Something new

[Elli126]

Hi guys! Long time no see. Been having my usual PVCs  PACs, but haven't had PSVT for some time. Today I experienced something new. A couple of extra long pauses and then the PSVT. Like-beat-pause 2,3,4 beat-pause 2,3,4 then off to the races! The big difference this time was, it was much more forceful, I could actually see my shirt jumping in time with the beads and I got faint with this round, which has never happened before. Also it seemed kind of erratic or that could just be in my head. I did my maneuvers and it converted in about three or four minutes. This just felt so different from my previous hundreds of episodes that I'm wondering it was something different like a fib? Or Heaven forbid VTach, although I think if I was in VTach for three or four minutes I probably would have passed out. Any thoughts?

[Elli126]

Thanx everyone. Did talk to my EP and he was not concerned. Said to just wait and see if I get another one and he'll send me out a monitor. Michelle, I haven't had a rough one like this since starting the Metoprolol 2 years ago. When I do get them at all now they usually top out at about 160 bpm rather than the 230 I was getting, and are of very short duration, usually a minute or so. This was the first in that long of high bpm and longer duration. I am looking at ablation but at the moment am being tested for thyca recurrence to lymph nodes and hypothyroid , so it's kind of on the back burner.

[MichelleP_3811]

Your svt will never follow a consistent pattern.  It is just the nature of arrhythmia.  Some will last longer than others and will start for what seems like different reasons.  Have you considered trying an ablation to correct the issue?  Have you been offered one?  You say you haven't had an episode in a long time, how long?  In general you do not necessarily need an ablation if you are not active and able to convert rather quickly like you did on your own but to be clear here, it will never go away for good.  You will always be vulnerable to having an episode your whole life unless you get it ablated, it will always be at the back of your mind so you if you choose to not do it just try to find peace with the whole thing.  But it does help to be more active when the episodes occur.  But what you describe is nothing out of the ordinary.  All of mine came with shortness of breath, a manic feeling and feeling as if I would pass out.  It is doubtful it was afib or vt so try to not worry.  Those things are rare and would likely only happen after years of very active svt that isn't managed properly but talk to your doctor if you are super concerned.  Your doctor is always your best bet when it comes to things like these.  Take care.

[researcher09]

When was the last time you had a holter monitor and what does your electrophysiologist suggest?  I assume you have tried medication and lifestyle adjustments and your condition is still progressing. PSVT is relatively easy to ablate successfully and even PAF ablation is getting high success rates nowadays, if done at a high volume center.  UPenn is a high volume center if you decide to go the ablation route.

[heartfluttersflyawayplz]

hey girl so sorry not many on here any more this sites went down, wish i could help you out but i not have that, i did go read about vt and i am pretty sure you would of passed out. you should go dr have it checked out . praying for you

[Elli126]

Was hoping for some kinda feedback.