instruction: hi doctor I am 46 years old on no medication apart from zinc daily that seems to help with my low testosterone be averages about 10 63 mhg resting pulse between 58 and 65 bum my height is 10 and weigh about 75 keg about five years ago I noticed odd heart rhythms after playing two hours of badminton I ignored them for months but one day after stopping and bending over I had a large clock in my heart and it took off like a rocket about 140bpm after five to ten minutes it clocked back to normal speed this happened about four times over two to three weeks and has never happened again for the past four years I had a stress test 12 lead egg and echo and two weeks hotter all was fine and no more svt I had a repeat egg and echo a few months ago and all is well apart from the odd strong ectopic I do however still have an issue every now and then like the past two weeks for no reason at all my heartbeat becomes very strong still steady and not fast in the 60 at rest and I feel it almost all the time to the point I can see my handshake to my heartbeat whilst holding a phone etc I feel fine but it is very hard to relax and sleep as it is banging really hard I am generally aware of my heartbeat but this is on a different level it is not linked to stress or any external influence that I know of and I have checked my be whilst it feels strong and it is the usual 10 60 my question is are there any physical reasons for this g my dad had angina and triple bypass and is there anything I can do to help it also if I had blocked arteries would the ecgs stress test and echo have picked this up at all I was offered beta blockers by my go which I refused as my heartbeat is not fast
output: hi it seems that all the tests you had are reassuring what you are describing seems to me as ectopic and a small dose of beta blockers could help but if the resting heart rate is less then 65 bum then better to avoid them in this case if the ectopic burden is very high they can be ablated stress tests except exercise egg will pick up old infact resulted from blocked arteries I doubt that this is the case here