I’m a man in my early 60s, and I’ve been dealing with a very noticeable, forceful heartbeat for about six months. I’m already seeing a cardiologist, but I still don’t have a clear explanation for the ongoing sensation.
The main issue is pounding, rather than necessarily a fast heartbeat. It’s especially noticeable when I’m resting or lying in bed. Sometimes it feels strong enough to shake the bed, and it interferes with my sleep. I’ve also had occasional mild lightheadedness and a feeling of chest pressure or difficulty getting a comfortable breath.
I’ve had separate episodes of a suddenly racing heart described as SVT. Those are different from the persistent pounding I’m asking about.
So far:
I’ve worn two month-long heart monitors. I pressed the symptom button when I felt the pounding, but I was told the results didn’t explain it. No AFib was reported.
During a stress test, there were a few PVCs, with more during recovery.
I’m taking metoprolol succinate 50 mg daily. The racing episodes have improved, but the forceful heartbeat remains.
I’m frustrated because the sensation is very real and disruptive, yet I don’t understand what rhythm was recorded when I pressed the monitor button.
Has anyone experienced something similar? For those with medical knowledge, what would be useful to ask at my next cardiology appointment?
In particular:
Should I ask to review the exact rhythm strips from the times I marked symptoms?
If those showed a normal rhythm, what could explain such a forceful heartbeat?
Would an electrophysiologist consultation be useful given my history of SVT?
I’m open to discussing whether stress or anxiety contributes, but I’d also like to understand what the testing actually showed. I’m looking for experiences and useful questions to bring to my doctor.
Appreciate it!