Question: Hi,

Im 28, 5 11 male non smoker and non drinker. I do have a bit of stress and anxiety going on lately. Back in august i had an echo and several ekgs which were clear along with a stress test.

I have been noticing recently that while laying down with my head against my pillow i will have a normal rhythm but occasionally have two heartbeats one after another. I am not having a pause or endopic heart beat afterwars. Its just inserted in the middle like 1..2..34..5..6..78. It isnt constant but it was happening every 10-15 heartbeats for that period of time. I was sleeping and had woken up from an emotional dream. I had recently broken up with my girlfriend and had noticed this the other night.

I do have occasional pvcs and pacs that have shown up on my holter which they hd no concerns. It has just thrown me into a panic because it seemed like a new issue that i havent noticed before.

I dont experience any symptoms when this happens i just happened to hear the double beats and it was happening a little more often in my rhythm where i was catching it happen more than once in a few minutes. They were always spaced out but I wasnt sure if i should be worried.

I havent slept great and have been a little low on sleep closer to 6-7 hours. I dont have caffine and only drink water, i had some kit kats 8 hours ago or more.

My heart is beating faster now because of nervousness but normal i believe. I do feel a ccasional sensations like a quick twitch in my chest which may be my stomach as it is a little upset.

Lastly whether related or not, two nights ago i was bending over to put batteries in a bathroom scale and between bending a few times and atanding up i ended up having abheartrate of about 60 bpm and it was forceful im assuming to keep my bp up from standing. It returned to normal shortly after i had stopped bending. I wanted to ask of that was normal as well.

Please let me know when you can.

Thanks,

Matt

Thank you i do appreciate it and have been abke to calm down a bit.

Would you also have any input regarding what feels like something slinding or contracting in my diaphram area that doesnt hurt but leaves a sensation in my throat. I tend ti panic thinking my heart stopped or something unrelated.

I do likely have gerd or acid reflux. Ive had an abdominal ultrasound that showed nothing. I dont know if a large gas bubble can have the same affect and another thought was a sliding hiatial hernia maybe explaining my discomfort and an unremarkable abdominal ultrasound.

Regardless i do get pressure and or pain in that area, genereally not severe. When i feel the sensation i usually go into a panic not expecting it but am genereally fine and may even feel more comfortable afterwards.

At the time i was eating lentil chips on an emtpy stomach or i had not eaten for a couple or few hours.

If you have any input on that as well that would be appteciated.

Thank you so much for your time and help.