Heart palpitations

Punkrocker

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Hey boys, I been getting heart palpitations now off and on for the past 3-4 years now. Been to the doctor for it. Wore a holter, done an EKG, done an ECG seen a cardiologist and had buncha blood work done. Everything says I'm normal. Cardiologist told me that some people just get heart palpitations and it's no big deal. I told him that sometimes when I go hard in the gym it can trigger them and he told me not to worry about it because hard training increases adrenaline which will increase palpitations. Anyway, today I was training and I'm on a new routine with a coach. He has me doing stuff in the 12-15 rep range where I normally train in the 6-10 rep range. I think this new style of training may be triggering more palpitations as I'm breathing harder and maybe holding my breath and pushing and these palpitations scare the hell out of me however I am still here and alive and well. Does anyone else get them and wanna tell me about it? I'm pretty stressed and I hate them 😞
 
ChocolateClen

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I get them from time to time mostly after a workout. Sometimes I’ll randomly get them though. It’s okay to get them every now and then, having worked in a lab with EKGs everyone throws some sort of PVC from time to time etc. it’s normal the heart isn’t perfect and sometimes things overlap a bit.

Holding your breath and performing the valsalva maneuver puts tremendous stress on the heart though which could be triggering it. If you’re getting them more and more frequently throughout the day and not during training then I’d worry but if you only get them when training then just relax and breath a bit more. Stressing over it isn’t going to make them any better. If your ekg came back normal then you’re probably a ok.

You could have a strong sympathetic nervous system drive as well which will be trying to constantly elevate your heart rate to ~120 bpm whereas your parasympathetic is just trying to keep your heart in the 60-80 range. Training would increase sympathetic drive during and for a bit after so you could just be feeling the effects of the two “duking it out” so to speak
 
Punkrocker

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I get them from time to time mostly after a workout. Sometimes I’ll randomly get them though. It’s okay to get them every now and then, having worked in a lab with EKGs everyone throws some sort of PVC from time to time etc. it’s normal the heart isn’t perfect and sometimes things overlap a bit.

Holding your breath and performing the valsalva maneuver puts tremendous stress on the heart though which could be triggering it. If you’re getting them more and more frequently throughout the day and not during training then I’d worry but if you only get them when training then just relax and breath a bit more. Stressing over it isn’t going to make them any better. If your ekg came back normal then you’re probably a ok.

You could have a strong sympathetic nervous system drive as well which will be trying to constantly elevate your heart rate to ~120 bpm whereas your parasympathetic is just trying to keep your heart in the 60-80 range. Training would increase sympathetic drive during and for a bit after so you could just be feeling the effects of the two “duking it out” so to speak
Wow that's very interesting! And actually I get them randomly too! However I can go a month without any at all, and then I can have a day where I can have a few here and there throughout the day. I've noticed for the most part when I get them it's usually in the morning after my coffee which obviously makes sense. As far as the gym goes sometimes straining when lifting during those last reps will trigger them and sometimes HIIT. I've also noticed if I didn't sleep well and feel like crap I am more likely to have them as opposed to when I'm well rested
 
Punkrocker

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I get them from time to time mostly after a workout. Sometimes I’ll randomly get them though. It’s okay to get them every now and then, having worked in a lab with EKGs everyone throws some sort of PVC from time to time etc. it’s normal the heart isn’t perfect and sometimes things overlap a bit.

Holding your breath and performing the valsalva maneuver puts tremendous stress on the heart though which could be triggering it. If you’re getting them more and more frequently throughout the day and not during training then I’d worry but if you only get them when training then just relax and breath a bit more. Stressing over it isn’t going to make them any better. If your ekg came back normal then you’re probably a ok.

You could have a strong sympathetic nervous system drive as well which will be trying to constantly elevate your heart rate to ~120 bpm whereas your parasympathetic is just trying to keep your heart in the 60-80 range. Training would increase sympathetic drive during and for a bit after so you could just be feeling the effects of the two “duking it out” so to speak
Wow that's very interesting! And actually I get them randomly too! However I can go a month without any at all, and then I can have a day where I can have a few here and there throughout the day. I've noticed for the most part when I get them it's usually in the morning after my coffee which obviously makes sense. As far as the gym goes sometimes straining when lifting during those last reps will trigger them and sometimes HIIT. I've also noticed if I didn't sleep well and feel like crap I am more likely to have them as opposed to when I'm well rested
 
ChocolateClen

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Yup sounds pretty normal to me. If they bother you that much then cut out the caffeine and other stimulants and it’ll help
 
Old Witch

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I also have palpitations. Definitely have to watch the anger, the breath in training, and I avoid most stimulants entirely...
 

Mathb33

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Definitely making sure you breath correctly during workouts will help that. If every test said you were gtg you shouldn’t be worried imo.
 

Anabaholic

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Also maybe an electrolyte imbalance, could be caused by too much or not enough water, or maybe low or high potassium.
 
hairygrandpa

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Look up symptoms of magnesium deficiency. Since I supplemented 2 weeks with Magnesium malate, heart skipping gone.
 
TINYTOAD

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I get heart palpitations too.
Punkrocker, how long did you have the halter monitor? When they did mine for a day, they didn't find anything. When they did it for a whole week, using an iRhythm Zio, they found all kinds of stuff.
But I assume they checked your thyroid, potassium levels, magnesium levels, etc. Yeah, definitely stay away from stims, alcohol, and keep yourself hydrated.
-TT
 
Punkrocker

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I get heart palpitations too.
Punkrocker, how long did you have the halter monitor? When they did mine for a day, they didn't find anything. When they did it for a whole week, using an iRhythm Zio, they found all kinds of stuff.
But I assume they checked your thyroid, potassium levels, magnesium levels, etc. Yeah, definitely stay away from stims, alcohol, and keep yourself hydrated.
-TT
I wore a holter monitor for 24 hours on two separate occasions and neither time did they find anything wrong. I have had an echocardiogram and numerous EKGs which also have showed no problems. Yes I have had my electrolytes checked as well as magnesium thyroid etc and full blood panels. I saw the cardiologists after my echocardiogram and he told me that my palpitations are benign and if they bother me that much he would give me a beta blocker however I denied. I am pretty sure I am okay however when I get palpitations more often I begin to freak out and start to think that everybody is wrong and I'm going to die lol I really hate the fact that I get heart palpitations
 
TINYTOAD

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Punkrocker,
I found metoprolol (beta blocker) helpful. I take 12.5 mg (half a pill) twice a day.
Previously I was taking the betablocker "betapace" also called "sotalol. It made my very depressed and I lost my zest for life. I didn't want to take beta blockers either, but at least for me, they turned out to be necessary.
I still get palpitations if I get upset / stressed.
-TT
 
DR.D

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Also maybe an electrolyte imbalance, could be caused by too much or not enough water, or maybe low or high potassium.
That would be my guess too. I get them if I don't take 3 potassium gluconate pills 2-3x daily (sometime more this time of year) but it's the only thing that consistently stops the palps.

Tinytoad is right too, a low dose beta-blocker MIGHT help, but it can also exacerbate some forms of arrhythmia so be cautious and ask your doc for a cardioselective one.
 

CroLifter

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Damn it i got them again. They seem to be closely connected to my panic disorder when it starts. I drank green tea this morning so maybe that tiny bit of caffeine contributed.
 
DR.D

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Damn it i got them again. They seem to be closely connected to my panic disorder when it starts. I drank green tea this morning so maybe that tiny bit of caffeine contributed.
Are you on thyroid hormones, or beta-agonists? Caffeine is generally not a problem. Tea has Theophylline, which can be a problem, but one glass wouldn't do it. Get some Potassium, it's cheap and it helps.
 

CroLifter

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Are you on thyroid hormones, or beta-agonists? Caffeine is generally not a problem. Tea has Theophylline, which can be a problem, but one glass wouldn't do it. Get some Potassium, it's cheap and it helps.
I am not taking any medications except testosterone enanthate and exemestane. I dont do any other drugs, i dont smoke, i dont drink and i dont use pre workouts.
They happened after a heavy superset during my last workout which scared the hell out of me, as those were 5 consecutive palpitations as i was breathing in gasping for air.
If they happen normally during the day, it is always when i am lying in bed.
 
DR.D

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I am not taking any medications except testosterone enanthate and exemestane. I dont do any other drugs, i dont smoke, i dont drink and i dont use pre workouts.
They happened after a heavy superset during my last workout which scared the hell out of me, as those were 5 consecutive palpitations as i was breathing in gasping for air.
If they happen normally during the day, it is always when i am lying in bed.
It sounds like you may have some atypical form of arrhythmia. Have you ever had an ECG to look for unusual conductive activity? (forgive me if you already answered that somewhere)

Also, people forget that the heart is electric! Even having your wireless router too close to your bed, or having a high EMF transformer outside your room may promote abnormal beats just when resting. Try to minimize or clean up sources of unnecessary radio emission. Like turning equipment off if you aren't using it.

And high pulse rates can do it too, like preforming super or drop sets. Anytime my pulse goes over 175 i get pretty queasy and tend to get palps too. Maybe a little more rest in between sets would help?

But the big one is Potassium. It covers many bases for heart health IME.
 

CroLifter

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It sounds like you may have some atypical form of arrhythmia. Have you ever had an ECG to look for unusual conductive activity? (forgive me if you already answered that somewhere)

Also, people forget that the heart is electric! Even having your wireless router too close to your bed, or having a high EMF transformer outside your room may promote abnormal beats just when resting. Try to minimize or clean up sources of unnecessary radio emission. Like turning equipment off if you aren't using it.

And high pulse rates can do it too, like preforming super or drop sets. Anytime my pulse goes over 175 i get pretty queasy and tend to get palps too. Maybe a little more rest in between sets would help?

But the big one is Potassium. It covers many bases for heart health IME.
I would say that the main cause for those palpitations was very high pulse. I really did push it to the edge, was also full of adrenaline.

I am trying to get this idea of beast mode aggression while training out of my head as it will only get me injured (or worse, from what we can see). Keeping my cool but still lifting fiercely, that is an art i am trying to master.
 

patrick25

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Op I have your same symptoms every 3 days or so for last couple of years. I haven't had one in the past 3 weeks. 6 weeks ago I started two new supplements biotest flameout and ma labs Veda-Gest 1 flameout and two Veda-Gest at lunch not sure if they just stopped or if it's these they suck badly and even made me depressed so I'm hoping this is it.
 
DR.D

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Are you guys on a low carb diet? Or not taking AIs with your test?

You should also be more careful taking PUFAs like fish oil so causally, without any protection. They are truly cardiotoxic, whether they lower cholesterol or not, and too much Omega-3 is positively associated with palpatations, especially in middle aged men because that's when PUFA concentrations seem to increase naturally anyway. Varicose veins are also another tell-tale sign your estrogen or Omega-3 intake may be too high. Think about how much that vascular distention can kill your cardiac effeciency!

Don't jump on the fish oil bandwagon without doing your research. We all made that mistake, but it's not too late to start taking the right oils.
 

CroLifter

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Are you guys on a low carb diet? Or not taking AIs with your test?

You should also be more careful taking PUFAs like fish oil so causally, without any protection. They are truly cardiotoxic, whether they lower cholesterol or not, and too much Omega-3 is positively associated with palpatations, especially in middle aged men because that's when PUFA concentrations seem to increase naturally anyway. Varicose veins are also another tell-tale sign your estrogen or Omega-3 intake may be too high. Think about how much that vascular distention can kill your cardiac effeciency!

Don't jump on the fish oil bandwagon without doing your research. We all made that mistake, but it's not too late to start taking the right oils.
Not low carb diet, quite the contrary to be honest. I am trying to go as low on fats as i can without compromising variety in my diet (~15% fats).
However, about a month ago i finished 500mg testosterone per week blast and my workouts have been more intense and aggressive than ever. I got them here and there (palpitations) during the blast, on like 3 occassions, again, always when pulse rate was pretty much maxed out.
 
DR.D

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Not low carb diet, quite the contrary to be honest. I am trying to go as low on fats as i can without compromising variety in my diet (~15% fats).
However, about a month ago i finished 500mg testosterone per week blast and my workouts have been more intense and aggressive than ever. I got them here and there (palpitations) during the blast, on like 3 occassions, again, always when pulse rate was pretty much maxed out.
Yeah, me too, most likely when my pulse rate gets too high. When I start feeling queezy, that's my sign to take a lil' break before I force the issue. :)

Also, if you're getting enough carbs (sugars) that's good for discouraging palps, but if you're cutting fats are you at least replacing the important ones? Coconut oil is a good all purpose option for palp prevention and weight loss, because monos (Omega-9s) and saturated fats don't promote palp and the MCT component of Coconut is not stored as fat and also stimulated transient thyroid output. Coconut is also best at shifting HDL/LDL ratio of any of the common oils, including fish oil.
 

CroLifter

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Yeah, me too, most likely when my pulse rate gets too high. When I start feeling queezy, that's my sign to take a lil' break before I force the issue. :)

Also, if you're getting enough carbs (sugars) that's good for discouraging palps, but if you're cutting fats are you at least replacing the important ones? Coconut oil is a good all purpose option for palp prevention and weight loss, because monos (Omega-9s) and saturated fats don't promote palp and the MCT component of Coconut is not stored as fat and also stimulated transient thyroid output. Coconut is also best at shifting HDL/LDL ratio of any of the common oils, including fish oil.
Actually had lipid panel done today. I am going to post results.
PicsArt_06-28-09.00.00.jpg

Total cholesterol is fine, but i would like to get both the hdl and ldl a bit better.
i am going to seriously start eating garlic. Also green tea is something i used to drink, lately because of the caffeine it has been giving me troubles with my panic attacks but might as well suck it up.

Also coconut oil you say.
And of course, bodyfat, i am in the process of lowering it.
 
Punkrocker

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Are you guys on a low carb diet? Or not taking AIs with your test?

You should also be more careful taking PUFAs like fish oil so causally, without any protection. They are truly cardiotoxic, whether they lower cholesterol or not, and too much Omega-3 is positively associated with palpatations, especially in middle aged men because that's when PUFA concentrations seem to increase naturally anyway. Varicose veins are also another tell-tale sign your estrogen or Omega-3 intake may be too high. Think about how much that vascular distention can kill your cardiac effeciency!

Don't jump on the fish oil bandwagon without doing your research. We all made that mistake, but it's not too late to start taking the right oils.
OMG dude I take 5000mg of fish oil every day since like 2013!!!!! OMG!! I'm stopping now. Yeah man I still get my palpitations everyday! Went to the doctor again and im sure they think I'm insane lol. I have an appointment with the cardiologist again hoping that he can provide some reassurance. The only other thing im thinking is that I've Increased my trt for the summer to make gains. I was doing 200mg per week which put my levels around 900. Now I'm doing 280mg which puts me around 1500. Gives me a slight edge. I was wondering if that has something to do with it but I got blood work and my estrogen is in range and everything else looks good and also I've had palpitations when I had lower test levels too. Definitely gonna stop the fish oil now lol
 

danielvp

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Yeah, me too, most likely when my pulse rate gets too high. When I start feeling queezy, that's my sign to take a lil' break before I force the issue. :)

Also, if you're getting enough carbs (sugars) that's good for discouraging palps, but if you're cutting fats are you at least replacing the important ones? Coconut oil is a good all purpose option for palp prevention and weight loss, because monos (Omega-9s) and saturated fats don't promote palp and the MCT component of Coconut is not stored as fat and also stimulated transient thyroid output. Coconut is also best at shifting HDL/LDL ratio of any of the common oils, including fish oil.
What is the upper range for fish oil consumption in your opinion? I'm currently doing 2 g EPA and 1 g DHA per day. No heart issues.
 

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