Regarding pulse rate. Episode or what!

NSVT cannot be diagnosed just from a pulse rate reading — it requires an ECG or Holter monitor to actually capture and confirm the type of rhythm during the episode. So while 133 bpm during a 4-5 second pounding sensation is definitely worth investigating, you cannot conclude it's NSVT without proper documentation. That said — yes, stress and anxiety can trigger cardiac arrhythmias including benign runs of palpitations. Health anxiety is particularly known to cause intense awareness of your heartbeat, along with anxiety-driven sinus tachycardia (where the heart races simply due to adrenaline). At 25 with no structural heart disease, most palpitations are benign — usually PVCs (premature ventricular contractions) or sinus tachycardia. What you should do: 1. See a cardiologist and request a 24-48 hour Holter monitor — this records your heart rhythm continuously and can capture future episodes. 2. Get a resting ECG and an Echo to rule out any structural heart issue. 3. Work on your health anxiety — this is very important. 7 months of health anxiety worsens palpitations in a vicious cycle. A consultation with a psychiatrist or psychologist for CBT can break this cycle significantly. Try not to measure your pulse compulsively during episodes as this feeds the anxiety loop. Feel free to consult me on Practo for proper guidance.

Feel free to consult me on Practo for proper guidance.