Can heart pounding ectopics come with pulsating head pressure?

[Tiburon]

I am new here, but have already found the site to be very informative and helpful. For more than a year now, almost daily and usually at the end of the day, I have been experiencing pulsating head pressure and sometimes a sense of dizziness. The head pulsations often seem to sync with heart pounding. Monitors confirm that I have supraventricular ectopics and sometimes supraventricular tachycardia. A brain MRI, MRA and neurological tests provide no explanation for the head symptoms. Once or twice a year over the last 10-12 years, I have gone into Afib, almost always triggered by alcohol, exercise or lack of sleep. Ectopics seem to have the same triggers. I am 71, taking a statin, Lisinopril and a blood thinner. Neither my cardiologist nor the neurologists I have consulted have an explanation for the head symptoms. I also have paresthesia in my right foot, ankle and calf, for which the neurologists also have no explanation.

[Tiburon]

Hi John — thanks for the suggestion. I do regularly check blood pressure. It stays within normal ranges.

[AussieHeart]

Same symptoms as you for past year. One time I thought I was experiencing a haemorrhage. Mainly get the head pressure with added sensory overload including noise intolerance and if look down dizziness. I also had severe wobbles that were internal. Cardiac electrophysiologist can’t explain it and said see a neurologist. I haven’t as my dx coincided with breathlessness, dizziness on standing due to low BP, passing out twice after prolonged palpitations and sudden eyesight loss. The neurologist back then found I had a 5mm perivascular space in the brain and same sized pituitary cyst. When I ask if that was a problem he replied I’ll tell you on autopsy. Hence why bother returning! A year later I was dx with paroxysmal aFIB. GP thinks our symptoms are health anxiety. Others with different dysautonomias experience our symptoms

[Tiburon in reply to AussieHeart]

Most interesting …One of the neurologists I saw seemed to suggest anxiety as the cause. I passed it off as his fallback diagnosis when he had no other. But I looked back at symptoms I had 11 years ago. They matched what I am experiencing now. Then, I saw a psychiatrist who started me on an SSRI which helps with anxiety. The drug is called Lexapro. I’ve recently gone back to him and resumed Lexapro about 4 days ago. It’s too early to tell whether it will help. Fingers crossed. Your reference to dysautonomia is very helpful. Some form of it may be what I am dealing with.

[KMRobbo]

Could if be pulsatile tinnitus? Heart beat being heard in your ear or ears? Its is apparently made worse by flecainide

[AussieHeart in reply to KMRobbo]

Interestingly I was dx with tinnitus and mild right hearing loss. This was part of the work up that lead to aFIB dx involving 7 specialists trying to figure out the cause of my weird symptoms (noise intolerance to leg shakes). Now I take 1g magnesium and Vit D daily plus Bisoprolol as a pill in the pocket after weaning off daily 1.25mg as it caused severe fatigue. So far all symptoms seem better managed. BTW all my symptoms began after a dx of “high constipation” that I couldn’t get on top of until a gastroenterologist allowed me to clear out bowels with C-prep (colonoscopy pre-prep)! Don’t know if that was my ultimate cure but I still have paroxysmal AFib sadly.