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Heart Disease  (Expert Forum)
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Re: psvt
This forum is for questions and support regarding heart issues such as: Angina, Angioplasty, Arrhythmia, Bypass Surgery, Cardiomyopathy, Coronary Artery Disease, Defibrillator, Heart Attack, Heart Disease, High Blood Pressure, Mitral Valve Prolapse, Pacemaker, PAD, Stenosis, Stress Tests.

Re: psvt

by Cleveland Clinic, MD, Jan 01, 1995 12:00AM
Posted By CCF CARDIO MD - CRC on January 14, 1999 at 12:03:23:

In Reply to: psvt posted by bob on January 13, 1999 at 19:49:49:






. Do you know of any therapies to stop acute PSVT attacks besides carotid artery massage and/or lying down with your legs in the air? What's this I hear about a Diver's Reflex? Do you have do jump in a cold shower or something? Also I heard something about drinking a very cold glass of water. Is that accurate?
Also, could you tell me about the risks of an EP study? I hear the ablation can cause further ectopi. Would they appear immediately after the ablation operation or is there some lag time? Also, in the Philadelphia area, which group (or hospital) has a solid reputation for EP studies? You guys are the best! Thanks again! Bob
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Dear bob,
Q: Do you know of any therapies to stop acute PSVT attacks besides carotid artery massage and/or lying down with your legs in the air? What's this I hear about a Diver's Reflex? Do you have do jump in a cold shower or something? Also I heard something about drinking a very cold glass of water. Is that accurate?
A: The dive reflex is stimulated by submersing the head in a bucket of cold water. (Shown in an episode  during last season's TV show Emergency).  However there are better ways to deal with PSVT than carrying around a bucket of water.  Either an ablation or medical therapy are good options.  Drinking water has no effect.
Q: Also, could you tell me about the risks of an EP study? I hear the ablation can cause further ectopi. Would they appear immediately after the ablation operation or is there some lag time?
A: The specific risks of the study should be explained by your doctor.  In general they are well tolerated and if some underlying ectopi is "unmasked" by the procedure it is not as much of a problem as the initial rhythm disturbance.  You can find more about ablation at:
http://www.heartcenter.ccf.org:8080/patinfo/patguide/p_ablate.htm
Q: Also, in the Philadelphia area, which group (or hospital) has a solid reputation for EP studies?
A: Temple University has an excellent EP department.
I hope you find this information useful.  Information provided in the heart forum is for general purposes only.  Only your physician can provide specific diagnoses and therapies.  Please feel free to write back with additional questions.
If you would like to make an appointment at the Cleveland Clinic Heart Center, please call 1-800-CCF-CARE or inquire online by using the Heart Center website at www.ccf.org/heartcenter.  The Heart Center website contains a directory of the cardiology staff that can be used to select the physician best suited to address your cardiac problem.

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