My cardiologist became very excited when I told him that after listening to several of your videos on A-Fib and Extra Heartbeats, I had become bummed out by the idea of having lost 15% of my heart strength until I realized that I still have 85% left and maybe I could strengthen that portion to compensate. I now walk a min of 4 miles 2 or 3 times a week and up it to 5 - 7 miles at least once a week, if not twice. The other days I rest LOL But I do try to be more active overall and I have you to thank for it. After I told my cardiologist about your videos, I told him that I have decided that if I am going to die (which one of the residents had told me was going to happen "soon" the last time I was in Vanderbilt Univ Med Center - Jan '16 - and I had gone around for 9 months, thinking that I should plan my funeral before my cardiologist told me that my heart had repaired itself although it still is in A-Fib so I was NOT going to die...which definitely made my day! LOL), I was going to go out on my own terms and if that meant keeling over from too much exercise, so be it. That was when my cardiologist cracked a joke ... which is very unusual for him ... that maybe he had "created a monster!" ... I did not correct him by telling him that actually it was you who was the creator ;) I always enjoy your videos and am getting a good education from them. THANK YOU, Dr. Sanjay! :D
@@Stacey_Hunter Afib doesn't automatically mean that you have a weakened heart. It's simply an abnormality of the firing mechanism of the heart. Many people with Afib actually have healthy, structurally sound hearts.☺
Dr. GUPTA, Thank you so much for your videos. In my line of work, fitness is not only important for me but for the people I'm paid to protect. I've been battling ectopics (pvc's) for almost 8 years. I've been "getting by" with my fitness requirements for a while now. I've had every test under the son and told I was fine. Thanks to your video I actually can embrace all the reassurance that I was given from cardiologist. Thank you for all you do!
@Ibiza Heaven how are you just now? What makes you think that it isn't anxiety or an electrical fault? They are awful I'm not going to lie when it lasts for say like 5 seconds at a time then eases off then back again 5 minutes later and it's persistent like that it's an awful awful feeling you always presume the worst!!
@Ferris Wheeler Try having to deal with actual Afib! #UGH. It is a serious condition that usually requires anti-coagulalants and beta-blockers for life! (I'll trade for ectopics Anytime!☺)
@Ferris Wheeler Thank you. I've actually made peace with my Afib episodes. I've had several since I was dx with my first one ever in August of last year. I have learnt methods of bringing myself back into normal sinus rhythm. Usually takes from a few minutes up to an hour or so. But I don't panic anymore. It's just something I have come to accept and live with. I do NOT let it rule or dominate my life!!😉 Wishing you all the Best!☺
I have had them for a good few years now...been back and forth for ecg's seeing consultant..but now its got to the stage im afraid its got that bad i cant go bck to work just had another ecg and now waiting for another monitor fitted and to see another consultant...I refuse to leave the cardiologists surgery until something is done ..Im sick of feeling ill with it all the time..Their are more and worse than ever ..Something is deffo wrong!!!
Its great that you have taken the time to make these videos. As someone who has ectopics it gives reassurance to hear your explanations of various aspects of ectopics and palpitations and to hear that generally they should not be a cause for the fear and concern I feel about them
Dr. Gupta, you are the best!! I found your channel yesterday and you have literally answered so much of my questions in your videos. They really reassured me a lot. I have always had a bit of a phobia for heart disease and so on. And when I started getting ectopics they freaked me out a lot at first and I got scared of them. Now thanks to your videos I know I have basically nothing to worry about and I can finally let this fear of these ectopics go!!
I actually fear over exercising cos I'd always knew with irregular heart beats things want always be normal so I exercise for a while nd stop it with fear, today u actually cleared my doubts that it can cause death that's what's I actually feared. Though a bit complicated today I got it. Thanks for the explanation doc. God bless u. My doc said ecg clear yet I fear those irregular heart beats.
Dear Dr. Gupta, I have enjoyed watching your videos on heart palpitations and found them to be very helpful. I appreciate your holistic approach to getting rid of palpitations. One question I have for you is if you have found any connection between tyramine rich foods and palpitations. According to some of the internet articles I have read, foods that are high in tyramine such as aged cheeses and meat or overripe fruits, can cause palpitations (and migraines). Thanks again for the wonderful videos!
What brought me to this video is a fellow 4th year medical student dropping dead during a workout early morning. Sadly no one was around to attempt to resuscitate.. Thanks for the info doc
I've been told this by my cardiologist 20 yrs ago. I regularly do and play sports, nothing has happened to me so far. I wore a holter upon which I ran my fastest and my heart gave out a huge thud as it skipped a beat. I was certain they finally caught what I was suffering from! Turns out it's nothing. 🤷 As a result, I've chosen to ignore my heart and I've been doing sports for years now.
@@martingeorgiev4120 it mostly feels like my heart stops and then starts working again. The thud is felt at the moment when it feels like it is starting to work again. I've had this for 23 years. It's benign, nothing has happened to me. I've never fainted, lost my breath, devoloped high blood pressure or anything. And I'm a smoker too. Magnesium does help. A heart "skipping beats" is no big deal. If a doctor tells you it's benign, do really trust him and go on with your life to achieve great things and enjoy great moments.
@@nvr5490 You explained exactly what happens to me. It feels like all of a sudden my heart stops or hesitates for a second then when it starts beating again the first beat is a big thud then it's back to regular beats.
these videos are very informative and reassuring. I have had these for 20+ years and have taken atenolol for that long also. Thanks so much for the information.
do you still take atenolol? ive been told i have pvc's after an ecg ... it's so annoying i sometimes also have to take atenolol during the night to get to sleep... im feeling down cuz of all this im 29 yo and i think it's just too bad i already have this but well doc told me it's normal and a lot of people have them... still i worry a lot
Adrienne Starr i take atenolol 50mg at night too !!!! Welcome to the club guys😂😂😂😂 i been on atenolol for one year now .... but now when i do exercise i get the ethopic heartbeats like 3, 4 times on a 30 minute run i really dont know what to do
My doctor said a similar thing, but additional reassurance is very helpful. I have a moderate 5% pvc burden and ectopics, but not structural damage. Doctor highly recommended to keep going with my exercise.
There was a time when I had an appt at 7:00am. I had a stress test and after that a nuclear test. Suddenly, I realized that it was 2:00pm and my 8-year-old daughter was about to get home, but I was still at the clinic. That's when my palpitations got out of control. The technician said, "Your heartbeat is irregular, but I know that you are anxious right now thinking about your daughter." To make the story short, my test results were normal and my neighbor took care of my daughter until I got home. It was the best time ever to feel those annoying skipped beats because they were able to confirm they were harmless.
Dr Gupta has a heart of gold. Anybody who trash talks this man must have heart issues. ANGER creates cortisol and adrenaline. Dr Gupta, dont let one jerk interfere. YOU have helped me a great deal. Especially in regards to magnesium. I tried it and cut my ectipics in half. Only when I read idiotic comments by haters do they come back!! Love ya doc!!!
Massively reassuring I tend to have ectopics when I eat certain foods it seems to be related to my digestion in my esophagus lots of trapped gas or air in my esophagus. It does not seem to worsen with exercise at all. Thank you for this information.
I started taking heart calm magnesium and with a little time and more sleep, I never get palpitations with work or exercise. Now I just get them with indigestion and it typically won't be more than 4 or 5 and it's over.
My Holter monitor showed extra heartbeats and doctor says it very reassuring. Some days are worse than others. I was in trigememiny once and ecg caught PACs. But doctor says there harmless. I get them worse when my anxiety kicks in.
With my ectopic beats I look forward to exercise because that is when my heart beats it's best... That is when my thoughts leave my heart to do it's thing... It then works perfectly when my thoughts are no longer getting in the way... A mentally disturbed heart? Yes, no question about it...
Bro that’s exactly how I feel, especially when I have an intense work out, i feels like my heart is too busy pumping normally for my workout and ectopics occur less, when I’m not active and I start getting anxious and anticipating it I notice it happens more often..
@@galaaxcy does it have that sudden pulse that kinda feels like you aren't breathing or maybe the heart stopped? Because that's what I'm getting and it's very scary and uncomfortable and I don't know how I can just be ok with that because my body seems to tell me it's an extremely wrong feeling.
@@ZeroLoveTennis Yes, that’s exactly how it feels like a sudden thud or a beat skip, very scary feeling cuz I swear it feels like a lead up to a heart attack or something…thankfully according to this doctor it’s not dangerous and you won’t have one. Its comforting to know I’m not the only having these…when you have yours do you tense up your chest?? I tend to hold my chest when it happens cuz it’s so intense especially the strong ones those are the worst.
Great work you are doing, this knowledge isn't always so easily available, or so well explained and it can lead to patients being stressed if they do not understand what they're reading! Keep up this awesome initiative!
thank you I did consult a cardiologist here in Vancouver she also did an ultrasound of NY heart. all valves are normal and healthy but I keep getting these feelings and it's scary
I'm 23 years old, 1.80 meters tall, and weigh 78 kg. I've been an athlete all my life, but since around 2020, I started to notice several additional heartbeats after finishing my training sessions (during the recovery period). I often associate the first occurrences with my last years of engineering, where I experienced a lot of anxiety. The thing is, since then, despite having overcome the anxiety issues, the supraventricular extrasystoles (PAC's) have persisted. I've been checked by various doctors in different countries, and all of them tell me they are benign or that I don't have enough at rest to warrant an ablation, but this reality doesn't help me at all because what matters to me is to do sports without discomfort or worry. From doing all kinds of physical activity, it's already been 3 years where I've had to limit myself to static weight lifting or very gentle cardio, and this has me extremely frustrated. Every time I push myself a bit further, they occur after the training session. I've never had them during the exercise, it's always when I finish, and living with the constant worry that they will occur is shitty
Bro i am also 23 y old m 1.87 m tall and athlete in 2021 I started feeling these pvc after my workout not during I was very active now I can't exercise because they come back when I try some exercise How are you now Do you find cure?
The best way to treat this problem is to never look at it as a problem and enjoy the life just like the kids knowing no problems at all no matter what. 'care is the the enemy of life' follow intuition and ignore the rest. God bless you all.
Thank you, thank you, thank you for these videos! I get PAC's and PVC's when exercising, and they make me feel tired and lethargic. I wear a heart rate monitor and have difficulty knowing how intense I should go when my heart is beating 180 or more beats per minute already. I am not afraid of these palpitations, but do get frustrated because I want to build my aerobic fitness level, and they sabotage my ability to track my exercise intensity and make me feel like quitting.
@@umanu5437I discovered a had a cancerous tumor (GCT) got it removed, after I recovered, I started wearing a heart rate monitor and walking in a treadmill for up to 40 minutes almost daily. My heart rate has stabilized, and now I don't get the crazy fluctuations I was having when I posted the above post. It's awesome! Good luck!.
@@LS-vp3du 180 beats per minute is way too dang fast! Your exercising heart rate should be at about 120 minutes per minute. If the rate is too fast then you need to slow the pace and intensity of the exercise down. You're Welcome!☺
@@gloriamaryhaywood2217 no its really not. Maximum heart rate when exercising can be calculated by subtracting your age from 220. It really depends but for most people (under 100 lol) its no where close to 120.
@@LegomanBunda If you trip over 120 bpm then you are no longer aerobic. Nope, you are burning too much sugar and will create lactic-acid in your muscles!
I find that ectopic beats become less prevalent during/after I've exercised. I've been doing more lately and finding that they've been bothering me a lot less.
Doctor, I get hundreds of pvc’s after excercise. The rate of these ectopics are every 5-8 beats and when you’re heart is beating fairly quick after excercise the feels like every 4 beats. and they occur for hours after excercise. In the gym I lift weights but not super heavy. After a set I put the weight down and they then begin to happen rapidly during the “recovery phase” between each set, so as my heart rate comes back down. They kick off extremely, I just feel like any of these PVCs could lead me into sudden cardiac arrest. Please get back to me doc. Love from Australia 🇦🇺❤️
Jason Shazimanoski hey bro I’m on a beta blocker now, I haven’t had a pvc for two weeks. But if I get off them I’ll have a pvc every few beats while in the gym it’s fucked. See a doctor get some tests done to make sure you’re all good man. Dw it won’t kill u it’s just scary I had it every few beats for like 6 months it was insane. Always here if u need
Allrise I have health anxiety too I’ll notice the tiniest thing wrong with me and obsess over it for ever. Like it’s stupid. And it controls your life. I still get a pvc few times a day man. Keep training and living life speak to doc.. see what the options are, I’m off the beta blocker I was put on (propranolol) because it made me very depressed. Which is possible in some people that take it. Best of luck man
Hi Sanjay, I was diagnosed with Dilated cardiomyopathy 8 years ago. My ejection fraction at time of diagnosis was 15%, after having a bi ventricular pacemaker fitted it has now gone back up to 44%. Would it be possible that it could improve further? ... if you have the time could you do a video focussing on D/C please? Many thanks for all this invaluable information Darren
Beta blockers are clearly near to improve LVEF, if i talk about my father, he is diagnosed with dilated cardiomypathy at the age of 48. Lvef was 20. After just 3 months of medication his lvef improved to 56. What is your age can i know?
I had a normal ecg and my heart beat was acting normal at the time , but for a month it’s been jumping about all over the place ,I went on a day out ,walked around lots but I’m used to walking but that perticular day my heart palpitations were morning till night really bad, sometimes if I’m concentrating lots on something they go a bit or sometimes I don’t get them in the morning,I’m waiting for the holter monitor but heard that can be four months wait .i just wish I knew what the problem was as it’s worrying me sick.ive had episodes of this before but never this bad ,aged 51 now .
36Hooters I have been diagnosed with Malignant Arrhythmogenic Bileaflet Mitral Valve Prolapse Syndrome and have had an icd implanted. I exercise only because I know if I go into vfib I will be shocked by my device & not drop dead. My PVC’s increase dramatically with exercise and even in the recovery period. Anti-Arrhythmic medication such as flecainide would help the heart rhythm & PVC’s but the meds prolong your QT interval and I already have a prolonged QT interval so meds are not an option for me. I was on a very small dose of a beta blocker which I could not tolerate .
S H I went to Columbia Medical Center in NYC. They did not know what was wrong so they called a fellow Dr. in Amsterdam, Netherlands. His name is Dr. Arthur Wilde. He flew to NYC to study me and he came up with the diagnosis & advised me to see Dr. Michael Ackerman, a cardiac geneticist at The Mayo Clinic in Minnesota. He agreed with the diagnosis and is the only doctor that is studying this rare condition. At present there are only 43 people in the world that have this.
Speaking of sudden death, would you please do another video about certain drugs that cause Long QT syndrome. These people should have regular EKG's, and if their doctors are not ordering it, they need a new doctor.
I like what you're doing by reassuring people and I agree with pretty much everything you're saying. And you are the cadiologist. Not me. But what about the possibility of catecholaminergic polymorphic ventricular tachycardia (cpvt), long qt syndrome, Brugada syndrome, and WPWs??? I know these are all small risks for most people but couldn't it most certainly be a cause of concern for the 5-10 people out of 2500 in the studies? given that it matches the same statistics as some of those diseases?
i get some pvcs during exercise, but they primarily come after working out, upon cool down. i’ll have a pvc every 4-6 beats. i read a study about recovery pvcs and increased risk of cardiac death. i’ve pretty much stopped exercising because of this. i do have history of sudden death in my family. my father and sister have long qt. my ekg was inconclusive, however my genetic testing came back negative for the long qt gene mutation. and my US was normal. i’m not sure what to think anymore /: i really don’t know if i should be exercising. my cardiologist isn’t worried about it, but i know it’s not normal for a perfectly healthy 26 year old to have so many pvcs. my heart monitor showed over 6,000 in one day. (also i have been diagnosed with POTS but it seems to be mostly unrelated)
@@KennM12 I have the palpatations too, there scary some nights I'm awoken from my sleep with a racing heart, I've had a few ecgs they found nothing to abnormal I'm waiting for a Holter monitor, I totally understand why you'd feel scared and anxious this is a nightmare to live with, and you having a family history would make you feel more worrisome, I hope we can get answers and live free of these troubling symptoms
I am experiencing this too. I get palpitations every second or third heartbeat after weightlifting. My echo and holters were all normal though. Did you ever find a cure?
Thank you for sharing all your information with the public I know it can be overwhelming due to the high demand of medical help and cost. I have recently been implanted with a loop recorder and your Videos Helped me to better understand my condition. I have been plagued with here in the US. I Train Horses and I haven't been doing as much out of fear from my irregular heartbeats. Sleeping has been an issue too because it happens that I have my symptoms then too. I am 49 and I don't want to leave this world yet like my father did at age 40, in his sleep at that time I was 19. Since I have had a fear of the same thing happening to me. This does not just become a physical aspect of health. It can also affect you mentally. I try sometimes to push and work with the horses like i use to a year ago. It can get to be physically demanding and it is how i kept fit with exercise but now I worry I will have an episode and fall out. To Slowed heart rhythm or my heart just stops. due to irregular beats. I get fast and slowed rhythms spastic sometimes but for a couple of seconds less than a minute, at Random times. No pace maker yet or Defibrillator implants at all. My doctor is using the ILR to see whats going on and then figure out where to go from there. He gave me the Loop Recorder after doing an EP study of my Heart. Again Thank you for educating us on the heart.
I was so dizzy with an irregular heartbeat after a light workout I almost blacked out. I popped a magnesium, drank too bottles of water and ate a banana - it took 1 hour to stop feeling dizzy😞
I know how it feels. I experienced this before. I just hope things will be better for u in future. If exercise cause it then dont exercise for a moment and see a doctor. Life is short so do things that make u feel happier.
Why do i get them when i squat but not when i hit dips or push ups or pull ups? But when I squat i get them as im squatting? Anyone else experience this
I'm slim, exercise at least 3-4x per week, daily BP usually between 109-125 over 60-75 with pulse at 55-75 on average. I still get palpitations and seconds of feeling like my heart stops for a second and then fast pulse after. More frequent but random when I exercise or if my adrenaline gets going.
@@TraderZer0 how did you fix or cope? I'm getting bad anxiety from it. So. Bad I check my blood pressure more than 3x per day.im always worrying about my heart now. Thinking of getting an ekg for piece of mind
@@carlosmelendez8317 i was exactly the same for the last 3 months. Started in July when i woke one morning at 3am with racing heart. I was hyperventilating. Called ambulance snd they did ecg nothing was found. Was in that cycle of checking my own blood pressure sugar amd oxygen for 2 months. I've had ecgs blood tests and today i had echo. The only thing they found once is ectopics. These as Dr Gupta said everyone has. First of all make sure you get checked out . As long as your bloods ecgs etc show no structural or underlying causes then its normal. Nothing to worry about. Use meditation, calming music breathing exercises. Most of it made worse by our thinking. I get the odd palpatations at night but i just let it be. Breathe then sleep. Make sure you get sleep. This is the key.
Hi doctor just want to say firstly your doing a great job thankyou, I have a question I’ve been diagnosed with mild coronary artery disease with calcium score of under 8 and my colestarol level is 5.8.. I’ve been prescribed statins and aspirins. Would I be able to go back to the gym and participate in boxing??
I get multiple ectopics in a row and doctors still say I'm fine because of normal ecg and echocardiogram.I don't understand how just coffee ot stress is supposed to cause my heart to beat completely abnormal for minutes per time.Once or twice in my life I got episodes that ectopics just wouldn't stop coming one after the other so I swallowed half a beta blocker out of fear.The holter monitor showed nothing of course because heart decided to behave with the monitor around...so annoyed.My paternal grandmother actually passed from sudden cardiac death at the age of 27,something I have always mentioned to doctors.This is why I'm so scared.
I barely ever feel them when I'm resting. Maybe even none at all. But the minute i do anything physically demanding like even just walking ..they start coming in troops. They scare me alot
ok, so I've had all the tests which all report normal even though i have a history of afib but now am experiencing bigeminy and trigeminy everyday and my ep at Penn medicine in philadelphia recommends the ablation anyway and IS concerned versus not worrying about it. I am female and 53 years of age.
@@YorkCardiology im 21 and in the present year i started having this “benign” but unbearable ectopic beats after intense training in the recovery period. Can i resume my training after them? Any clue about why they manifest after intense training?
definitely worth addressing the anxiety at your young age Manuel otherwise it will be a cross you carry all your life i am grateful to you for watching the channel. Id be so grateful if you would kindly consider subscribing. best wishes
7:27 I would definitely not mess with my ventricles. They are literally creating scar tissue, just what happens in a heart attack, which obviously weakens the heart muscle. The whole analogy I have for this ablation business is hitting the heart with a hammer until it’s so weak it can’t pull off these tricks anymore.
Could you please do a video on PVCs after exercise, ie recovery period. 2008 Tests show that mortality rate doubles with these present , I am experiencing these, although I do get them on other occasions as well :(
I was given a beta blocker for the extra heart beat. How long does it take before you feel a difference in the beats? And thank you for this video. I honestly had no idea so many people go threw this. I had the heart monitor on and my doctor said I was at 7% so I was have like 2000 within a 24 hour period. Sometime the go away but most of the time they are there.
I suffer from them after hours of the gym and it scares because theres studies that shows ventricular ectopics on recovery after workout predicts early death
I had it happen in front of a cardiologist after a treadmill test on the ecg (looks like a big spike), I pointed it out, he just shrugged. Nothing else was wrong with me.
What do you call etopics that are back to back and feels like it takes your breath away!!! That sends me into a panic attack real quick…. Usually triggers are caffeine and chocolate, stress and anxiety
Hi Dr Gupta. I've been watching your youtube channel for quite some time now. I've been experiencing ectopic beats for many years and have noticed the burden increase considerably over the past several months. My ectopics actually go away with exercise. Is this reassuring? I just got an echo and waiting for the results to come back prior to a scheduled sestaMIBI scan and holter monitor. Can structural heart disease be excluded solely on an echo or would a cardiac MRI need to be done? If I'm deemed a suitable candidate for catheter ablation, what happens if the source of my ectopics are not LVOT? Will the success rate be less and potential procedural complications be higher? Thanks. Your videos help immeasurably.
Are PVC's considered ectopics? I had up to 40% (40K) PVC's per day at the height of my arrhythmia. But, when I exercised, they went away, most of the time. I did have a somewhat successful ablation procedure and my PVC's went down to about 12% (12K) per day. Considered another ablation but my Cardiologist suggested blood pressure medication to help control the rhythm of my heart. I take spironolactone, bystolic, and losartan. They have virtually eliminated any PVC's over the last 12 months or so. Do these medications have any long term negative consequences?
An ectopic beat can be further classified as either a premature ventricular contraction, or a premature atrial contraction. Just found on wiki. Hope you're feeling well.
I have been told by my GP that when I am experiencing these weird heart rhythms that I need to get on the treadmill. (love being a bigger patient and having every ailment blamed on weight!) I get them frequently when I am hungry, or if I have eaten, after exercise, and at night when I am trying to sleep. I originally thought it was from food getting stuck in my esophagus as I have a lap band. I also have a low heart rate for my fitness level, around 50-55 at rest, and this is when my ticker really gets going with extra heart beats! My questions are: can vegas nerve damage/irritation from lap band cause these symptoms (being onset is during hunger/after eating food and there is pain in the top of my mouth/soft pallet from the force of the extra beat) Or can low BGLs (around 3.8-4.1 when I 'feel' hungry) influence the cause of the extra heart beats? I have a family history of heart disease, my father died at 45 years old of a heart attack and had open heart surgery for aortic stenosis (congenital) when he was 17 years old..No one is listening to me and the extra heart beats are freaking me out! (especially when I get pain and dizziness) All my blood work has come back normal and ECG was normal too (was not having symptoms at the time).
I had an echo and stress test in late 2016 following an episode of atrial fibrillation. Everything was normal: felt great on the treadmill, no issues, heart is "perfect size" and is "very strong structurally strong". I was 29 at that time, and 33 now. Recently, I've been experiencing the ectopic beats only during very strenuous exercise (e.g. digging a garden bed) but I'm fine with a walk or a jog, playing with the kids, etc. Family history of early heart disease (heart attacks before 45-50). Mild hypertension controlled with 25mg Atenolol. Otherwise no known issues. What gives? It makes me scared to exercise sometimes. Even affects sex life most times, and that really sucks. I get that "skip" or "flutter" several times in a row. As soon as I stop the strenuous stuff, the skipping goes away entirely. It only started within the past several months, didn't have these issues before. Keep in mind I'm a regular smoker, don't exercise regularly, but I'm not over- or underweight. Also, history of severe anxiety, excess caffeine consumption, and history of palpitations (diagnosed with benign PACs/PVCs in 2015). I've never blacked out, never been close to it. No other symptoms - no shortness of breath, dizziness, etc. Heart rate is also quite normal, maybe 80s or 90s at the very most.
Try hard to quit smoking and cut back on your caffeine consumption, AND add a daily dose of highly absorbable magnesium. See if that starts to help your skips and flutters. I'm betting that it Will!😉With a family history of heart disease and early heart attack, it only makes sense to go on the defensive early on. Wishing you all the Good luck!☺
I know this video is over 2 years old but hope you see this comment. I get Ectopics after exercise, for instance siting down after walking. Was wondering why that happens? Thanks
Been getting these for the last couple of weeks but have got worse over the last few days to the point where I went to a&e last night, they said my ECG was normal (they didn't happen while connected to monitor) and bloods came back fine and got sent home. Been getting them alot this morning and still can't help worrying. Any advice?
I too went to the ER twice for the palpatations, bloods all good and while I was hooked up to the monitor I didn't have any so I got the all clear, I'm getting a Holter monitor this week
There's a prescription niacin + fish oil drug on the market. It's the "next level" for people who have high cholesterol and have already had a heart attack, so yeah, fish oil might be beneficial for the heart!
Yeah, fish oil seems to lower trigycerides, and the "flush" form of niacin seems to raise levels of high-density lipoproteins (HDL). And as we know: "HDL is called the "good" cholesterol because it carries cholesterol from other parts of your body back to your liver. Your liver then removes the cholesterol from your body. LDL stands for low-density lipoproteins." medlineplus.gov/hdlthegoodcholesterol.html
I have panic disorder, I sometime take clonazepam for that (usually 10-12 tablets/year for last 8 yrs. I have observed after 2 weeks of a single dose, ectopics (probably, because whenever I do ecg it shows everything clean) comes may be 5-10/day (which I can feel), is it normal? Is this just a side effect from clonazepam? Also I use escitalopram , 10-12 tablets /year.
Hi Dr. I have a concern my brother in law is a diabetic and his heart beats fast, shortness of breath. Throughing up, what could that be we r very concern of what could be happening to him. Thanks
HELP ME if u can Dr Goupta I had a fishler put in incase I needed dialysis, no heart proublem before ,the min I woke up the pvc's begain , never had any kind of heart problem before
how many is a lot? i notice im having ectopics specially when i do bench press. Ive had two stress test and two 2d echo 3 years ago, which all came back normal. i dont know if i should be worried
Me too, I've had tons of various tests and my ectopics are apparently unharmful, no one seems to have an answer as to why i get them if I sit down or bend over too soon after exercise which elevates my heart rate. I also get them the day or two after a hand weight back muscle workout. Do you experience these?
Damn i have it too sometimes during workout or bending over picking something up. And plus anxiety it makes the situation even worst. The only way to slow it down is just to stay calm and breathe in and out slowly. When it stops i just feel totally relief and energetic.
I only get the skipped and flip flop beats after movement that elevates my heart rate. It seems like it happens every time and only on the cooldown. I stopped exercising and even scared to climb up my steps because of the beats. Is there any solution 😢?!
Im 22 years old I had pericarditis about 6 months ago and had it for around 3 months was in the hospital twice they kept me over night the second time because my troponin levels were very elevated i was then released after my troponin levels went down about 3 months later after I thought the pericarditis went away, I then started having feelings of fainting one day when I was in class I felt my legs go stiff and started sweating and getting clamy. I went to the hospital and then again my troponin levels were high now 2 months later I still have trouble exercising I feel during simple things like walking or standing my heart rate goes up 25-30 beats a min when I workout my heart rate is normal for working out 120-140 beats a min but I feel like I’m having the fainting feeling again and get shortness of breath and my heart seems like it’s beating hard.My resting heart rate is perfect 58-62 beats a min. The doctors said that my heart is in good shape and that everything is normal it’s been 6 months since I has pericarditis and since I had it I feel as my body has never recovered even tho the doctors say I’m in perfect heart health. I also have GERD so idk if that is causing the shortness of breath.
this sounds very familiar! i have POTS (postural orthostaric tachycardia syndrome). to put it simply: it causes heart rate to go up significantly when you stand or sit up. and POTS can be brought on after infections and periods of prolonged rest. it sounds like maybe after your illness you could have developed it? i suggest you go to potsuk.org it’s a great website with a lot of good info. POTS can cause all types of symptoms including digestive issues. i have GERD myself, weakness, feeling faint, dizzy, shortness of breath, fatigue, etc. good news is that POTS is not dangerous, and most will learn to manage their symptoms and live a normal life.
@@anuragprasad8700 yeah it can! for people with POTS their heart is usually healthy and beating fine, just quickly. although I do have a lot of PVCs too, which are skipped beats. it's benign though
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how much do i owe you? You've been much more helpful than the doctors who are billing me.
I totally agree. That's what Austin Wintergreen said in his new book: 97% Cured."
My cardiologist became very excited when I told him that after listening to several of your videos on A-Fib and Extra Heartbeats, I had become bummed out by the idea of having lost 15% of my heart strength until I realized that I still have 85% left and maybe I could strengthen that portion to compensate. I now walk a min of 4 miles 2 or 3 times a week and up it to 5 - 7 miles at least once a week, if not twice. The other days I rest LOL But I do try to be more active overall and I have you to thank for it. After I told my cardiologist about your videos, I told him that I have decided that if I am going to die (which one of the residents had told me was going to happen "soon" the last time I was in Vanderbilt Univ Med Center - Jan '16 - and I had gone around for 9 months, thinking that I should plan my funeral before my cardiologist told me that my heart had repaired itself although it still is in A-Fib so I was NOT going to die...which definitely made my day! LOL), I was going to go out on my own terms and if that meant keeling over from too much exercise, so be it. That was when my cardiologist cracked a joke ... which is very unusual for him ... that maybe he had "created a monster!" ... I did not correct him by telling him that actually it was you who was the creator ;) I always enjoy your videos and am getting a good education from them.
THANK YOU, Dr. Sanjay! :D
Are you saying you have a weak heart due to ectopics. Or you just have a weak heart
@@PrestigeLoft she has A-fib
@@Stacey_Hunter Afib doesn't automatically mean that you have a weakened heart. It's simply an abnormality of the firing mechanism of the heart. Many people with Afib actually have healthy, structurally sound hearts.☺
Dr. GUPTA,
Thank you so much for your videos. In my line of work, fitness is not only important for me but for the people I'm paid to protect. I've been battling ectopics (pvc's) for almost 8 years. I've been "getting by" with my fitness requirements for a while now. I've had every test under the son and told I was fine. Thanks to your video I actually can embrace all the reassurance that I was given from cardiologist. Thank you for all you do!
It may be harmless but it scares the hell out of me.
Iron word: word!
@Ibiza Heaven how are you just now? What makes you think that it isn't anxiety or an electrical fault? They are awful I'm not going to lie when it lasts for say like 5 seconds at a time then eases off then back again 5 minutes later and it's persistent like that it's an awful awful feeling you always presume the worst!!
Iron word I know 🥴🙏🏼
@Ferris Wheeler Try having to deal with actual Afib! #UGH. It is a serious condition that usually requires anti-coagulalants and beta-blockers for life! (I'll trade for ectopics Anytime!☺)
@Ferris Wheeler Thank you. I've actually made peace with my Afib episodes. I've had several since I was dx with my first one ever in August of last year.
I have learnt methods of bringing myself back into normal sinus rhythm. Usually takes from a few minutes up to an hour or so. But I don't panic anymore. It's just something I have come to accept and live with. I do NOT let it rule or dominate my life!!😉
Wishing you all the Best!☺
how i wish people around me know what it feels like to have these. im not crazy...
It's sucks.
💯 it blows
They're hard to describe. No one could possibly imagine how awful they are!
@@mingram15 i still have them but learned to live with it.
I have had them for a good few years now...been back and forth for ecg's seeing consultant..but now its got to the stage im afraid its got that bad i cant go bck to work just had another ecg and now waiting for another monitor fitted and to see another consultant...I refuse to leave the cardiologists surgery until something is done ..Im sick of feeling ill with it all the time..Their are more and worse than ever ..Something is deffo wrong!!!
God bless you bro.A couple of you're videos about ectopic beats and pvc's really helped me and im sure many others.
Its great that you have taken the time to make these videos. As someone who has ectopics it gives reassurance to hear your explanations of various aspects of ectopics and palpitations and to hear that generally they should not be a cause for the fear and concern I feel about them
And you believe he has ectopics, any more lies you want to believe today
Are you still alive
Dr. Gupta, you are the best!! I found your channel yesterday and you have literally answered so much of my questions in your videos. They really reassured me a lot. I have always had a bit of a phobia for heart disease and so on. And when I started getting ectopics they freaked me out a lot at first and I got scared of them. Now thanks to your videos I know I have basically nothing to worry about and I can finally let this fear of these ectopics go!!
I actually fear over exercising cos I'd always knew with irregular heart beats things want always be normal so I exercise for a while nd stop it with fear, today u actually cleared my doubts that it can cause death that's what's I actually feared. Though a bit complicated today I got it. Thanks for the explanation doc. God bless u. My doc said ecg clear yet I fear those irregular heart beats.
Been 2 years. How are u now. I feel the exact same situation
@@carmella88 I'm fine. I go for walks stopped exercising.
Dear Dr. Gupta, I have enjoyed watching your videos on heart palpitations and found them to be very helpful. I appreciate your holistic approach to getting rid of palpitations. One question I have for you is if you have found any connection between tyramine rich foods and palpitations. According to some of the internet articles I have read, foods that are high in tyramine such as aged cheeses and meat or overripe fruits, can cause palpitations (and migraines). Thanks again for the wonderful videos!
What brought me to this video is a fellow 4th year medical student dropping dead during a workout early morning. Sadly no one was around to attempt to resuscitate.. Thanks for the info doc
you are welcome
I've been told this by my cardiologist 20 yrs ago. I regularly do and play sports, nothing has happened to me so far. I wore a holter upon which I ran my fastest and my heart gave out a huge thud as it skipped a beat. I was certain they finally caught what I was suffering from! Turns out it's nothing. 🤷
As a result, I've chosen to ignore my heart and I've been doing sports for years now.
Can you explain more? Did it feel like someone hitting your left chest? If yes, then how come it’s nothing? What did they say why does that happen?
@@martingeorgiev4120 it mostly feels like my heart stops and then starts working again. The thud is felt at the moment when it feels like it is starting to work again. I've had this for 23 years. It's benign, nothing has happened to me. I've never fainted, lost my breath, devoloped high blood pressure or anything. And I'm a smoker too. Magnesium does help. A heart "skipping beats" is no big deal. If a doctor tells you it's benign, do really trust him and go on with your life to achieve great things and enjoy great moments.
@@nvr5490 You explained exactly what happens to me. It feels like all of a sudden my heart stops or hesitates for a second then when it starts beating again the first beat is a big thud then it's back to regular beats.
@@taraweefulsame as me.
@@nvr5490did you use any medicines during these 23 years please reply
these videos are very informative and reassuring. I have had these for 20+ years and have taken atenolol for that long also. Thanks so much for the information.
do you still take atenolol? ive been told i have pvc's after an ecg ... it's so annoying i sometimes also have to take atenolol during the night to get to sleep... im feeling down cuz of all this im 29 yo and i think it's just too bad i already have this but well doc told me it's normal and a lot of people have them... still i worry a lot
Adrienne Starr i take atenolol 50mg at night too !!!! Welcome to the club guys😂😂😂😂 i been on atenolol for one year now .... but now when i do exercise i get the ethopic heartbeats like 3, 4 times on a 30 minute run i really dont know what to do
Yohalmo Carrillo how are you going now mate?
My doctor said a similar thing, but additional reassurance is very helpful. I have a moderate 5% pvc burden and ectopics, but not structural damage. Doctor highly recommended to keep going with my exercise.
I'm moving to York! Thank you for the brilliant explanations.
There was a time when I had an appt at 7:00am. I had a stress test and after that a nuclear test. Suddenly, I realized that it was 2:00pm and my 8-year-old daughter was about to get home, but I was still at the clinic. That's when my palpitations got out of control. The technician said, "Your heartbeat is irregular, but I know that you are anxious right now thinking about your daughter." To make the story short, my test results were normal and my neighbor took care of my daughter until I got home. It was the best time ever to feel those annoying skipped beats because they were able to confirm they were harmless.
Dr Gupta has a heart of gold. Anybody who trash talks this man must have heart issues. ANGER creates cortisol and adrenaline. Dr Gupta, dont let one jerk interfere. YOU have helped me a great deal. Especially in regards to magnesium. I tried it and cut my ectipics in half. Only when I read idiotic comments by haters do they come back!! Love ya doc!!!
Massively reassuring I tend to have ectopics when I eat certain foods it seems to be related to my digestion in my esophagus lots of trapped gas or air in my esophagus. It does not seem to worsen with exercise at all. Thank you for this information.
Mine are caused by gerd/trapped gas as well. Let me know if you want to chat about it
@@ColdVsIce we are similar. That's real.
@@ElHolyBoy one love my brotha
@@ColdVsIce It would be great, how do you know its related to heart?
Try eating low carb diet and see if you get palpitations after food
This happened to me yesterday. Made it 1:30 min on treadmill before I turned it off. Other days I can walk an hour and not feel one.
Dilly Dally how did you get on with the ectopics? Any improvement ?
Dilly Dally how are you going now?
I started taking heart calm magnesium and with a little time and more sleep, I never get palpitations with work or exercise. Now I just get them with indigestion and it typically won't be more than 4 or 5 and it's over.
Sam's
Same*
My Holter monitor showed extra heartbeats and doctor says it very reassuring. Some days are worse than others. I was in trigememiny once and ecg caught PACs. But doctor says there harmless. I get them worse when my anxiety kicks in.
The coolest dude ever.
Thanks Doc sharing your knowledge with us and helping many. God bless you in all the good work you do ❤️
With my ectopic beats I look forward to exercise because that is when my heart beats it's best... That is when my thoughts leave my heart to do it's thing... It then works perfectly when my thoughts are no longer getting in the way... A mentally disturbed heart? Yes, no question about it...
Bro that’s exactly how I feel, especially when I have an intense work out, i feels like my heart is too busy pumping normally for my workout and ectopics occur less, when I’m not active and I start getting anxious and anticipating it I notice it happens more often..
@@galaaxcy what about when trying to sleep?
@@ZeroLoveTennis sometimes, it usually settles down the more tired I get. Although getting enough rest is rlly important to help prevent ectopics
@@galaaxcy does it have that sudden pulse that kinda feels like you aren't breathing or maybe the heart stopped? Because that's what I'm getting and it's very scary and uncomfortable and I don't know how I can just be ok with that because my body seems to tell me it's an extremely wrong feeling.
@@ZeroLoveTennis Yes, that’s exactly how it feels like a sudden thud or a beat skip, very scary feeling cuz I swear it feels like a lead up to a heart attack or something…thankfully according to this doctor it’s not dangerous and you won’t have one. Its comforting to know I’m not the only having these…when you have yours do you tense up your chest?? I tend to hold my chest when it happens cuz it’s so intense especially the strong ones those are the worst.
Great work you are doing, this knowledge isn't always so easily available, or so well explained and it can lead to patients being stressed if they do not understand what they're reading! Keep up this awesome initiative!
thank you I did consult a cardiologist here in Vancouver she also did an ultrasound of NY heart. all valves are normal and healthy but I keep getting these feelings and it's scary
anxiety ???
Doctor Sanja you are helping so many people with your advice regarding heart issues thankyou so much God bless you
I'm 23 years old, 1.80 meters tall, and weigh 78 kg. I've been an athlete all my life, but since around 2020, I started to notice several additional heartbeats after finishing my training sessions (during the recovery period). I often associate the first occurrences with my last years of engineering, where I experienced a lot of anxiety. The thing is, since then, despite having overcome the anxiety issues, the supraventricular extrasystoles (PAC's) have persisted. I've been checked by various doctors in different countries, and all of them tell me they are benign or that I don't have enough at rest to warrant an ablation, but this reality doesn't help me at all because what matters to me is to do sports without discomfort or worry. From doing all kinds of physical activity, it's already been 3 years where I've had to limit myself to static weight lifting or very gentle cardio, and this has me extremely frustrated. Every time I push myself a bit further, they occur after the training session. I've never had them during the exercise, it's always when I finish, and living with the constant worry that they will occur is shitty
R u still experiencing ectopics??? Plzz reply .... M too suffering from ectopics
Bro i am also 23 y old m 1.87 m tall and athlete in 2021 I started feeling these pvc after my workout not during
I was very active now I can't exercise because they come back when I try some exercise
How are you now
Do you find cure?
@@village_life_rk I am suffering from it bro what is your experience?
@@village_life_rkaap india se ho kya?
Im scheduled to see you on the 16th of August. I’m looking forward to it. My palpitations won’t stop. I have my echocardiogram tomorrow
How did the appointment go? Please let us know
The best way to treat this problem is to never look at it as a problem and enjoy the life just like the kids knowing no problems at all no matter what. 'care is the the enemy of life' follow intuition and ignore the rest. God bless you all.
Exactly thank you friend
(HUG) You are the best Dr. Gupta, GOD BLESS YOU for all your videos.
NICE DR SB GEO GOD BLESS YOU. ATHER ALI FROM HYDERABAD SIND PAKISTAN
Thank you, thank you, thank you for these videos! I get PAC's and PVC's when exercising, and they make me feel tired and lethargic. I wear a heart rate monitor and have difficulty knowing how intense I should go when my heart is beating 180 or more beats per minute already. I am not afraid of these palpitations, but do get frustrated because I want to build my aerobic fitness level, and they sabotage my ability to track my exercise intensity and make me feel like quitting.
Same!
@@umanu5437I discovered a had a cancerous tumor (GCT) got it removed, after I recovered, I started wearing a heart rate monitor and walking in a treadmill for up to 40 minutes almost daily. My heart rate has stabilized, and now I don't get the crazy fluctuations I was having when I posted the above post.
It's awesome! Good luck!.
@@LS-vp3du 180 beats per minute is way too dang fast! Your exercising heart rate should be at about 120 minutes per minute. If the rate is too fast then you need to slow the pace and intensity of the exercise down. You're Welcome!☺
@@gloriamaryhaywood2217 no its really not. Maximum heart rate when exercising can be calculated by subtracting your age from 220. It really depends but for most people (under 100 lol) its no where close to 120.
@@LegomanBunda If you trip over 120 bpm then you are no longer aerobic. Nope, you are burning too much sugar and will create lactic-acid in your muscles!
I get them more (7 or 8 times) during resistance training vs 1or 2 during cardio training
I find that ectopic beats become less prevalent during/after I've exercised. I've been doing more lately and finding that they've been bothering me a lot less.
Doctor, I get hundreds of pvc’s after excercise. The rate of these ectopics are every 5-8 beats and when you’re heart is beating fairly quick after excercise the feels like every 4 beats. and they occur for hours after excercise. In the gym I lift weights but not super heavy. After a set I put the weight down and they then begin to happen rapidly during the “recovery phase” between each set, so as my heart rate comes back down. They kick off extremely, I just feel like any of these PVCs could lead me into sudden cardiac arrest. Please get back to me doc. Love from Australia 🇦🇺❤️
how are you feeling now? I have the same problem, pvcs every third and second beat after exercise, its absolutely fucking scary
Jason Shazimanoski hey bro I’m on a beta blocker now, I haven’t had a pvc for two weeks. But if I get off them I’ll have a pvc every few beats while in the gym it’s fucked. See a doctor get some tests done to make sure you’re all good man. Dw it won’t kill u it’s just scary I had it every few beats for like 6 months it was insane. Always here if u need
Josh I have anxiety and health anxiety at that but I want to start working out but I’ll get the skips and flops sometimes. It’s definitely aggravating
Allrise I have health anxiety too I’ll notice the tiniest thing wrong with me and obsess over it for ever. Like it’s stupid. And it controls your life. I still get a pvc few times a day man. Keep training and living life speak to doc.. see what the options are, I’m off the beta blocker I was put on (propranolol) because it made me very depressed. Which is possible in some people that take it. Best of luck man
i have recovery pvcs as well. 27 and otherwise healthy. i’m terrified to exercise
That was a great video Gupta your doing a good job making these videos for us
Hi Sanjay, I was diagnosed with Dilated cardiomyopathy 8 years ago. My ejection fraction at time of diagnosis was 15%, after having a bi ventricular pacemaker fitted it has now gone back up to 44%. Would it be possible that it could improve further? ... if you have the time could you do a video focussing on D/C please?
Many thanks for all this invaluable information
Darren
Beta blockers are clearly near to improve LVEF, if i talk about my father, he is diagnosed with dilated cardiomypathy at the age of 48. Lvef was 20. After just 3 months of medication his lvef improved to 56. What is your age can i know?
I had a normal ecg and my heart beat was acting normal at the time , but for a month it’s been jumping about all over the place ,I went on a day out ,walked around lots but I’m used to walking but that perticular day my heart palpitations were morning till night really bad, sometimes if I’m concentrating lots on something they go a bit or sometimes I don’t get them in the morning,I’m waiting for the holter monitor but heard that can be four months wait .i just wish I knew what the problem was as it’s worrying me sick.ive had episodes of this before but never this bad ,aged 51 now .
Love to see something on Malignant Mitral Value Prolapse syndrome and the dangers of the ectopic rhythms associated.
36Hooters I have been diagnosed with Malignant Arrhythmogenic Bileaflet Mitral Valve Prolapse Syndrome and have had an icd implanted. I exercise only because I know if I go into vfib I will be shocked by my device & not drop dead.
My PVC’s increase dramatically with exercise and even in the recovery period. Anti-Arrhythmic medication such as flecainide would help the heart rhythm & PVC’s but the meds prolong your QT interval and I already have a prolonged QT interval so meds are not an option for me. I was on a very small dose of a beta blocker which I could not tolerate .
@@smazz6 wow how did you get diagnosed with these problems??
S H I went to Columbia Medical Center in NYC. They did not know what was wrong so they called a fellow Dr. in Amsterdam, Netherlands. His name is Dr. Arthur Wilde. He flew to NYC to study me and he came up with the diagnosis & advised me to see Dr. Michael Ackerman, a cardiac geneticist at The Mayo Clinic in Minnesota. He agreed with the diagnosis and is the only doctor that is studying this rare condition. At present there are only 43 people in the world that have this.
@@smazz6 wow!
Speaking of sudden death, would you please do another video about certain drugs that cause Long QT syndrome. These people should have regular EKG's, and if their doctors are not ordering it, they need a new doctor.
YES PLEASE DO
Usefull explanation
I like what you're doing by reassuring people and I agree with pretty much everything you're saying. And you are the cadiologist. Not me. But what about the possibility of catecholaminergic polymorphic ventricular tachycardia (cpvt), long qt syndrome, Brugada syndrome, and WPWs??? I know these are all small risks for most people but couldn't it most certainly be a cause of concern for the 5-10 people out of 2500 in the studies? given that it matches the same statistics as some of those diseases?
Thank you. Maybe I have to switch to Electrofysiology/Cardiology. Nice knowledge.
Great channel!
I had anxiety an year ago. I'm very cool now without any anxiety. But still im getting ectopic beats
i get some pvcs during exercise, but they primarily come after working out, upon cool down. i’ll have a pvc every 4-6 beats. i read a study about recovery pvcs and increased risk of cardiac death. i’ve pretty much stopped exercising because of this. i do have history of sudden death in my family. my father and sister have long qt. my ekg was inconclusive, however my genetic testing came back negative for the long qt gene mutation. and my US was normal. i’m not sure what to think anymore /: i really don’t know if i should be exercising. my cardiologist isn’t worried about it, but i know it’s not normal for a perfectly healthy 26 year old to have so many pvcs. my heart monitor showed over 6,000 in one day. (also i have been diagnosed with POTS but it seems to be mostly unrelated)
KennM12 do you feel those 6000 pvcs? Or just a few of them ?
@@lionhearttt3540 definitely not all 6000, i'd lose my mind! usually just a few. some days I don't feel any all. and on my worst day I'll feel maybe
@@KennM12 I have the palpatations too, there scary some nights I'm awoken from my sleep with a racing heart, I've had a few ecgs they found nothing to abnormal I'm waiting for a Holter monitor, I totally understand why you'd feel scared and anxious this is a nightmare to live with, and you having a family history would make you feel more worrisome, I hope we can get answers and live free of these troubling symptoms
I am experiencing this too. I get palpitations every second or third heartbeat after weightlifting. My echo and holters were all normal though. Did you ever find a cure?
@@davidg2573 no I haven't. I don't exercise anymore so that's helped lol
Thank you for sharing all your information with the public I know it can be overwhelming due to the high demand of medical help and cost. I have recently been implanted with a loop recorder and your Videos Helped me to better understand my condition. I have been plagued with here in the US. I Train Horses and I haven't been doing as much out of fear from my irregular heartbeats. Sleeping has been an issue too because it happens that I have my symptoms then too. I am 49 and I don't want to leave this world yet like my father did at age 40, in his sleep at that time I was 19. Since I have had a fear of the same thing happening to me. This does not just become a physical aspect of health. It can also affect you mentally. I try sometimes to push and work with the horses like i use to a year ago. It can get to be physically demanding and it is how i kept fit with exercise but now I worry I will have an episode and fall out. To Slowed heart rhythm or my heart just stops. due to irregular beats. I get fast and slowed rhythms spastic sometimes but for a couple of seconds less than a minute, at Random times. No pace maker yet or Defibrillator implants at all. My doctor is using the ILR to see whats going on and then figure out where to go from there. He gave me the Loop Recorder after doing an EP study of my Heart. Again Thank you for educating us on the heart.
I was so dizzy with an irregular heartbeat after a light workout I almost blacked out. I popped a magnesium, drank too bottles of water and ate a banana - it took 1 hour to stop feeling dizzy😞
Are u ok?
I know how it feels. I experienced this before. I just hope things will be better for u in future. If exercise cause it then dont exercise for a moment and see a doctor. Life is short so do things that make u feel happier.
You are an angel. Thank you so much!
Why do i get them when i squat but not when i hit dips or push ups or pull ups?
But when I squat i get them as im squatting? Anyone else experience this
Thank you, for this! It's one of my biggest fears. Does the same apply for atrial tachycardia?
I'm slim, exercise at least 3-4x per week, daily BP usually between 109-125 over 60-75 with pulse at 55-75 on average. I still get palpitations and seconds of feeling like my heart stops for a second and then fast pulse after. More frequent but random when I exercise or if my adrenaline gets going.
I have been the same last couple months.
@@TraderZer0 how did you fix or cope? I'm getting bad anxiety from it. So. Bad I check my blood pressure more than 3x per day.im always worrying about my heart now. Thinking of getting an ekg for piece of mind
@@carlosmelendez8317 i was exactly the same for the last 3 months. Started in July when i woke one morning at 3am with racing heart. I was hyperventilating. Called ambulance snd they did ecg nothing was found. Was in that cycle of checking my own blood pressure sugar amd oxygen for 2 months. I've had ecgs blood tests and today i had echo. The only thing they found once is ectopics. These as Dr Gupta said everyone has.
First of all make sure you get checked out . As long as your bloods ecgs etc show no structural or underlying causes then its normal. Nothing to worry about.
Use meditation, calming music breathing exercises. Most of it made worse by our thinking. I get the odd palpatations at night but i just let it be. Breathe then sleep.
Make sure you get sleep. This is the key.
@@TraderZer0 Yeah my sleep in terrible. Usually less than 6 hours of sleep that are not deep sleep.
Hi doctor just want to say firstly your doing a great job thankyou, I have a question I’ve been diagnosed with mild coronary artery disease with calcium score of under 8 and my colestarol level is 5.8.. I’ve been prescribed statins and aspirins. Would I be able to go back to the gym and participate in boxing??
I certainly hope you have given thought to ditching the statins!?
Great work !!.. i will be watching many of your vlogs..as now going down this road..
I wish you all the best . :)
thanks ray!
@@YorkCardiology hi doctor hope you are fine ..... Can stethoscope detect cardiomyopathy???
I get multiple ectopics in a row and doctors still say I'm fine because of normal ecg and echocardiogram.I don't understand how just coffee ot stress is supposed to cause my heart to beat completely abnormal for minutes per time.Once or twice in my life I got episodes that ectopics just wouldn't stop coming one after the other so I swallowed half a beta blocker out of fear.The holter monitor showed nothing of course because heart decided to behave with the monitor around...so annoyed.My paternal grandmother actually passed from sudden cardiac death at the age of 27,something I have always mentioned to doctors.This is why I'm so scared.
What this kind commentator is trying to say but proudly failed is-you are THE SHIT Doc....love you,you helped alot....😘😘😘😘
Very helpful, thank you!
thanks to that info . lol I love to exercise every day until this f ucking ectopics beats chance my life .
thanks for your info
I barely ever feel them when I'm resting. Maybe even none at all. But the minute i do anything physically demanding like even just walking ..they start coming in troops. They scare me alot
Grow a pair you snowflake.. you scared of walking? Haha you're a softy.
@@joehouston2833 And you’re a rude idiot. Now go and and let the grown ups talk, kid.
How r u now?? R u still experiencing the ectopics or they resolved?? M suffering the same..i hope your ans will hlp me... Plz rply
@@village_life_rk mine went away after i changed my diet
ok, so I've had all the tests which all report normal even though i have a history of afib but now am experiencing bigeminy and trigeminy everyday and my ep at Penn medicine in philadelphia recommends the ablation anyway and IS concerned versus not worrying about it. I am female and 53 years of age.
Thank you Doc for this useful Post 👍🏻
hi, what about when u get them after excercising?
it does happen commonly with benign ectopics
@@YorkCardiology im 21 and in the present year i started having this “benign” but unbearable ectopic beats after intense training in the recovery period. Can i resume my training after them? Any clue about why they manifest after intense training?
I have anxiety and I get a lot OF Ectopic heartbeat all the Time even IM walking and doing nothing and IM 13 years old
definitely worth addressing the anxiety at your young age Manuel otherwise it will be a cross you carry all your life
i am grateful to you for watching the channel. Id be so grateful if you would kindly consider subscribing.
best wishes
7:27 I would definitely not mess with my ventricles. They are literally creating scar tissue, just what happens in a heart attack, which obviously weakens the heart muscle. The whole analogy I have for this ablation business is hitting the heart with a hammer until it’s so weak it can’t pull off these tricks anymore.
Could you please do a video on PVCs after exercise, ie recovery period. 2008 Tests show that mortality rate doubles with these present , I am experiencing these, although I do get them on other occasions as well :(
matthew teal how did you get on with these? Did you go for any further tests ?
Very informative doc
I was given a beta blocker for the extra heart beat. How long does it take before you feel a difference in the beats? And thank you for this video. I honestly had no idea so many people go threw this. I had the heart monitor on and my doctor said I was at 7% so I was have like 2000 within a 24 hour period. Sometime the go away but most of the time they are there.
Angela Smith can i ask do you feel all those 2000 ectopics?
Does your ectopics resolved?? Or they still bother you?? How r u doing now plzz rply
Holter showed 30, 000 in 24 hrs for me
Hello, what about Pvcs on recovery period from exercise?? No PVCs on exercise but on recovery period. Thanks
Hi i know its been a while since you asked but isotonic drinks help me with this and i know it helps others, too!
The elevated levels of adrenaline likely has to do with it
I suffer from them after hours of the gym and it scares because theres studies that shows ventricular ectopics on recovery after workout predicts early death
I had it happen in front of a cardiologist after a treadmill test on the ecg (looks like a big spike), I pointed it out, he just shrugged. Nothing else was wrong with me.
What do you call etopics that are back to back and feels like it takes your breath away!!! That sends me into a panic attack real quick…. Usually triggers are caffeine and chocolate, stress and anxiety
Hi Dr Gupta. I've been watching your youtube channel for quite some time now. I've been experiencing ectopic beats for many years and have noticed the burden increase considerably over the past several months. My ectopics actually go away with exercise. Is this reassuring? I just got an echo and waiting for the results to come back prior to a scheduled sestaMIBI scan and holter monitor. Can structural heart disease be excluded solely on an echo or would a cardiac MRI need to be done? If I'm deemed a suitable candidate for catheter ablation, what happens if the source of my ectopics are not LVOT? Will the success rate be less and potential procedural complications be higher? Thanks. Your videos help immeasurably.
What were your results?
Oh god I have 3 skipping a beat every 3 seconds. I am scared scared . I don't know what to do . So many symptoms
I do have a question about low Effort with high heart rate during exercise? I am a 25 year old male. What could be the cause?
Are PVC's considered ectopics? I had up to 40% (40K) PVC's per day at the height of my arrhythmia. But, when I exercised, they went away, most of the time. I did have a somewhat successful ablation procedure and my PVC's went down to about 12% (12K) per day. Considered another ablation but my Cardiologist suggested blood pressure medication to help control the rhythm of my heart. I take spironolactone, bystolic, and losartan. They have virtually eliminated any PVC's over the last 12 months or so. Do these medications have any long term negative consequences?
An ectopic beat can be further classified as either a premature ventricular contraction, or a premature atrial contraction. Just found on wiki. Hope you're feeling well.
My heart was quivering, then I felt sudden hot all over my body. Then it went away.
I have been told by my GP that when I am experiencing these weird heart rhythms that I need to get on the treadmill. (love being a bigger patient and having every ailment blamed on weight!) I get them frequently when I am hungry, or if I have eaten, after exercise, and at night when I am trying to sleep. I originally thought it was from food getting stuck in my esophagus as I have a lap band. I also have a low heart rate for my fitness level, around 50-55 at rest, and this is when my ticker really gets going with extra heart beats!
My questions are: can vegas nerve damage/irritation from lap band cause these symptoms (being onset is during hunger/after eating food and there is pain in the top of my mouth/soft pallet from the force of the extra beat) Or can low BGLs (around 3.8-4.1 when I 'feel' hungry) influence the cause of the extra heart beats? I have a family history of heart disease, my father died at 45 years old of a heart attack and had open heart surgery for aortic stenosis (congenital) when he was 17 years old..No one is listening to me and the extra heart beats are freaking me out! (especially when I get pain and dizziness) All my blood work has come back normal and ECG was normal too (was not having symptoms at the time).
Tell your doctor to shut up, then walk out and get another one
I had an echo and stress test in late 2016 following an episode of atrial fibrillation. Everything was normal: felt great on the treadmill, no issues, heart is "perfect size" and is "very strong structurally strong". I was 29 at that time, and 33 now. Recently, I've been experiencing the ectopic beats only during very strenuous exercise (e.g. digging a garden bed) but I'm fine with a walk or a jog, playing with the kids, etc. Family history of early heart disease (heart attacks before 45-50). Mild hypertension controlled with 25mg Atenolol. Otherwise no known issues. What gives? It makes me scared to exercise sometimes. Even affects sex life most times, and that really sucks. I get that "skip" or "flutter" several times in a row. As soon as I stop the strenuous stuff, the skipping goes away entirely. It only started within the past several months, didn't have these issues before. Keep in mind I'm a regular smoker, don't exercise regularly, but I'm not over- or underweight. Also, history of severe anxiety, excess caffeine consumption, and history of palpitations (diagnosed with benign PACs/PVCs in 2015). I've never blacked out, never been close to it. No other symptoms - no shortness of breath, dizziness, etc. Heart rate is also quite normal, maybe 80s or 90s at the very most.
Try hard to quit smoking and cut back on your caffeine consumption, AND add a daily dose of highly absorbable magnesium. See if that starts to help your skips and flutters. I'm betting that it Will!😉With a family history of heart disease and early heart attack, it only makes sense to go on the defensive early on.
Wishing you all the Good luck!☺
Exact same here! I believe my HBP and anxiety has caused mine.
Heart attacks can be prevented by eating healthy and avoid smoking and alcohol and salt intake
What about PVCs during exercise if you don't have a structural healthy heart (having leaky valves)?
What about competing at a high level?
just curious if high intake of potassium may be a cause of ectopics. i experience it when i eat a lot of dates and banan.a
Hello are eptopic and pac the same thing? Thank you for your time
I know this video is over 2 years old but hope you see this comment. I get Ectopics after exercise, for instance siting down after walking. Was wondering why that happens? Thanks
Ectopics on recovery are a common occurence and related to autonomic changes - a shift from a flight or fright state to a rest or digest state
York Cardiology in a otherwise structurally normal heart there in no reason for concern post exercise?
Now i'm scared to work out =(
Can I travel to see your clinic? I’m in Midlands UK
What about ectopics plus breathlessness on exercise?
In that case, my guess is that you are getting quite a few ectopics, possibly 10 per min.
Been getting these for the last couple of weeks but have got worse over the last few days to the point where I went to a&e last night, they said my ECG was normal (they didn't happen while connected to monitor) and bloods came back fine and got sent home. Been getting them alot this morning and still can't help worrying. Any advice?
I too went to the ER twice for the palpatations, bloods all good and while I was hooked up to the monitor I didn't have any so I got the all clear, I'm getting a Holter monitor this week
How many ectopics would be a dangerous amount when working out
is daily fish oil good for the heart?
I have been taking Cod Liver Oil for 25 years to prevent arthritis and joint pain. Guess it worked. I'm 82 and have no joint pain. Good like.
There's a prescription niacin + fish oil drug on the market. It's the "next level" for people who have high cholesterol and have already had a heart attack, so yeah, fish oil might be beneficial for the heart!
My cholesterol is great with pill but I have normal blood pressure with pill. Good luck.
Yeah, fish oil seems to lower trigycerides, and the "flush" form of niacin seems to raise levels of high-density lipoproteins (HDL). And as we know:
"HDL is called the "good" cholesterol because it carries cholesterol from other parts of your body back to your liver. Your liver then removes the cholesterol from your body. LDL stands for low-density lipoproteins." medlineplus.gov/hdlthegoodcholesterol.html
watch this guys Magnesium video
th-cam.com/video/oZYXBYAHhN8/w-d-xo.html
I have panic disorder, I sometime take clonazepam for that (usually 10-12 tablets/year for last 8 yrs. I have observed after 2 weeks of a single dose, ectopics (probably, because whenever I do ecg it shows everything clean) comes may be 5-10/day (which I can feel), is it normal? Is this just a side effect from clonazepam? Also I use escitalopram , 10-12 tablets /year.
Hi Dr. I have a concern my brother in law is a diabetic and his heart beats fast, shortness of breath. Throughing up, what could that be we r very concern of what could be happening to him. Thanks
HELP ME if u can Dr Goupta I had a fishler put in incase I needed dialysis, no heart proublem before ,the min I woke up the pvc's begain , never had any kind of heart problem before
I get ectopics after exercise not during exercise.,., Did holter ectopics came out to be 0.01% .,.,
how many is a lot? i notice im having ectopics specially when i do bench press. Ive had two stress test and two 2d echo 3 years ago, which all came back normal. i dont know if i should be worried
>20,000/day
wow! im having 8-10 a day. Thanks for your reply and making us feel were not crazy
How much ectopic beats consider to be normal per day ( 24 hour's)??
What about people who experience what's feels like runs of NVST at rest? Is their risk any different?
Or if PVCs are particularly painful?
I have positional ectopics, but I will get them occasionally when I work out if I am doing squats.
Me too, I've had tons of various tests and my ectopics are apparently unharmful, no one seems to have an answer as to why i get them if I sit down or bend over too soon after exercise which elevates my heart rate. I also get them the day or two after a hand weight back muscle workout. Do you experience these?
Same if I bend over it gets mine going. But crazy thing is I never had these problems or awareness until I started having anxiety attacks
@@AlllriseWhy couldn't we get bellyache instead?!
Lucy Gudgeon-Brennand or a toe cramp right 😂. It’s a blessing for these problems
Damn i have it too sometimes during workout or bending over picking something up. And plus anxiety it makes the situation even worst. The only way to slow it down is just to stay calm and breathe in and out slowly. When it stops i just feel totally relief and energetic.
Would you mind taking to me about some issues I've been having with this mess with ectopic. Hope you are having a great day and year
Thank you!!!
You’re awesome ❤
I only get the skipped and flip flop beats after movement that elevates my heart rate. It seems like it happens every time and only on the cooldown. I stopped exercising and even scared to climb up my steps because of the beats. Is there any solution 😢?!
Do you have an anxiety disorder?
Im 22 years old I had pericarditis about 6 months ago and had it for around 3 months was in the hospital twice they kept me over night the second time because my troponin levels were very elevated i was then released after my troponin levels went down about 3 months later after I thought the pericarditis went away, I then started having feelings of fainting one day when I was in class I felt my legs go stiff and started sweating and getting clamy. I went to the hospital and then again my troponin levels were high now 2 months later I still have trouble exercising I feel during simple things like walking or standing my heart rate goes up 25-30 beats a min when I workout my heart rate is normal for working out 120-140 beats a min but I feel like I’m having the fainting feeling again and get shortness of breath and my heart seems like it’s beating hard.My resting heart rate is perfect 58-62 beats a min. The doctors said that my heart is in good shape and that everything is normal it’s been 6 months since I has pericarditis and since I had it I feel as my body has never recovered even tho the doctors say I’m in perfect heart health. I also have GERD so idk if that is causing the shortness of breath.
this sounds very familiar! i have POTS (postural orthostaric tachycardia syndrome). to put it simply: it causes heart rate to go up significantly when you stand or sit up. and POTS can be brought on after infections and periods of prolonged rest. it sounds like maybe after your illness you could have developed it? i suggest you go to potsuk.org it’s a great website with a lot of good info. POTS can cause all types of symptoms including digestive issues. i have GERD myself, weakness, feeling faint, dizzy, shortness of breath, fatigue, etc. good news is that POTS is not dangerous, and most will learn to manage their symptoms and live a normal life.
@@KennM12 bro does it also cause heart palpitations??
@@anuragprasad8700 yeah it can! for people with POTS their heart is usually healthy and beating fine, just quickly. although I do have a lot of PVCs too, which are skipped beats. it's benign though
@@KennM12 thank you for your reply