Patient Comments: Paroxysmal Supraventricular Tachycardia - Diagnosis

Question:

How was your paroxysmal supraventricular tachycardia diagnosed? Submit Your Comment

Comment from: Kismet, 55-64 Female (Patient) Published: June 05

I am a sixty-year-old woman who used to complain to my parents by the time I was 2 years old that my heart would sometimes beat way too fast and that I felt nervous. My parents' reply to that was that little children do not get nervous. As I grew up I remember having these episodes at least two or three times a month that would last for hours and leave me exhausted and helpless on my bed because my parents continued to tell me that I was a worrywart, introverted, and basically afraid of the world and that if I just stopped worrying about myself that I may become more normal. Being adopted there was no one else in my family who suffered this peculiar and very frightening situation which just continued to make me more nervous and more reclusive. Skip ahead many years to a final diagnosis of paroxysmal supraventricular tachycardia when I was pregnant with my first child at 24. By that time my heart rate was never normal and skipping about all the time on a daily basis. I have been on every beta-blocker in the book, calcium channel blockers, anti-anxiety medications, therapy, and have also had to experience adenosine injections at least 12 times since my diagnosis. I have decided not to have ablation surgery after much research and talking with some patients whose surgeries resulted in further damage or failures. I am currently taking metoprolol and have been for the last 8 years. As with any drug after taking over long periods of time it does not seem to work as well as it used to. Because of the unpredictability of my attacks and that there doesn't seem to be anything in particular that triggers them I have become a prisoner in my home, and after losing my father 2 years ago have sunk into a depression which cannot be treated by drugs because serotonin blockers exacerbate my heart condition.

Comment from: ivon, 55-64 Female (Patient) Published: February 21

It happened last Sunday afternoon, I was doing some exercise, then suddenly I had shortness of breath, blacked out, and lay in bed thinking it would pass. I waited more than 2 hours before calling 911. The ambulance came and measured my heartrate above 165. I got adenosine through IV, which gradually slowed it down. In the emergency room (ER) I heard the diagnosis of paroxysmal supraventricular tachycardia (PSVT), had never heard it before. Last few years I reported the rapid heartbeat to my doctor, and the diagnosis was anxiety attacks, so was given lorazepam. Several years ago I fainted a few times, and in the ER they either said low potassium, reflux or stomach bacteria. Hopefully this time the diagnosis is right, I will see the cardiologist in a week.

Comment from: TwoTimeAblation, 65-74 Male (Patient) Published: January 04

For the prior two years, I felt light-headed, dizzy, and my heart beating too fast on numerous occasions. These episodes would appear weeks apart and lasted only a few seconds. When I passed out at the kitchen table, my wife drove me to the doctor. The doctor made me wear a monitor for two weeks to no avail. Therefore, at the doctor's office, I relaxed totally and my heart starting beating rapidly. The doctor called the ambulance since it was beating 300 times a minute. In the emergency room, the doctor stated it was only beating 200 times a minute when the paroxysmal supraventricular tachycardia episode came back. After several tests, the cardiologist did the first operation on 8/13/07 on the right side of my heart. Against my request to have local anesthetics, the anesthetist put me out because he said that I was too nervous. After the operation, I asked the cardiologist if he found the problem on the right side of the heart. He said no and that he would go into the left side the next day. When I asked why we didn't do it today, he simply said that he would do it the next day. On 8/14/07, the doctor went into the right side of the heart, through wall and into the left side of the heart to perform a SVT ablation. For the last two years, I felt light-headed and slightly dizzy on numerous occasions. At no time, did I feel my heart beating too fast. These episodes would appear weeks apart and lasted only a few seconds. On Tuesday, 12/15/15, I walked a mile to an apartment to install a towel bar. When I arrived, the episode came again. I waited less than a minute until I felt better. I rang the doorbell and measured the bar between the two holders. I went to the basement and cut the bar. The same episode came again for about 30 seconds but much weaker. I decided to install the bar another day and walked to the bank (half a mile). Afterward, I began to walk home about a mile away. The feeling came back several times, on and off, but weaker than before. Later when I was watching TV at home, the feeling came back stronger. I put two fingers on my pulse which was beating too fast. I got my high blood pressure machine which registered my blood pressure okay but the pulse 178 times a minute. The readings were about the same each time I tested. I got my wife to drop me at the hospital emergency entrance. When I got out the car, I stood for a few seconds until my strong episode went away. They took me right away and obtained similar readings. They performed an AV (atrioventricular) nodal slow pathway modification on 12/17/15 by the same cardiologist doctor (8/13/07 and 8/14/07).

Comment from: chargergirl, 45-54 Female (Patient) Published: December 31

I was finally diagnosed with paroxysmal supraventricular tachycardia (PSVT) after multiple emergency room (ER) visits where episodes would stop prior to examination. I went to an ER and they caught it on the EKG.

Comment from: megababe, 25-34 Female (Patient) Published: January 08

My paroxysmal supraventricular tachycardia was diagnosed via emergency room. My heart was beating so fast, I couldn't breathe. They had to give me medicine and I was immediately rushed into surgery to have an ablation. I have been symptom free for 12 years now. I no longer see a cardiologist. I was bowling, and really not exerting anything physically, but I just all of a sudden felt my heart beat faster than normal. I ended up finishing the school day, even spent a couple of hours at my grandma's before my mom realized something was wrong. I was taken to the emergency room and then the story is above. I was 16 years old and a very active young adult.

QUESTION

What is heart failure? See Answer
Comment from: Gouranga Mandal, 25-34 Male (Patient) Published: February 07

Sometimes my heart has palpitations and goes very fast. I have had treatment for paroxysmal supraventricular tachycardia but sometimes I feel that my heart continues to have palpitations.

Comment from: Audra, 45-54 Female (Patient) Published: August 27

I was diagnosed in 2007 with SVT (supraventricular tachycardia). My heart rate was crazy and I had shortness of breath. My husband kept thinking it was my asthma. My inhaler was making things worse. When I got to the hospital I was given medication via IV. It relaxed me and I felt better. I had SVT surgery 2 weeks later. It was a failure. I still have SVT and my electro-cardiologist burned my S node and AV node. I have been on medication ever since and was told that I would eventually go on a pacemaker since the medication eventually will no longer work. I hate the episodes because they wear me out and I sleep quite a bit.

Comment from: Blondie, 55-64 Female (Patient) Published: February 06

I had fast heartbeat occasionally. Sometimes I could feel my heartbeat. Twice I woke up and my bedroom was spinning excessively. I wore a 24 hour device for diagnosis of my paroxysmal supraventricular tachycardia.

Comment from: TeresaSK, 55-64 Female (Patient) Published: November 18

My experience started at a young age, I had two incidences about which I never said anything to my parent and again at 17 and I never said anything. Life went on and I had absolutely no problem until I hit 42 - under extreme stress the heart took off. I went to my doctor and he sent me to the hospital. It was found that I had scar tissue on my heart. I have been on verapamil since that day. I have had breakthroughs even on medication, usually only under undue stress. It is very frightening and there really is nothing that can be done - I know I need to see a cardiologist about it, and someday soon I will.

Comment from: oldie, 75 or over Male (Patient) Published: September 11

My diagnosis was based on a 24-hour holster one month ago. Previously I had three stress tests. Two on the treadmill showed excellent results. A third with dobutamine, showed a probable trivascular block. I also had several ECG and echocardiograms. A stent was placed in RCA, 95% block, May 2010. None of these brought any mention of PSVT. Rythmol was added to my daily 6.25 Coreg and aspirin and Crestor. There is probably no connection, but the worst of my many continuing symptoms is that I haven't slept a full night in three years due to two or three hot sweats or chills lasting up to or over one hour.

Comment from: chaitri banerjee, 25-34 Female (Patient) Published: August 23

The first time i felt it like a HEART ATTACK. I was taken to hospital, ECG was done. Everything was normal, fine. After 2 months i faced it again. Doctor diagnosed it as PSVT.

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