
The pacs can be super scary and my heart races over every little thing. I get up from a chair, it hits 100 bpm from my normal 85. I walk around and it feels like it's beating out of my chest. When I'm at rest and I get the slightest emotional or worried, it spikes.
I'm constantly dizzy and terrified I'm going to pass out or that my heart is going to stop. I've had chest pain, arm pain, shoulder pain, jaw pain, you name it, yet my EKGs and blood work plus other tests keep coming back without heart attack.
I'm going to include some of my test results here as I would really like some help understanding this.
Here are some EKG results:
Ventricular Rate: 107 BPM
Atrial Rate: 107 BPM
P-R Interval: 168 ms
QRS Duration: 104 ms
Q-T Interval: 340 ms
QTC Calculation(Bezet): 453 ms
Calculated P Axis: 52 degrees
Calculated R Axis: 6 degrees
Calculated T Axis: 69 degrees
Diagnosis: Sinus tachycardia
RSR' pattern in V1
Ventricular Rate: 84 BPM
Atrial Rate: 84 BPM
P-R Interval: 194 ms
QRS Duration: 116 ms
Q-T Interval: 376 ms
QTC Calculation(Bezet): 444 ms
Calculated P Axis: 62 degrees
Calculated R Axis: 16 degrees
Calculated T Axis: 71 degrees
Diagnosis: Normal sinus rhythm
Normal ECG
When compared with ECG of 24-JUN-2016 17:54,
ST no longer depressed in Anterior leads
Ventricular Rate: 112 BPM
Atrial Rate: 112 BPM
P-R Interval: 148 ms
QRS Duration: 104 ms
Q-T Interval: 342 ms
QTC Calculation(Bezet): 466 ms
Calculated P Axis: 51 degrees
Calculated R Axis: 13 degrees
Calculated T Axis: 74 degrees
Diagnosis: Sinus tachycardia
Incomplete right bundle branch block
Nonspecific ST and T wave abnormality
When compared with ECG of 29-MAY-2016 12:15,
ST abnormality is slightly more pronounced
Ventricular Rate: 93 BPM
Atrial Rate: 93 BPM
P-R Interval: 156 ms
QRS Duration: 112 ms
Q-T Interval: 348 ms
QTC Calculation(Bezet): 432 ms
Calculated P Axis: 51 degrees
Calculated R Axis: 5 degrees
Calculated T Axis: 69 degrees
Diagnosis: Normal sinus rhythm
Non-specific intra-ventricular conduction delay
Ventricular Rate: 103 BPM
Atrial Rate: 103 BPM
P-R Interval: 152 ms
QRS Duration: 112 ms
Q-T Interval: 330 ms
QTC Calculation(Bezet): 432 ms
Calculated P Axis: 58 degrees
Calculated R Axis: 12 degrees
Calculated T Axis: 84 degrees
Diagnosis: Sinus tachycardia
Incomplete right bundle branch block
Nonspecific ST abnormality
When compared with ECG of 07-MAY-2016 14:52,
QT has shortened
That's just a few of the EKGs. Now here's the results from my Holter:
Procedure:
This is a dictation on Michael S Cantrell who underwent Holter
monitoring on May 20, 2016. The patient wore the monitor for
approximately 48 hours. The patient's heart rate data and rhythm
was monitored for the time that the monitor was worn. The patient
did not have any significant reaction to the electrodes. The
patient had no complications as a result of the test itself.
Heart rate data:
Minimum heart rate: 53 beats per minute, which occurred at likely
while the patient was sleeping at 12:58 AM.
Average heart rate: 81.
Maximal heart rate: 141 beats per minute, which likely occurred
while the patient was awake at approximately 2:38 PM.
Percentage of beats and tachycardia: 7 percent
Percentage of beats in bradycardia: Less than 1 percent
Pauses:
Maximum RR interval: 1.2 to, this occurred at approximately 5:40
AM, this does not meet criteria for a significant pause.
Ventricular ectopy:
There were 0 single PVCs.
There were 0 ventricular couplets noted
There were 0 ventricular runs.
Supraventricular ectopy:
There were 2 isolated PACs
There were 0 supraventricular couplets
There were 0 bigeminal cycles.
There were 0 runs of supraventricular ectopy.
Rhythm analysis:
The patient's overall rhythm was sinus rhythm. When the patient
was at his minimum heart rate he was in sinus bradycardia. When
the patient was at his fastest heart rate he appeared to be in
sinus tachycardia, with a rate of 141 beats per minute. The
patient's maximum RR interval occurred at a time when the patient
appeared to be in sinus arrhythmia. Ventricular ectopy was noted
as above. Supraventricular ectopy was noted as above.
Diary:
A diary was turned in with the patient's Holter monitor. Multiple
symptoms were mentioned and recorded by the patient these
symptoms included shortness of breath and a feeling of an
elevated heart rate, slight chest pain, dizzy spells, "heart
racing". Some of these symptoms were triggered by the patient's
environment. In all instances the patient was in either sinus
tachycardia or sinus rhythm
Conclusion:
1. Overall rhythm is sinus rhythm with physiologic sinus
bradycardia and sinus tachycardia.
2. Rare supraventricular ectopy
3. No ventricular ectopy
4. No evidence of atrial fibrillation or atrial flutter.
5. No evidence of malignant ventricular rhythms.
6. Symptoms recorded in the diary did not correlate with a
malignant arrhythmia.
And my stress test:
EPORT
This is a dictation on a patient, who underwent Lexiscan stress testing with sestamibi on May 19, 2016. After receiving a protocol dose of Lexiscan, the patient was given 30 mCi of sestamibi. For the resting images, the patient was given 10 mCi of sestamibi.
FINDINGS
The raw data and cine images were reviewed. There did not appear to be a significant amount of attenuation present.
The post rest and stress perfusion images were reviewed. The post stress images demonstrated uniform uptake of the radiotracer with no significant defects identified. On the resting images again, there was uniform uptake of the radiotracer with no significant defects identified.
On the gated portion of the study, there was uniform thickening with an ejection fraction of 70%.
In addition, the computer quantification was reviewed, and it was consistent with the above perfusion findings.
Am I wrongfully obsessed about my heart? Is my anxiety making me feel sensations that aren't really there? I'm so miserable and desperate to feel good again. I just want to cry.
Is there any reason for my to worry? Just need some opinions.
So about six months ago, I was sitting in church when all of a sudden I became super dizzy, heart started racing fast, felt faint, and was scared out of my mind that I was dying.
I went to the ER twice that day and had several EKGs run and the only thing that came back was incomplete right bundle branch block and tachycardia -- rapid heartrate.
However, ever since I have been constantly lightheaded and experiencing strange sensations in my chest. What feels like skips and or pauses.
I've been to the ER over 12 times during all of this and hospitalized once. I've had a stress test which came back perfect, same with an echocardiogram. I've had countless bloodwork which was come back good.
I had a 48 hour holter monitor that came back showing I had isolated PACs. I've seen a cardiologist who looked at the numerous EKGs, holter, ct scans, x-rays, stress test, ect. and said structurally my heart looks great and my heartbeat is strong despite the PACs.
It seems my doctors believe it to be anxiety, and I do suffer from health anxiety. No matter how much they seem to reassure me my heart is okay, I just don't believe them.
The pacs can be super scary and my heart races over every little thing. I get up from a chair, it hits 100 bpm from my normal 85. I walk around and it feels like it's beating out of my chest. When I'm at rest and I get the slightest emotional or worried, it spikes.
I'm constantly dizzy and terrified I'm going to pass out or that my heart is going to stop. I've had chest pain, arm pain, shoulder pain, jaw pain, you name it, yet my EKGs and blood work plus other tests keep coming back without heart attack.
I'm going to include some of my test results here as I would really like some help understanding this.
Here are some EKG results:
Ventricular Rate: 107 BPM
Atrial Rate: 107 BPM
P-R Interval: 168 ms
QRS Duration: 104 ms
Q-T Interval: 340 ms
QTC Calculation(Bezet): 453 ms
Calculated P Axis: 52 degrees
Calculated R Axis: 6 degrees
Calculated T Axis: 69 degrees
Diagnosis: Sinus tachycardia
RSR' pattern in V1
Ventricular Rate: 84 BPM
Atrial Rate: 84 BPM
P-R Interval: 194 ms
QRS Duration: 116 ms
Q-T Interval: 376 ms
QTC Calculation(Bezet): 444 ms
Calculated P Axis: 62 degrees
Calculated R Axis: 16 degrees
Calculated T Axis: 71 degrees
Diagnosis: Normal sinus rhythm
Normal ECG
When compared with ECG of 24-JUN-2016 17:54,
ST no longer depressed in Anterior leads
Ventricular Rate: 112 BPM
Atrial Rate: 112 BPM
P-R Interval: 148 ms
QRS Duration: 104 ms
Q-T Interval: 342 ms
QTC Calculation(Bezet): 466 ms
Calculated P Axis: 51 degrees
Calculated R Axis: 13 degrees
Calculated T Axis: 74 degrees
Diagnosis: Sinus tachycardia
Incomplete right bundle branch block
Nonspecific ST and T wave abnormality
When compared with ECG of 29-MAY-2016 12:15,
ST abnormality is slightly more pronounced
Ventricular Rate: 93 BPM
Atrial Rate: 93 BPM
P-R Interval: 156 ms
QRS Duration: 112 ms
Q-T Interval: 348 ms
QTC Calculation(Bezet): 432 ms
Calculated P Axis: 51 degrees
Calculated R Axis: 5 degrees
Calculated T Axis: 69 degrees
Diagnosis: Normal sinus rhythm
Non-specific intra-ventricular conduction delay
Ventricular Rate: 103 BPM
Atrial Rate: 103 BPM
P-R Interval: 152 ms
QRS Duration: 112 ms
Q-T Interval: 330 ms
QTC Calculation(Bezet): 432 ms
Calculated P Axis: 58 degrees
Calculated R Axis: 12 degrees
Calculated T Axis: 84 degrees
Diagnosis: Sinus tachycardia
Incomplete right bundle branch block
Nonspecific ST abnormality
When compared with ECG of 07-MAY-2016 14:52,
QT has shortened
That's just a few of the EKGs. Now here's the results from my Holter:
Procedure:
This is a dictation on Michael S Cantrell who underwent Holter
monitoring on May 20, 2016. The patient wore the monitor for
approximately 48 hours. The patient's heart rate data and rhythm
was monitored for the time that the monitor was worn. The patient
did not have any significant reaction to the electrodes. The
patient had no complications as a result of the test itself.
Heart rate data:
Minimum heart rate: 53 beats per minute, which occurred at likely
while the patient was sleeping at 12:58 AM.
Average heart rate: 81.
Maximal heart rate: 141 beats per minute, which likely occurred
while the patient was awake at approximately 2:38 PM.
Percentage of beats and tachycardia: 7 percent
Percentage of beats in bradycardia: Less than 1 percent
Pauses:
Maximum RR interval: 1.2 to, this occurred at approximately 5:40
AM, this does not meet criteria for a significant pause.
Ventricular ectopy:
There were 0 single PVCs.
There were 0 ventricular couplets noted
There were 0 ventricular runs.
Supraventricular ectopy:
There were 2 isolated PACs
There were 0 supraventricular couplets
There were 0 bigeminal cycles.
There were 0 runs of supraventricular ectopy.
Rhythm analysis:
The patient's overall rhythm was sinus rhythm. When the patient
was at his minimum heart rate he was in sinus bradycardia. When
the patient was at his fastest heart rate he appeared to be in
sinus tachycardia, with a rate of 141 beats per minute. The
patient's maximum RR interval occurred at a time when the patient
appeared to be in sinus arrhythmia. Ventricular ectopy was noted
as above. Supraventricular ectopy was noted as above.
Diary:
A diary was turned in with the patient's Holter monitor. Multiple
symptoms were mentioned and recorded by the patient these
symptoms included shortness of breath and a feeling of an
elevated heart rate, slight chest pain, dizzy spells, "heart
racing". Some of these symptoms were triggered by the patient's
environment. In all instances the patient was in either sinus
tachycardia or sinus rhythm
Conclusion:
1. Overall rhythm is sinus rhythm with physiologic sinus
bradycardia and sinus tachycardia.
2. Rare supraventricular ectopy
3. No ventricular ectopy
4. No evidence of atrial fibrillation or atrial flutter.
5. No evidence of malignant ventricular rhythms.
6. Symptoms recorded in the diary did not correlate with a
malignant arrhythmia.
And my stress test:
EPORT
This is a dictation on a patient, who underwent Lexiscan stress testing with sestamibi on May 19, 2016. After receiving a protocol dose of Lexiscan, the patient was given 30 mCi of sestamibi. For the resting images, the patient was given 10 mCi of sestamibi.
FINDINGS
The raw data and cine images were reviewed. There did not appear to be a significant amount of attenuation present.
The post rest and stress perfusion images were reviewed. The post stress images demonstrated uniform uptake of the radiotracer with no significant defects identified. On the resting images again, there was uniform uptake of the radiotracer with no significant defects identified.
On the gated portion of the study, there was uniform thickening with an ejection fraction of 70%.
In addition, the computer quantification was reviewed, and it was consistent with the above perfusion findings.
Am I wrongfully obsessed about my heart? Is my anxiety making me feel sensations that aren't really there? I'm so miserable and desperate to feel good again. I just want to cry.
Is there any reason for my to worry? Just need some opinions.