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AVNRT and exercise
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AVNRT and exercise

My 15 year old daughter was diagnosed with AVNRT, through a remote  monitoring system.  She had 250+ episodes in 13days while on the monitor and was put on Verapamil.  Her initial dose of 120mg was up'd to 240mg. Though the dose has lessened her frequency of the "episodes" they are still a daily occurance, happening mostly when she is at rest after activity.  She is 6ft tall and 155lbs and is a competative swimmer.  She has been advised by my GP to avoid exercise. This restriction is crippling.  She has removed herself from the swim team, and is looking for some outlet to keep her muscles toned while we await the appointment with the cardiologist (two months away).  We were thinking YOGA.  Is this diagnosis normally this limitiing to activity.
Are there exercise options??
1711789_tn?1361311607
Hi there!

Exercise could precipitate the episodes and would typically need to be limited in most cases of AVNRT. While medications may provide symptomatic relief, 1 episode/ day should not be harmful. Yoga would be helpful with reconditioning the heart muscle while yoga forms that increase physical stress are also best avoided. Vagal manoeuvres may help in terminating an acute attack as well. If very keen in pursuing an athletic career, procedures such as RFA could be considered. I would suggest discussing the situation and the suggested management plan in detail with her treating cardiologist.
Hope this is helpful.

Take care!
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