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AR15.COM
6/19/2017 8:34:14 AM EDT
My diastolic pressure is high.  I usually run 110-120 over 90.  I also have a strange "surge" feeling emanating from my chest at random times; almost always when I'm very relaxed, never when active.  It feels like a two second adrenaline surge, just enough to startle me and make me feel tingly.  It is not painful at all, just startling.  I'm pretty active; lots of weight training, lots of running around with my kids, and lots of vigorous sex with wife.

Went to family doc; had an EKG on the spot which was picture perfect.  All blood work came back normal.  I had a 24hr holter monitor a few weeks ago and just got the results Friday.  The results?  Absolutely nothing of note was noticed.

What should my next steps be?  Family doc seems pretty clueless.  I'm willing to dismiss the "surges" as anxiety, but my diastolic pressure is not normal.
6/19/2017 8:38:18 AM EDT
[#1]
6/19/2017 8:40:11 AM EDT
[#2]
There is a holter that they can tape to you...it is for 14ish days. You need to see a cardiologist. Sounds like afib.
6/19/2017 8:44:16 AM EDT
[#3]
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There is a holter that they can tape to you...it is for 14ish days. You need to see a cardiologist. Sounds like afib.
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Yeah, my wife being an RN suggested I get at least a 72hr monitor.
6/19/2017 8:44:56 AM EDT
[#4]
Heart palpitations
6/19/2017 8:47:18 AM EDT
[#5]
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Heart palpitations
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Nope.  Totally different feeling.
6/19/2017 8:49:22 AM EDT
[#6]
Premature ventricular contraction?
6/19/2017 8:53:21 AM EDT
[#7]
It doesn't feel anything like a palputation, skipped beat, extra beat, racing heart, etc.

The only way I can think to explain it is this; imagine someone is sitting on your chest and gets up.  The weight lifting off is the "surge" feeling.  The whole body tingles in relief.  However, I don't feel any weight/pressure.  It's startling and was honestly scary as shit the first time it happened.

Honestly, it's probably anxiety/stress related.  I'm more concerned about my blood pressure.
6/19/2017 8:59:02 AM EDT
[#8]
@SDMF_Rebel did the blood work include testosterone check? because unless they specifically check for both levels....they probably didn't I would bet on them being low. that's how I discovered mine. very similar heart issue.I did a stress test wore a monitor blood tests ect. the Doc gave me a clean bill of health. went to the family doctor he ran all the panels the heart Doc didn't and violia low T
6/19/2017 8:59:15 AM EDT
[#9]
Find a good cardiologist.





6/19/2017 9:00:53 AM EDT
[#10]
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@SDMF_Rebel did the blood work include testosterone check? because unless they specifically check for both levels....they probably didn't I would bet on them being low. that's how I discovered mine. very similar heart issue.I did a stress test wore a monitor blood tests ect. the Doc gave me a clean bill of health. went to the family doctor he ran all the panels the heart Doc didn't and violia low T
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If my testosterone is low I wouldn't want to see it normal  

They did my thyroid (TSH w/ T4 reactive), CBC, electrolytes, and something else.
6/19/2017 9:07:42 AM EDT
[#11]
Discribe tingily all over?  In your feet?
Eyesight ever get weird?  Jolt up in bed at 2 am sweating?

First cut out caffeine, alcohol, black, green and ginseng tea. No MSG and that stuff is hidden.

Go to Costco and get 100mg co q 10.  Take 2 a day.

See a cardiologist ASAP!  I agree with halter monitor. They have a little button for you to hit to mark when you feel the pressure or tingle. Good luck.
6/19/2017 9:08:33 AM EDT
[#12]
See a cardiologist. Now.
6/19/2017 9:13:57 AM EDT
[#13]
I had almost the exact symptoms 15 years ago, but not saying this is what you have.

For me, I would feel my heart jump, almost always when I was at rest, not when exercising.  Wore the halter 2 weeks, they saw it jump, but said it wasn't my heart. I would even get light headed sometimes. Had a bunch of scares like my heart was double pumping out of my chest and a huge adrenaline rush.

Then I ended up going to an asthma doc, I forget why, but my lung capacity was low, in the 70% range, and they put me on a daily asthma pill and gave me an inhaler.

Now, totally back to normal, heart will go months without jumping. Turns out my body wasn't getting enough oxygen and I had no clue whatsoever I wasn't breathing well. That's why it would do it at rest though, as that's when you breathe the most shallow. Lung capacity is now above 90%. The only days it really jumps is if I forget to take my asthma medicines, or days where there's a high pollen count and I've been outside.
6/19/2017 9:14:28 AM EDT
[#14]
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See a cardiologist. Now.
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I had some weird heart issues too.  I saw a cardiologist.  He said I'm not at risk for issues and sent me on my way.  Both the cardiologist and primary doctor have no idea.  They told me to come back when it gets worse :/
6/19/2017 9:17:48 AM EDT
[#15]
If all else fails get your autonomic nervous system checked out

Mines all fucked up and I get weird heart shit, random fluid pooling, and loss of sensations in extremities
6/19/2017 9:20:14 AM EDT
[#16]
Have you done a stress test, or a chemical test? No offense meant, but you need to get your ass to a cardiologist. Soon.


This guy helped save my life
6/19/2017 9:24:01 AM EDT
[#17]
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6/19/2017 9:25:19 AM EDT
[#18]
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If all else fails get your autonomic nervous system checked out

Mines all fucked up and I get weird heart shit, random fluid pooling, and loss of sensations in extremities
View Quote
How do I even go about that?

On a related note, when they drew blood I had my first vagal response ever.  Perfect blood draw.  A few seconds after yanking the needle....pulse crashed to the 30's-40's, BP crashed, sweated like crazy, extreme tunnel vision, etc.  Never reacted like that before, scared the shit out of me.  Apparently it's not just being a pussy about blood, it's the nervous system getting stimulated and going "HOLY SHIT I'M DYING SHUT EVERYTHING DOWN".
6/19/2017 9:26:30 AM EDT
[#19]
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Have you done a stress test, or a chemical test? No offense meant, but you need to get your ass to a cardiologist. Soon.


This guy helped save my life
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No stress test or chemical test.

I did take pre-workout mix before lifting and had sex twice while wearing the monitor, does that count?
6/19/2017 9:27:54 AM EDT
[#20]
I have the same thing.   In great cardio shape.   BP is all over the map.   Even had an echocardiogram with nothing unusual as a result.
6/19/2017 9:32:49 AM EDT
[#21]
Start eating a plant based diet.
6/19/2017 9:33:59 AM EDT
[#22]
I was hospitalized overnight and diagnosed with afib last year. In my experience I had an unusual heart rhythm. Sort of the beat a kid would make while "playing drums" with pots and pans. There was no pain or anything. I can't say that is what you are going through, but they have me prescriptions and I've been good since. Hope for the best for you OP, heart shit is scary.
6/19/2017 9:34:43 AM EDT
[#23]
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No stress test or chemical test.

I did take pre-workout mix before lifting and had sex twice while wearing the monitor, does that count?
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Quoted:
Have you done a stress test, or a chemical test? No offense meant, but you need to get your ass to a cardiologist. Soon.


This guy helped save my life
No stress test or chemical test.

I did take pre-workout mix before lifting and had sex twice while wearing the monitor, does that count?
You might have a blocked artery. I don't know, I'm not a doctor. Better get it checked out. I don't even know you, and I am worried. Get it done.
6/19/2017 9:34:52 AM EDT
[#24]
Taking any supplements, etc, for the weight training?
6/19/2017 9:35:44 AM EDT
[#25]
Get a C score done in addition to seeing a cardiologist. Shouldn't cost more than $100 out of pocket, if your insurance doesn't cover it.
6/19/2017 9:35:52 AM EDT
[#26]
Find a new doc or cardiologist. No reason to f around with it. My mom (59) went to her family doc with back pain. EKG looked fine, they said it was not cardiac related, like 1 week later she had a heart attack, I met her and my dad in ER, she coded in the cath lab and died 24 hrs later.  Doc said he had 97% blockage in the area they were placing the stent.
6/19/2017 9:39:05 AM EDT
[#27]
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There is a holter that they can tape to you...it is for 14ish days. You need to see a cardiologist. Sounds like afib.
View Quote
Yup, I had to do it twice. That, with CTA scans show I have an aneurism in my descending aorta. 4.4cm. Get a second opinion from a specialist, OP.
6/19/2017 9:43:31 AM EDT
[#28]
Sounds like anxiety to me..it can do weird shit.

See someone ascot your BP though. Mine was lower than that when I stared taking meds for it..genetic in my case.
6/19/2017 9:43:58 AM EDT
[#29]
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Find a new doc or cardiologist. No reason to f around with it. My mom (59) went to her family doc with back pain. EKG looked fine, they said it was not cardiac related, like 1 week later she had a heart attack, I met her and my dad in ER, she coded in the cath lab and died 24 hrs later.  Doc said he had 97% blockage in the area they were placing the stent.
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I'm sorry about your mother.      


The blockage where my stent had to go was 80%. Doc told me I was lucky to get to ER.
6/19/2017 9:44:42 AM EDT
[#30]
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No stress test or chemical test.

I did take pre-workout mix before lifting and had sex twice while wearing the monitor, does that count?
View Quote
You're taking pre-workout stimulants while suffering from stage 1 hypertension and experiencing unexplained cardiovascular events?  
6/19/2017 9:53:45 AM EDT
[#31]
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You're taking pre-workout stimulants while suffering from stage 1 hypertension and experiencing unexplained cardiovascular events?  
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No different than drinking coffee.

I was not taking a pre-workout when all of this started.  It had been a year or so without them.  I've only recently started taking them again.
6/19/2017 10:12:09 AM EDT
[#32]
I am no medical expert but I had a heart attack last October. My Arteries on the right were blocked 100%, the center 80%, left side clear. I wasn't overweight, 5'7" 160 lbs. 47 years old and active. Two weeks prior to the heart attack I had a persistent tingling feeling in my legs and when it happened my limbs felt heavy, felt nauseous and profusely sweating around my neck. I had no idea what was happening. You had a blood test so I assume they were checking for enzymes that the heart puts out but I think you should get checked for blockage in your arteries. I was given 5 stents and now I'm on medications and a pretty strict diet. Anyone can have a heart attack, just look at the trainer from Americas biggest looser show, he had one. Get the dye test, it could save your life.
6/19/2017 10:17:48 AM EDT
[#33]
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No different than drinking coffee.

I was not taking a pre-workout when all of this started.  It had been a year or so without them.  I've only recently started taking them again.
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That is dumb. Avoid caffeine for the time being.
6/19/2017 10:28:20 AM EDT
[#34]
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That is dumb. Avoid caffeine for the time being.
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No different than drinking coffee.

I was not taking a pre-workout when all of this started.  It had been a year or so without them.  I've only recently started taking them again.
That is dumb. Avoid caffeine for the time being.
I would go along with this. I was drinking at least one Monster a day, sometimes more. My cardiologist said a cup or two of coffee is fine in my case, but I'm done with monsters. I would just say be careful until you know what this thing is.
6/19/2017 10:37:44 AM EDT
[#35]
Quoted:
My diastolic pressure is high.  I usually run 110-120 over 90.  I also have a strange "surge" feeling emanating from my chest at random times; almost always when I'm very relaxed, never when active.  It feels like a two second adrenaline surge, just enough to startle me and make me feel tingly.  It is not painful at all, just startling.  I'm pretty active; lots of weight training, lots of running around with my kids, and lots of vigorous sex with wife.

Went to family doc; had an EKG on the spot which was picture perfect.  All blood work came back normal.  I had a 24hr holter monitor a few weeks ago and just got the results Friday.  The results?  Absolutely nothing of note was noticed.

What should my next steps be?  Family doc seems pretty clueless.  I'm willing to dismiss the "surges" as anxiety, but my diastolic pressure is not normal.
View Quote


time to go to a cardiologist instead of a family Dr.
6/19/2017 8:39:48 PM EDT
[#36]
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Quoted:
Yeah, my wife being an RN suggested I get at least a 72hr monitor.  
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Quoted:
Quoted:
There is a holter that they can tape to you...it is for 14ish days. You need to see a cardiologist. Sounds like afib.  
Yeah, my wife being an RN suggested I get at least a 72hr monitor.  
I don't think it's AFIB.   Sounds more like PVC (premature ventricular contraction) to me.

A PVC feels like a surge (one big heartbeat) that happens every once in a while.  My PVCs come and go and unless they start happening regularly, two (bi-gemini) or three (tri-gemini) in a row, you're good to go after a cardiologist evaluate you.  I've had PVCs since my teens and they were no problem until a few years ago.

AFIB is more like you suddenly lose all blood flow and can't walk or barely stand upright.  I've been through both conditons, both bad enough that they required procedures (cardiac ablation) to correct the conditions.

Now I only have to deal with occasional PVCs like you're experiencing.  Laying off alcohol and caffeine is the best thing for keeping them away.
6/19/2017 9:03:14 PM EDT
[#37]
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I don't think it's AFIB.   Sounds more like PVC (premature ventricular contraction) to me.

A PVC feels like a surge (one big heartbeat) that happens every once in a while.  My PVCs come and go and unless they start happening regularly, two (bi-gemini) or three (tri-gemini) in a row, you're good to go after a cardiologist evaluate you.  I've had PVCs since my teens and they were no problem until a few years ago.

AFIB is more like you suddenly lose all blood flow and can't walk or barely stand upright.  I've been through both conditons, both bad enough that they required procedures (cardiac ablation) to correct the conditions.

Now I only have to deal with occasional PVCs like you're experiencing.  Laying off alcohol and caffeine is the best thing for keeping them away.
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PVCs are generally harmless, unless you string them together. (ETA: They are very  common.)

Then you are likely to end up on the floor.

You are usually more aware of them while resting.
6/20/2017 6:49:11 AM EDT
[#38]
Quote History
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I don't think it's AFIB.   Sounds more like PVC (premature ventricular contraction) to me.

A PVC feels like a surge (one big heartbeat) that happens every once in a while.  My PVCs come and go and unless they start happening regularly, two (bi-gemini) or three (tri-gemini) in a row, you're good to go after a cardiologist evaluate you.  I've had PVCs since my teens and they were no problem until a few years ago.

AFIB is more like you suddenly lose all blood flow and can't walk or barely stand upright.  I've been through both conditons, both bad enough that they required procedures (cardiac ablation) to correct the conditions.

Now I only have to deal with occasional PVCs like you're experiencing.  Laying off alcohol and caffeine is the best thing for keeping them away.
View Quote
I think I've experience that.  Kind of feel like a palputation?

It's just bizarre to me that I can run myself like crazy to the point of feeling like I'm going to have an asthma attack and have zero heart issues.  Yet if I lay on the couch for 30 minutes after 8pm my heart starts getting fucky.
6/20/2017 12:30:04 PM EDT
[#39]
I had similar incidents when I was a teenager. Normal activity and my heart would suddenly be beating north of 200 BPM. Sometimes it was a "flutter" feeling for a few seconds, other times the arrhythmia would continue.

Usually I could stop it within a minute or so by performing what is called a "valsalva maneuver." Basically you crouch down, bear down and hold your breath to reduce the heart rate. Once while playing tennis in high school I had a "heart spell" and couldn't get it to stop. EMT's were called, they recorded my HR at roughly 300BPM. I won an ambulance ride for that one.

After some cardiologist visits when it first started occurring (around age 15), the diagnosis was WPW or Wolff Parkinson White syndrome. Turns out my Dad has the same condition, although it's not usually hereditary.

From what I understand, it takes an experienced cardiologist to recognize the distinctive ECG that WPW generates. For instance, the first cardiologist I had as a kid diagnosed it immediately. I chose to live with the condition for the time being, as procedures to correct it were fairly new and beta blockers weren't ideal for an active teenage me. Fast forward to last year, I hadn't had an actual "heart spell" in several years. I was required to visit a cardiologist for approval on a DOT physical. Unfortunately for me, this particular doctor couldn't determine if it was WPW right off the bat. I guess he didn't believe me, but after referring me to a specialist they confirmed what I'd already told them. I had an electro-cardio ablation done to fix the problem, and haven't had any issues since.

Might be worth looking into