Can my svt come back?

[SarahMarieOfficial]

I'm 20 years old and I had my ablation for my svt back in Oct of 2014. Recently I have had epsiodes again, not as long but just the same as before my surgery. The skipping of a heart beat and the fluttering with heart racing too. is this a sign that its coming back?

[Lisamarie5585]

How are you feeling these days?

[MichelleP_3811]

All that is done when they do an ablation is create scar tissue to block the signal from getting caught in a reentry circuit.  In the case of younger people they have a higher likelihood of the body repairing itself so reoccurance is much more common.  Also, if you have a small heart it is possible the EP didn't want to be too aggressive with the scar he created so as not to damage the heart.  It's no use to help the person if they do more harm than good but in your case maybe they didn't do quite enough and some signal is sneaking around the edge of the scar.  I know my EP stopped before the allotted time they suggest for scar creation so it is very probably the same happened for you.  I would do as Tom suggested and make an appointment with the EP and let them know what you are experiencing.  Get a monitor to catch it and see if it is indeed the svt coming back.  A followup ablation from what I understand usually does the trick for good.  Best of luck sorting it out.  Keep us posted on how you are doing.

[Lisamarie5585]

Hi! Has your SVT come back?

[MichelleP_3811]

No it hasn't.  I had my ablation in 2011 in my 40s.  I do believe that young people in their teens may have a bit of a risk of it coming back but I think for most it is not common for it to return.  I still have the occasional extra beat, or pac but no reoccurance of the svt.

[Lisamarie5585]

That’s wonderful to hear. I had my ablation 24 years ago when I was 14. While pregnant and recently I get very short spurts. Like 2 seconds. But it’s scary. Hope and pray it’s not returning

[MichelleP_3811]

I would not necessarily assume it is the svt.  I do sometimes get little short runs of pacs but it's not the same as the svt.  It doesn't last and resolves within a second or two. Now that I know what they are I realize that they were the trigger to my svt.  I didn't know at the time they were two wholly separate issues.  So it is possible that is what you are feeling.  a short cluster of pacs that came about from your pregnancy.  Being pregnant does put pressure on your internal organs so maybe it pushed on the heart in a way to create a small pathway or it may have just aggravated the heart enough to trigger some pac activity.  It is also very possible that it won't escalate into anything more but keep an eye on it and contact your doctor if the svt does come back.  Worst case, you go in for a second ablation but I wouldn't worry about it at this time.  I think it's possibly just some pac activty.  Like I said, I do have some minor activity that I probably will always have but right after my ablation I had a ton.  They occur when the heart gets a bit irritated.  Having a baby may have done that but over time they would settle down like mine did once I had some distance from the ablation and all the stress leaving my svt go for years did on my heart..  I was in my 40s and it had gotten pretty active at the end.  The important thing to remember is that your heart is very resilient.   It's an amazing organ that can keep beating despite all sorts of issues so just try and trust you are fine.  Take care.

[Lisamarie5585]

Thank you so much. I appreciate your feedback. I am currently on a halter monitor to just have a check up on some palpitations I’ve been having. I also wore one when I was pregnant and they confirmed this time, and while pregnant, that is was a short SVT. Like I mentioned just a couple seconds long. I guess what I was wondering if that qualifies that it’s back. I talk to my doctor tomorrow but am a nervous wreck.

And wondering if anyone here have it return after 20+ years ..

Thanks for the response

[Lisamarie5585]

I willsay I am under a ton of stress and anxiety. And initially everything was just checking out as palps. But then they said I had one short episode of SVT. Again, I’ll talk to my doctor tomorrow I am just so unnerved :(

[MichelleP_3811]

If the run is only a few seconds there may not be enough to maintain conduction so it's possible you won't need to do anything but keep an eye on things.  I don't think it happens often but I do think it can come back or new pathways can form but again, with them being so short I wouldn't worry about it.  Try to not stress, that will just add to the problem.  I'm sure your doctor will advise you what your next steps should be but again, even if you have to have another ablation I'm sure it will be fine.  Keep me posted on what they say.  Take care.

[Lisamarie5585]

Thank you. Will do

[Lisamarie5585]

Hi Michelle,

So what they caught was I guess a 4 beat NSVT?! I am so scared. Cardiologist first called it VTach and I was like what?!? Then used the term wide complex Tachycardia and that he wants me to have an Echo and see and EP. I am so scared.

[tom_h]

It could be.  I'm experiencing the same thing after 5 years.  They're not full blown SVT episodes, but shorts runs as well as salvos of PAC's under heavy physical exertion.  What you and I are experiencing isn't out of the ordinary.  It CAN come back.  In my case, a 65 y/o male, my cardiologist is wondering if it could be the start of A-fib.  I've increased my Metoprolol to 150mg. per day and have a followup in mid July.  It probably wouldn't hurt to check in with your cardiologist to let him know what's happening.

[Lisamarie5585]

Hey Tom, did your SVT come back?