Question: Hello, a month ago I started to have heart palpitations. I was diagnosed with PVCs and have been told they are harmless. A few days after the PVCs started I was also having shortness of breath and the feeling in my legs like I had climbed 3 or 4 flights of stairs upon doing any activities (such as climbing stairs, but also small activities such as stirring a pot). I went to the ER over three weeks ago. They hooked me up to a monitor for several hours, did 2 types of ECGs, a chest X-ray, a lot of blood work and had me walk around with the monitor on. Everything came back negative. The only thing they noticed were the PVCs.

I also went to see my family doctor who has known me 14 years. He said that he feels this is all due to anxiety. I have suffered from anxiety for a few years now. The last few months my anxiety has been pretty bad and when the PVCs started, my anxiety became rather extreme. My doctor put me on Wellbutrin which I have been taking for 3 weeks now. This Friday my doctor is sending me for an Ankle Brachial Indices ultrasound as my legs feel like I have climbed 4 flights of stairs when only climbing one flight or doing other activities that would not normally cause a problem. He still feels it is all due to anxiety, but he said he would send me for the test to make me feel better.

I saw a cardiologist on Aug.15. He did an ultrasound of my heart and said it was normal. He also feels my symptoms are due to anxiety. He will be doing a stress test for me in September and said I have no need to regulate my activities.

I have been trying to relax, but as a naturally anxious person it can be hard. I have noticed that I am not getting as short of breath and the feeling in my legs (like I have climbed 4 flights of stairs when only climbing one flight) has been a little better. The one thing I have noticed is that the more active I am, the better my legs feel. I have also noticed my legs feel worse after a night of poor sleep. I have not had many good sleeps over the last month (probably from anxiety).

The one thing that I have noticed over the last 2 weeks is that I sometimes have an internal shaky feeling in my body, especially in my arms. I do not really shake much externally, but I feel shaky inside. It doesn't happen every day and it does not last all day when it does happen. I have not had any caffeine for the last few weeks, but when I am shaky it feels like I have had too much caffeine. I have been eating normally so I don't think it is my blood sugar. There have been a few times where I have woke up with this shaky feeling. One day when that happened, I laid back down and tried to relax and the shaky feeling went away.

I was wondering if this shaky feeling could be due to anxiety? As I said, I am trying to work on the anxiety, but I find myself still worrying about what is wrong with me and feel tense. This shaky feeling is concerning me.

I have attached some of the reports that were provided to me for the Holter monitor, blood work and chest xray.
Thank you.