27 - all tests normal yet arrythmia+tachycardia?

Hello.

To preface, I'm an anxious person, having had several panic attacks so far in my life, but I doubt it my current troubles are anxiety related.

I'm 27 and morbidly overweight ( 150kg ). Granted I'm relatively tall ( 185cm ) and I'm still young so I don't feel the weight so much, but it's obviously a risk factor, a risk factor I'm trying to combat as of late.

Anyway, on to my question. In 2014 I've had to go to the ER due to a massive panic attack ( it started all of this basically ). Since then I've had following tests:

- at least 10 EKG's
- 2 ECG's ( heart ultrasound )
- worn 24-hour EKG back in 2014
- had blood tests done
- checked my thyroid gland

basically everything came out normal ( doctor said that basing on my test results he'd think that I was an athlete ( with the exception of fatty liver ) ). Yet I'm still having troubles.

My blood pressure fluctuates between 120/80 and 145-90, and my resting heart rate is USUALLY ~70.

The problem occurrs when it isn't, and it's triggered by I don't know what - it can sometimes jump up to 90-100 without any reason whatsoever and stay there for a while. Also a major issue is the fact that my heartbeats sometimes feel "painful". I haven't had a "painful" ( short duration ( 0.5-1 sec ) stabbing pain right in the middle of torso for a long while but in the past 5 days I've had it at least once a day.

Also, ever since I was 15 I remember having episodes where I feel my heart pounding even though it has normal rythm and normal rate of beats per minute - basically feeling my heart beat most of the time.

I've gotten a new blood pressure monitor some time ago and the icon indicating arrythmia ( skipped beats ) showed up a few times ( I've taken at least 50 measurings so far and it's happened at least 5 times ). I should also mention that I've been having slight lightheaded episodes but I can't confirm that those are simply not anxiety induced.


What is my next course of action? Is what I have entirely harmless or should I be worried?

You need to relax and take a deep breath. Your doctors and your testings indicate that there is not a heart problem. Resting heartbeat is usually between 60-80, which yours is. Everyone's heart rate fluctuates during the day and rises for different reasons (stress, anxiety), and 90-100 is not anything to be concerned about. You need to try and get healthy, even losing a small amount of weight will help. You are young, I would concentrate on the weight, because that may cause you medical issues in the future. As you get older, losing weight just seems to get harder. You've gotten some good suggestions from the previous poster, just try and make some small lifestyle changes.

the more weight we have the harder the heart has to pump blood and oxygen around. more exercise. u might need a stress test done.

I think you know what your problem is, and you aren't ready to admit it. Any type of physical activity will increase your heart rate. Since your doctors and testing have shown that you are relatively healthy, your symptoms are more than likely directly related to your excessive weight.