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supraventicular tachycardia questions????
.last Thursday...here is Chicago it was like 43 degrees and cold windy..I played outdoor tennis for 3 solid hours at medium/intensity... with only drinking around 30 ounces of water...I came home and I was cold and fatigued...I ate a healthy dinner and then showered...I showered with warm warm water....then I turned it to ice cold on my body for recovery on muscles... for a few minutes. I came out of shower and when I bent over to put lotion on my legs I came back up and my heart went crazy... I called 911 and emergency had my heart rate at 224 per minute. then gave me some iv medicine and slowed it down to normal..in the ER they said I had this and because of cold tennis/ warm house, and hot shower, then cold shower right away..I have to see a cardiologist this thurs. They said everything with my tests were great my entire heart and everything... I do workout a lot and eat very very well...throughout my life I get this racing heartbeat for around 5 to 8 seconds and then back to normal..a few times a year also..but this time was scary. Also, for the last 4 days since ER.. my heart rate is around 55 to 70...athletes heart rate right? I mean I am a huge biker, tennis player, and gym guy...thanks!! happy new year...
I had my ablation a little over 3 months ago. I was having Pvcs every 10 beat or so for the whole time until I started taking the atenolol. I took a very low dose and it really helped. The nurse at my cardiologists office told me to get Slo Mag which is a form of magnesium suppliment that used to be prescription. I stopped the atenolol after only 3 days at 12.5 mg and started the magnesium and I have had hardly any pvcs at all since. I take one tablet with breakfast and one with dinner and it helps a lot. I was amazed.
I got my first ablation in August of '10 and my AVNRT "grew back" starting last year. I'm 25 years old. My appt is on April 10th to get reassessed for another ablation. So, I'd definitely say yes, some people need to get 2nd ablations :)
The only thing I could find on the substance is that it irritates he skin. I really don't think you have anything to worry about in relation to the heart but if you are super concerned then contact your doctor's office and see what they have to say. But from what I can tell it mostly just affects the skin the most troublesome problem being some sort of allergic reaction to it. Take care.
One other thing....I have a 4 inch tattoo on the back of my arm I am trying to remove..I am using TCA. This would not have any affect on my heart once it gets into my skin would it???
TCA (Trichloroacetic Acid) is a common skin peeling agent used by dermatologists, cosmeticians and plastic surgeons to help remove fine lines, wrinkles and acne scars. TCA is used to diminish skin lines and in some cases may assist with tattoo removal. TCA has been medically tested and proven to help fade or remove tattoos.
Read more: http://www.tattoohealth.org/content/tca.asp#ixzz1qbnpUApu
TCA (Trichloroacetic Acid) is a common skin peeling agent used by dermatologists, cosmeticians and plastic surgeons to help remove fine lines, wrinkles and acne scars. TCA is used to diminish skin lines and in some cases may assist with tattoo removal. TCA has been medically tested and proven to help fade or remove tattoos.
Read more: http://www.tattoohealth.org/content/tca.asp#ixzz1qbnpUApu
Yes, I too got all the flutters flips and flops after the ablation. I do believe it is likely because of the stress on the heart from the ablation. Everyone supposedly gets the ectopics but most don't feel them but I think we tend to feel them becasue of the ablation. My doctor said I would stop feeling them and I have to say 6 months past the ablation I still feel them but they are not nearly as strong as they were before. They are indeed becoming less noticable. Like Tom said, you likely had these before the ablation as they are the main trigger for avnrt especially. As for if you doctor got it I would say based on what you told me about his level of experience, him being one of the best in the area, that you can probably trust his confidence that he got it. And from everything I have read having a slow heart rate because you are athletic is a good thing. I know you stated they found a bit of a block on your holter but since you don't have any symptoms from it, it really isn't anything to worry about. Nobody's heart is perfect I just think since we had something wrong with ours we have become maybe a tad hypersensitive to what it is doing where we probably wouldn't have given the feelings we get much thought before. So the challenge is to really try and take a step back and let our hearts do their thing. From everything I have read the heart is very resilient and capable of adjusting to compensate for a lot of the issues that may arise. I really do think overall you don't have anything to worry about. But I will say for me, it was a good 3 months before I could push any workouts that I did. Prior to that if I went too hard I would feel more flips and flops but after a few days it would all settle down. So if you are noticing more strangeness after a hard work out just take it easy for a few days and I am sure things will settle down. Take care.
It's been nearly a year and half since mine. I still experience PVC's, PAC's, and wierd short runs of what feels like SVT. But my ablation wasn't for these symptoms, it was for sustained SVT, and that I haven't had. Consider the possibility that the wierd flutter and flops you are feeling could have been the trigger for your episodes. I've been told that they were for me.
Did any of you get flutters, flops, or any strange beats or motions after your ablation? I think a couple of you said you did..Is this the healing process, because someone said the heart was pissed off and it is its way of healing? Thanks Also, would you say the odds are in my favor being told by Dr. 90% he got it even though he could not trigger...He ablation a secondary pathway..thank you.. all About athletes heart the beats are slower because my heart does not need as much blood pumped because its athletic and requires less..so the beats can relax more right..
The nurse got me scared a little bit so I looked it up...and called her back to ask more of it and she said it is nothing to look into too deeply ...and especially if your an athlete athletic.. she said do not worry too much.
First-degree heart block (also called first-degree AV block). The electrical impulses are slowed as they pass through the conduction system, but all of them successfully reach the ventricles. First-degree heart block rarely causes any symptoms or problems, and well-trained athletes may have this. Medications can contribute to the condition. No treatment is generally necessary for first degree heart block.
Type I second-degree heart block (also known as Mobitz Type I second-degree AV block or Wenckebach AV block). In this condition, the electrical impulses are delayed further and further with each heartbeat until a beat is skipped entirely. The condition generally is not as serious as type II second-degree heart block, but it sometimes causes dizziness and/or other symptoms. Normal people may sometimes have this when they are sleeping.
Type II second-degree heart block (Mobitz Type II second-degree AV block) is also a condition in which some of the electrical impulses are unable to reach the ventricles. This condition is less common than Type I, but is generally more serious. In some cases, a pacemaker is implanted to treat the abnormally slow heartbeat that may result from this condition.
Third-degree heart block (also known as complete heart block or complete AV block) is when none of the electrical impulses can reach the ventricles. When the ventricles, (lower chambers), do not receive electrical impulses from the atria (upper chambers), they may generate some impulses on their own called functional or ventricular escape beats. Ventricular escape beats, natural backup signals, usually are very slow, however, and cannot generate the signals needed to maintain full functioning of the heart muscle.
Bundle Branch Block is when electrical impulses are slowed or blocked as they travel through specialized conducting tissue in the ventricles.
First-degree heart block (also called first-degree AV block). The electrical impulses are slowed as they pass through the conduction system, but all of them successfully reach the ventricles. First-degree heart block rarely causes any symptoms or problems, and well-trained athletes may have this. Medications can contribute to the condition. No treatment is generally necessary for first degree heart block.
Type I second-degree heart block (also known as Mobitz Type I second-degree AV block or Wenckebach AV block). In this condition, the electrical impulses are delayed further and further with each heartbeat until a beat is skipped entirely. The condition generally is not as serious as type II second-degree heart block, but it sometimes causes dizziness and/or other symptoms. Normal people may sometimes have this when they are sleeping.
Type II second-degree heart block (Mobitz Type II second-degree AV block) is also a condition in which some of the electrical impulses are unable to reach the ventricles. This condition is less common than Type I, but is generally more serious. In some cases, a pacemaker is implanted to treat the abnormally slow heartbeat that may result from this condition.
Third-degree heart block (also known as complete heart block or complete AV block) is when none of the electrical impulses can reach the ventricles. When the ventricles, (lower chambers), do not receive electrical impulses from the atria (upper chambers), they may generate some impulses on their own called functional or ventricular escape beats. Ventricular escape beats, natural backup signals, usually are very slow, however, and cannot generate the signals needed to maintain full functioning of the heart muscle.
Bundle Branch Block is when electrical impulses are slowed or blocked as they travel through specialized conducting tissue in the ventricles.
Though 40s is a bit low, in a well conditioned heart 40s while sleeping is not unheard of. A block means that not all the beats are getting through but I don't think they really do anything about it unless you are having symptoms or a major block which it doesn't sound like either is the case so I wouldn't worry about it. I think you are doing really good but if any symptoms pop up just go back to see your doctor.
Hello, I received my holter monitor results today.... They said there was nothing significant..Sometimes I had an early beat which the nurse said is common in everyone....She told me that at night I had a little heart block...I told her I was extremely active and have an athletic heartrate which I do it gets down to the middle upper 40's at night when sleeping. Is this ok heart block what is this precisely? .....everything else was fine...what you think all??
I am still confused why they asked you to wear one in the first place. Did you ask them? Well regardless, if you are not feeling any symptoms it is likely they won't find anything so try not to worry too much.
I just completed wearing the holter monitor for 24 hours... They told me hopefully there will not be anything there they find... what does that mean I am scared now... I mean since Feb 10th ablation day I feel wonderful and no palpitations or nothing..
I didn't wear one afterwards either. After a year and a half, I stll get shorts runs of SVT, maybe 5-10 beats. Yesterday, I have a wierd one that lasted for perhaps 7 or 8 seconds, and I felt a little dizzy for a moment. But it self converted, and I was fine. I've no full blown SVT's since my ablation, but I get a lot of PVC's, PAC's and little short runs of SVT. Still, it's better than it was prior to the ablation; no doubt.......
No I did not have to wear a holter after the abaltion. Were you complaining of symptoms? Did he give you an EKG while you were there? A 24 hour holter is really only useful for issues that occur daily since it is only recording a 24 hour time period. It could catch svts or ectopics or just about any odd heart rhythm issue. I would ask them why they want you to wear it.
Thank you for your comments I love reading them... I also read that at UCLA they give patients a 90-95% rate of cure for svt's....just saying.. I have to go back Weds for a Holter monitor and wear it for 24hrs... did any of you have this also and is it common after ablation? what do they look for with this?
My doctor gave me a 99% success estimate but my avnrt was incessantly inducible so he was able to map my heart and know exactly where to ablate. That said, there is something in the presence of avnrt patients called dual physiology meaning they can pick up a signal on 2 different paths I think. I am not totally sure if my science is accurate but I know in my report the doctor mentioned tachycardia being active and dual physiology being active and he didn't complete the procedure until both were no longer active. So it is possible though your doctor wasn't able to induce tachycardia he was able to pick up the secondary pathway where the signal could jump onto your avnode and get caught in the circle. That said, since he couldn't induce tachycardia he couldn't test if he was ablating in the correct spot. So he may have based his prediction on the fact that he stopped any dual physiology activity he found. This, however, is all conjecture on my part. You really would need to ask him what he ablated to know for sure. Maybe ask to get a copy of your ablation report and see what it says. But yes, 90% is pretty good so obviously in his experience he has come across enough markers and clues to give him confidence to know where most people get ablated and he likely ablated at those spots. He may have ablated more spots on you than he otherwise would have but he obviously feels pretty confident in what he is doing so I would trust he likely got the spot.
Ah, that is the tough part of going in for an ablation when you are not that active. They sometimes can't get the svt to initiate and if it isn't triggered they can't map the electrical activity to know exactly where to ablate. It sounds though that he may have ablated at the most common spots or problem areas that are typical in most people. Time will tell if it was a success but there really isn't anything you can do about it now. Just go on with your life and if it comes back then deal with it then. But just keep in mind that overall svts are not life threatening. They just need to be managed. And hopefully with his extensive experience and expertise your doctor was keen enough to ablate the correct spot. I didn't think they did that kind of thing but he sounds like a very confident doctor. Anyways, try not to worry. The worry will just make you sick. You are going to be fine either way. Take care.
Hello all hope you are all well.... I had my one month check up with my Dr. He said I can return to all activities...I would say my leg from the soreness is 97%..feeling good!!! Also, when I had the ablation he could not get it to act up, but zapped a bunch of spots he suspected.. he is one of the best Dr.Khan from Cleveland clinic.. He said he is 90% out of 100% for my procedure.. he likes to get it at around 99%..what you think????
I am a hardcore tennis player and bike rider...and walk and swim a ton....thanks for replying ,,,
I was trying to find my notes. I thought I had a journal... but I can't find it.
My doc gave me +14 days to resume unlimited physical activity. He's done professional and college athletes... and that's the same interval he gave them. Explanation being: healing time for the puncture sites.
Blips?? Yes. Your heart is pissed off right now. Mine "felt singed." It didn't hurt, but I could "feel" it.
Once I got back on the road (runner) it took a month to gain my legs back. Back to blips... for a few months, every sooooooo often, I felt "that feeling"... and was like, "well here we guuuooo...nope." Once the burns healed completely. NOTHING. I'll run my pulse to 200 in speedwork (the 220-age formula doesn't work on me) and have zero problems.
I'm sure you'll be the same. Get back out there and work it. Your heart is your most expensive piece of sports gear you own now. So USE IT. Don't get middle aged and fat.
Be a badass.
My doc gave me +14 days to resume unlimited physical activity. He's done professional and college athletes... and that's the same interval he gave them. Explanation being: healing time for the puncture sites.
Blips?? Yes. Your heart is pissed off right now. Mine "felt singed." It didn't hurt, but I could "feel" it.
Once I got back on the road (runner) it took a month to gain my legs back. Back to blips... for a few months, every sooooooo often, I felt "that feeling"... and was like, "well here we guuuooo...nope." Once the burns healed completely. NOTHING. I'll run my pulse to 200 in speedwork (the 220-age formula doesn't work on me) and have zero problems.
I'm sure you'll be the same. Get back out there and work it. Your heart is your most expensive piece of sports gear you own now. So USE IT. Don't get middle aged and fat.
Be a badass.
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