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Mitchell2020, October 5,  2020  9:59am EST

Ectopic beats when speaking

Hi there

I've found this forum and thought I'd ask this question as I can't seem to find any answer to this whatsoever. 

So I've keeping track of my skipped beats and find they occur when I'm speaking either (projecting) and/or discussing something that means a lot to me. I dont get them when I exercise so surely if it was adrenaline causing it I would get them when exercising.

I thought that perhaps its triggered by dehydration, so have been trying to drink more regularly, but I'm really starting to notice it happens almost only when I'm discussing something.

I naturally project, especially when discussing something important, so...could it be a pressure thing? Like maybe holding tension somewhere...honestly I have no clue.

It's also triggered by caffeine but I haven't had caffeine in 4 years. This year I had a massive series of heart palps while having a meaningful debate with my parents. It came out of nowhere and scared me. Luckily havent had one like that since then. But I do get one offs a few times a week. I can chat quite happily to people and not have them. It only seems to be if I'm talking a lot, projecting and discussing things that are important to me. This never used to happen.

I'm just confused, if it's adrenaline based, how come I have no issues when exercising.

Any thoughts?



3 Replies
  • AHAASAKatie
    AHAASAKatie, October 6,  2020  9:32am EST

    I am so sorry that you are having to manage this!  I can imagine that you are a bit disconcerted about the ectopic beats.  I can share what we have on Arrhythmias with you for the patient education piece if it is helpful. I do wonder, have you talked to a doctor about this? Thanks Katie

  • TessC
    TessC, October 8,  2020  12:16am EST

    I'm sorry you are still dealing with these ectopic beats. I can see why you might get them with you are discussing things that have an emotional component for you. Strong emotions and the flush of adrenaline is one of my triggers for SVTs. You were wonderfing why you don't get ectopics during exercise, but I looked online and Exercise reduces levels of the body's stress hormones, such as adrenaline and cortisol, not make more. So maybe that is why you don't get ectopics when you exercise.  Maybe a trainer can give you more insights, Good luck!

  • Raindrop32
    Raindrop32, October 16,  2020  11:37am EST

    In addition to TessC's comment, I wonder if breathing has something to do with it. I think you breathe at a differnet rate or in a different way when you speak than when you exercise. Although I don't usually get palpitations or other symptoms triggered by speaking, laughter can trigger my arrhytmia. Once my brother made me laugh so hard I had palpitations and almost passed out. There must be something to it. 

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