Experiencing PVCs and Shortness of Breath During Workouts
As a 29-year-old male weighing 190lbs residing in the US, I typically engage in physical exercise around four to five days a week. Recently, however, I've slightly reduced my workout intensity due to the onset of uncomfortable premature ventricular contractions (PVCs), which I notice during my workouts and while resting between sets. These PVCs often feel like my heart is having a ‘hiccup’—it beats irregularly and feels off in some way. Sometimes, I also experience a strange fluttering sensation or an unsettling sinking feeling, almost as if my heart has skipped a beat. I consulted with my primary care physician and a cardiologist, both of whom assured me that these occurrences are common and likely attributed to anxiety or stress, although this phenomenon is quite unfamiliar to me. While a Holter monitor did detect these PVCs, curiously, I did not experience any during my stress test, nor did I feel any related symptoms at that time. Additionally, an echocardiogram conducted in 2021 yielded encouraging results, and my cardiologist opted not to repeat the procedure since it had been performed fairly recently. In an effort to manage the situation, I have decreased my caffeine consumption over the past few months and started taking magnesium glycinate, as well as buspirone in the morning to help with anxiety. Although these measures have shown some improvement, the PVCs persist, and I continue to experience anxiety surrounding them. I recently watched a video featuring a cardiologist who mentioned that experiencing these irregular beats during physical activity might warrant further investigation. Alongside the PVCs, I have also been experiencing fatigue and occasional chest tightness, coupled with a sensation of not being able to take a complete breath which contributes to my shortness of breath. While these symptoms tend to be situational, during exercise, I can almost always expect to encounter PVCs. For instance, following a set of weightlifting, I might notice one every 10 to 20 beats lasting for about 30 seconds. In summary, it’s the presence of ectopic beats combined with intermittent shortness of breath and chest tightness that raises concern for me, especially as an otherwise active individual.
Answers (1)
7/31/2025, 8:02:07 PM
OpenHealth AI
It's understandable to feel concerned about experiencing premature ventricular contractions (PVCs), especially when combined with shortness of breath and chest tightness during workouts. While you've received reassurance from your healthcare providers that these occurrences can be common, your ongoing symptoms and anxiety about them are valid concerns.
Key Points:
- PVCs can be linked to anxiety, stress, or other benign factors, but the sensations you're describing warrant close attention.
- Your feelings of shortness of breath and chest tightness, particularly during exercise, are important to monitor closely.
- You've taken proactive steps already, including reducing caffeine and managing anxiety, which is commendable.
Understanding Your Symptoms
PVCs are early heartbeats that can feel like your heart is fluttering or skipping a beat. They can happen more frequently during physical activity or when you're feeling anxious. While often benign, emotions and physical exertion can exacerbate your awareness of them.
The combination of PVCs with shortness of breath, fatigue, and chest tightness can sometimes indicate that your body is responding to the exertion differently than it has in the past. These symptoms can also be influenced by stress and anxiety, which can sometimes amplify physical sensations.
Next Steps
Here’s a prioritized action plan to help manage your symptoms:
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Continue Monitoring: Keep a detailed log of when you experience PVCs, shortness of breath, and chest tightness. Note the intensity, duration, and activities you were doing at the time. This will help identify any patterns or potential triggers.
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Modify Your Exercise Routine: Consider adjusting your workout intensity and type. Focus on low-impact activities (like walking, swimming, or cycling) that may reduce the likelihood of triggering PVCs. Pay attention to how your body responds to changes in exercise habits.
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Breathing Techniques: Practice deep breathing exercises, especially during workouts or when you start to feel anxious. Techniques like diaphragmatic breathing can help you manage feelings of breathlessness and anxiety.
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Consistent Check-Ins: Since your symptoms have changed or not completely improved, maintain regular follow-ups with your healthcare team. Brief them on your log findings and discuss additional assessments if necessary, including the possibility of an echocardiogram or further testing.
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Anxiety Management: Since anxiety seems to play a role, continue with your buspirone and consider seeking cognitive behavioral therapy (CBT) or other counseling options that specifically address anxiety around health concerns.
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Hydration and Diet: Ensure you’re well-hydrated before workouts. A balanced diet may also support your heart health – consider foods rich in potassium and magnesium, as they can potentially help with heart rhythm.
When to Seek Immediate Attention
If you experience any additional concerning symptoms, such as:
- Severe chest pain or pressure
- Dizziness or fainting
- A significant increase in the frequency of PVCs or shortness of breath
Seek medical attention right away.
It’s great that you are taking steps to address your health concerns. It’s important to listen to your body and remain proactive about your health. If you have more questions or need further clarification on anything, feel free to ask.
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