Apple

Make an appointment with a doc for checking the premature heart beat. Hope the best for you.

That’s crazy never seen that

For what it’s worth, I did a deep dive into what causes these PVCs. I started to develop them only recently in January 2023. EKGs, a stress test, and an echocardiogram later there was nothing clinically wrong with my heart. It felt awful nonetheless having these things flare up if I was in a hot shower, stressful situation, or doing strenuous exercises.

I started taking daily Potassium supplements (99mg) around August from a reputable company called Thorne. I’ve also used their Heart Health Complex daily too and I’ve noticed I have them way fewer now and they are more controllable than they were before. I may have had a Potassium deficiency ever so slightly increase over the years. I would try that if you have no underlying issues.

Ask a cardiologist, not Reddit.

If a doctor prescribes a Beta Blocker. Before you jump on that. I recommend a couple things unless it’s serious.

1. Improve your diet.
2. Light exercise and work your way up to cardio
3. Get Vitamin K2 ASAP
4. Add Magnesium, Potassium, and a low dose of Vitamin D3.

Get yourself lab tested.

Wait 3 months get tested again, monitor your symptoms

This looks pretty much like my PVCs did when I caught them. Was able to show my doc my Apple Watch EKG and they got me on a 48 hour monitor and caught more. Then some sonograms to check for function and flow and that all came back normal.

Official diagnosis and course of action is “sometimes it be like that.”

Doc said the Apple Watch EKG alone isn’t conclusive as it could be other things, so get that checked. But when everything else comes up nominal, PVC it is. They did not tell me the other options, and I did not ask, and I do not entirely want to know.

Hey how do you do these graphs from your Apple Watch? New to the watch and wondering how can I get some of my data

I get these when i am dehydrated. Once I catch up on fluids they go away until next time.

I use to get this feeling, it’s likely just a heart palpitation which is very normal. They go away when I take Magnesium Citrate. Take some Magnesium Citrate.

Extrasystoles, maybe

I’ve had what almost exactly what you’re describing. First worked up in my late 20s when I was hospitalized after an accident and the attending physician noticed it happened once on rounds. Same thing: it will happen often for a week or few days then nothing for months. I’m now in my early 50s and nothings changed. I get it worked up every ten years or so but it’s (mine) called Ventricular extrasystoles and is generally benign outside of knows heart disease or defect.

I was getting these kinda regularly, but wouldn’t pick it up on a holster monitor. I cut out the late night caffeine (mountain dew) and that seemed to cut them down a bit.

Hope all goes well for you. I just wanna commend you for seeing the doctor first before coming here asking for medical advice.

hi, i’m not a doctor and you should never take medical advice from someone that’s not a doctor.

i recommend you to try beet juice a glass a day. or get some beet supplements if you can’t stand the taste.

I was getting something similar but definitely different. Early beats. I was able to catch a few on my watch. I used to get them dozens of times a day. One cardiologist told me I need to be having these 10% of the time for it to be a concern. To this day I have no idea what was causing them, maybe stress, but I don’t think it was a very stressful time. I hardly, if ever, have them any more.

As someone who also struggles with these, I feel your pain, especially when it comes to medical equipment. My heart also refuses to play nice around actual medical equipment and is on its best behavior but as soon as I’m home? Boom all bets are off and it goes back to its old little shit of a self. Every single test comes back normal and even the week long stint with the Zio Patch came back normal.

But yes, that is a pvc as others have said. I’ve finally been able to catch quite a few on mine, about 6 or 7 ecg’s worth. Apple Watch isn’t a medical device but the data is worth something for the doctor. Best of luck to you

Had this too, very rarely and a holter did show some abnormality but it seems normal your hart skips a beat once in a while. Even had a CT-scan, everything’s fine. I noticed more issues when drinking too much coffee, now I drink only coffee during the morning and only 2 cups / day. Also Coca Cola will have this effect. Had no more problems.

Occasional arrhythmias are completely harmless and common. Things like caffeine, stress, staying up late etc. can trigger them even in healthy individuals

Yes but how does the watch look on your wrist is it too big or small? 💅🏻

I feel you! Did you have COVID? Could be POTS or it also could be tied to anxiety. Do you drink lots of coffee, take any stimulant medication, or have allergies? I ask because I've gone through the gammut trying to figure out the same issue and it takes forever to get anywhere.

How often do they happen? They happened to me once last year and I was low on potassium. Maybe good to check blood for that.

I though I was going insane as I get those too. Feels like a sucker punch to my chest that takes all the breath out of me for a second. Was googling it and couldn’t find anyone having same weird heart skips. You ever got a possible diagnosis OP? I’ve seen multiple GPs and I’ve been ignored countless times.

I always wonder how people’s ECG looks like this (with sharp QRS wave)

an EKG only captures what it sees when you're doing it. an echocardiogram basically checks the function/structure of your heart. doesn't help with looking out for heart rhythm issues. you need a holter monitor for at least 48-72h (24h might be a bit too short).

the Apple Watch is not entirely unhelpful because you get to do a quick EKG almost immediately when you experience the symptom however as it is basically relying on your one finger and wrist, still take it with a pinch of salt but showing it to a doctor will be good too.

(had a relative who had similar issues, accompanied her for visits to the cardiologist who was very detailed in his explanation)

I have that- or at least it looks like a premature ventricular contraction. I spent 24 with a holter monitor upon which the doctor said I have PVCs 3% of my heart beats. That doesn’t seem like a lot but if you average a 100,000 beats per day then even a few percent can be disturbing I think.

If they cause pain or significant discomfort my doctor said they would offer medicine but said it was not a big issue- apparently once you hit the 10% threshold you should take medication to manage it.

I still think they’re somewhat uncomfortable and I also don’t always have them- some days more than others. I wish I knew the reason for it so perhaps I could manage to reduce the occurrence. I didn’t learn any such methods from the doctors however so if you learn more please do share.

PVCs are totally harmless and normal btw unless you are getting them thousands of times a day. I feel them occasionally too, I’ve had ECGs and an echocardiogram in the past and all was fine

It’s probably an ectopic beat. Caught mine, too. I have an ILR above my heart to catch arrhythmias and when I had a “missed” beat I took an ECG on the watch, and phoned the cardiac nurse the next day. She confirmed the device had recorded it and that it was an ectopic/extra beat.

Just warning you to not get your hopes up. Occasional single PVCs are not at all uncommon and most docs won't work them up. If you are symptomatic, which you say you are, stress that. Feeling palpitations can be annoying, but in general, not harmful. More frequent PVCs that are strung together could be more of an issue. Some people have trigeminy or bigeminy etc which are PVCs at regular intervals of every 3 or 2 beats...and some have V Tach--basically all PVCs. Some have symptomatic and some asymptomatic, but don't want to be in V Tach and that requires medication and or cardioversion. Broad strokes here, not medical advice.

You've been to cardiologists, per your post, and I assume you've been cleared. They can prescribe something called a ZioPatch which does a 2 week monitoring and you can press the event button if you feel any symptoms, so that they can correlate those to the rhythm at that moment. Check with insurance. Mine was covered.

I would advise you ask your question in r/medicaladvice for other opinions.

I get this, isn’t that normal? 😟 every now and then I feel a change in my heart beat and slight discomfort, and usually causes me to take a deep breath almost like an automatic response

I get this also! Managed to take a screenshot like yours which is identical. I often get a sensation, feeling when they happen. No pain or breathlessness. They seem to be worse after caffeine or alcohol. Find them annoying but so far I’ve not managed to stop them from happening!

I got the exact same thing. First time happened a few months ago.

The doctors told me it was nothing to worry about, they made me take a blood test and an electrocardiogram and it was normal (obviously because the palpitations are not happening every time but whatever). They did not think a Holter was justified in my case.

They told me it was probably because of a lack of sleep and stress. Even though my sleep and stress is not worse than usual, I don’t know what triggered that now my body reacts to stress and lack of sleep with palpitations.

First things first, never take medical advice from anyone on socials regardless of who or what they claim they are. With that said, if you are having symptoms then get seen by an actual licensed healthcare professional.

What you really need is to be put on a 36-48h ECG to get the full picture not a 2 min ECG.

*breath

I get these occasionally too. In my case, they are caused by a sensitivity to corn. (Starch & syrup especially)

What else is interesting here is that the ‘normal’ beats….the QRS complexes also appear slightly atypical. They have what looks like an ‘epsilon wave’. This is found in arrhythmogenic right ventricular dysplasia (ARVD). This is by no means diagnostic but purely an observation.

I had exactly journey that feel my heart skipping beat a lot, show my watch ECG to my cardiologist. Yours 100% looks like mine which is PVCs.

My cardiologist ordered echo, stress test, a Holter patch which is really small on your chest. Then beta blockers. I feel brand new cause beta blockers fixed almost all of my PVCs.

As I been told that couple PVCs per hour is harmless and benign, follow up with your cardiologist to rule out any physical changes on your heart then you can forget about and no longer worry about it.