requisite disclaimer.... yes I have already seen multiple doctors and am seeing more.
I have an outstanding medical mystery and I am looking to crowdsource other peoples experiences to try and get some perspective and some clues as to what might be going on, or perhaps even peace of mind
About a month ago I started experiencing very occasional (like once a day) heart skipping-a-beat sensations. A couple of weeks after this began it became more than once a day, but still quite minor, like "oh... that just happened, I guess I'll see a doctor" type feeling. Sometimes it would come with a shot of adrenaline, icy veins, etc, but it didn't really provoke a response from me other than "i'll get it checked out".
Friday (four days ago), again, while totally at rest, I had a sudden warm feeling in my chest (no pain!) and a lot of tension and nerves. Long story short I ended up in the ER with what they diagnosed as an anxiety attack. It took them nearly an hour to calm me down. It was a pretty serious attack. Hyperventilation, shaking, etc. ER did the full work up. "Not a heart problem", says ER doc. Anxiety meds, sent home.
Since the ER visit, instead of getting gentle heart-skipping-beat sensations I'm getting very quick stabbing sensations in my chest about a couple of times a day, which come with a big rush of adrenaline and my whole upper body gets tense. Not overly painful. Let's call it a "2". Like if you had a bruise and someone poked it. There and gone again just as quickly. Very similar to what sent me to the ER, with the accompanying "warm" feeling and tensing up. I think the anxiety meds are keeping me from freaking out over this.
Keep my primary care appointment today, Doctor says "this is not cardiac, everything is clean". They want to put me on long term anti-depressants for anxiety. But I press on the heart because I was having these heart-skipping episodes before I had even a shred of anxiety or stress in my life. They do another EKG, she says that my resting pulse is a little low, and there's evidence of arrhythmia that does not seem serious, "minor" I think is the word she used.
I have no idea what that means or if I should be truly concerned.
I am puzzled because there's no real family history of these sorts of problems, and while I am not the most fit person in the world, I eat pretty well and I try to at least get my steps in, so I don't know why I'd get this sort of problem... but I equally don't know why I'd have anxiety problems on this level. I consider myself to be an exceptionally calm person. I have what most people would consider a high stress career, but I don't feel that way mentally. I've never felt overwhelmed or desperate or anything like that, and compared to most people I live a life of great comfort.
The one peculiarly consistent thing of this whole episode is that the problem only happens when I am calm or at rest. Out of maybe 15 or 20 incidents of this feeling in a month, all but 2 of them have been while sitting, reclined, or in bed. Exercise bike? no problem. Quarter mile jog? Feels great. Laying down on sofa for an hour.... nearly guaranteed bad feelings at this point. Getting to the point where I am almost afraid to relax.
Talking through this with other people has helped while I wait for my cardiology referral to get processed, so hence: thread.
P.S., they gave me Citalopram for anxiety. if anyones had this before I'm curious how it worked for them