Our expert says:
You give a good description of extrasystoles, or ventricular premature beats. Even though you were not able to “capture”them on 24 ECG monitoring, this is probably
the right diagnosis. As you say, they are quite common in young people, though usually more in males. Regardless, there are two main questions to be dealt with:
1. Are there any underlying cardiac abnormalities? and 2. Are the symptoms severe enough to warrant treatment anyway? The answers to these you will need to get from a cardiologist, and he may need to do more extensive ECG testing to give you these answers. A common treatment used is a beta blocker, if there are no contra-indications to its use in you. Anxiolytics are sometimes used, if high stress levels are found to be associated with triggering the problems.
Apart form thyroid problems, which you don’t have, phaeochromocytoma, carcinoid syndrome and systemic mastocytosis could produce the sort of racing pulse and flushing you describe. These are very uncommon syndromes, but warrant investigating if a cardiologist cannot identify (with the tools of his trade, eg ECG’s) or control your symptoms.
I can understand that this would cause you much discomfort, and that you want it investigated. Your best course would be to consult a cardiologist, or at least a specialist physician who has a special interest in cardiology.
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