34/M. 5’11 190lb. Athletic, exercise regularly. I have pretty good cardio, with running, spin bike and weight training regularly. Most of my 20s was filled with horrendous diet and excessive alcohol consumption with caffeine. Every time I had a doctor appointment id have a BP of 138/90, or something similar. When I turned 30 I was getting to a point where my heart would beat of my chest after a night of drinking. Sometimes to a point where I couldn’t catch my breath. I couldn’t handle it anymore so I quit cold turkey and changed drastically. I was 220lb at the time and quickly got my weight down to 180lb. During this time I had some tests done. EKG, 30 day holter monitor, 2D Echo, and a stress test. Everything came back well enough that the doctor said I should be fine.  This was in 2022.  Fast forward to this October I had another heart racing episode at night due to lack of sleep, traveling, dehydration, etc.  Although I have good cardio, some mornings I wake up and I just feel winded. Even walking into work i feel like I need to take a deep breath.  This prompted me to schedule another doctor appointment.  Attached is the recent EKG. I also just finished another 30 day holter. Waiting to hear results. 

Key notes 

\-No medications

\-I don’t drink alcohol

\-I don’t consume nicotine

\-I don’t drink caffeine

\-regular cardio and exercise

\-I do suffer from an undiagnosed panic disorder

\-My job is a high stress high speed management role that consumes my life. 

Thank you for your time.

Help my understand my EKG