I am a 24 year old male. I have PVC s and PAC s. I am extremely active and in great physical condition, I spend 1.5 hours, 5 days a week working out. I am 225 lbs, 8% body fat, and 6ft tall. I take no supplements. Recently I have been having some worrisome palpitations. Usually in the early morning my heart will either beat extremely fast (180-250bpm) for a few seconds accompanied with near syncope and SOB or it will beat erratically. I had an extended episode (30 seconds) of appx 200-250 bpm brought on by a sprinting session about 2 months ago. That is when these strange rhythms began. Normally I feel my PVC s, so I am very aware of my heart beat. My heart feels strange like it is tired latley. What could this be? I am worried about VTach, but as I do not have insurance I am wary of going to the cardiologist. What should I do? Thank You