26 year old and my heart goes 220 bpm

[john85]

Hello every body.First i want to say sorry for my english becouse i am not very good.4 days ago i was in the toilet and when i was getting up my heart started to beat really fast.I couldnt count them almost 220 bmp (its not accurate becouse it was blood presure machine).I didnt have any kind of pain or any other symptom.I didnt feel unconscious or have  fast breathing.Every thing was normal except  little swet but i think it was from stress or fear.This  thing lasted for almost 20 minutes.I drove to hospital but as soon as they were putting those things in my chest it stopped.My heart beats where at 100 rpm and everything was normal.they did me an ekg and it was normal/This thing it has happen to me 2 other times.First time it was 8 years ago.It just started wen i was getting of the car.It lasted almost 20 min ang it dissapeared.I didnt had any tests then/The other time was last in november.The same thing happened i was opening my door  and my heart started to beat really rapidly but again as soon as i went to hospital it went normal again.Last year i went to see an cardiologist.She said to make some blood test.,Tyroid test/Everything was normal except Triglicerides( they were 650 really high),my thyroid was ok /I started taking lypathil for my triglicerides and they went normal almost 220 for the first mounth.I had an echocardiogram to see my heart and valves and everything was ok with my heart.I  dont know what it is and is it life threatning?A doctor said that i should make an electropphysical test of my heart to see whats wrong,but here there arent a lot of good doctors and i am afraid.The only one that could do this test had a tremendous hand shake and i am afraid.The doctor said u cant take medicine but it is not very effective.

I really need some expert advice or any thing


Thank you

[CFS56]

It is normal to feel tired when you first start taking a beta blocker.  I also had a headache and an upset stomach for a couple of weeks when I first started.  Don't decrease your dose until you can talk to your doctor.

[john85]

I have a meeting with my doc on twensday and i cant call her .(it doesnt work like that here and i dont have her number).I have to wait until than.I asked becouse i see that with nebivolo u have to be careful if u want to quit.Even its my second day im a little concerned.

Thank u for the answer

[MichelleP_3811]

It is not recommended for anyone to alter their medicine dosage on their own.  Can you call the office first to find out?  Your heart rate at 63-70 is of no concern.  It is well within normal but if you are feeling sluggish your doctor may try reducing the dosage but you have to let him make that call.  It is possible your body just needs a little time to adjust to the new medicine and you will get your energy back so talk to the doctor first.  Take care.

[john85]

Its the second day i am using nebivolol and my BP is really normal and constant 120/80.I doesnt change through the day.But my heart rate has decreased from 90-98 to 63-70 bpm.Is it ok?I feel fine may be a little not energitised.Is it ok if i take 5 mg *(half the dosage) until i meet my doctor on twensday?

Pleas any quick answers

[tom_h]

John, I took another type of beta blocker called Metoprolol for 5 years. Although it was effective in lowering my sinus HR and BP, it did little to prevent my chronic SVT which had increased to near weekly events.  Your results may be different.

[CFS56]

What you are taking is bystolic, a beta blocker.  I have taken it for two years with no problem so far.  It works well lowering blood pressure for me (in fact sometimes too well, my blood pressure can get really low) but it should also help with your SVT.  That is actually why my cardiologist put me on it.  I had several episodes with heart rates close to 200 that landed me in the ER. The bystolic will help prevent those episodes.

[john85]

I am writing here again.My heart is normal but the last  2 or 3 weeks i have a high blood preasure.Its always constant 150/90 .I have always had a little high blood preasure but never this high.I went to my cardiologist.SHe told me to do some test my triglicerides and liver and some other blood test.SHe also gave me nebivolol hydrochloride 10mg a day.Does this drug interfere with my PSVT?Iread in internet that nebivolol is Beta 1 blocker and reduces hogh blod preasure.

Thank u

[john85]

Yes you are wright but as i said before i really feel normal i dont feel any kind of pain or what ever when it happens to me.In my country Albania there arent any good specialist about this.In fact he claimed that he was the only one in the whole country,but when i saw his hand shaking  i was more afraid about it.now i am a little over weight but before i used to go to gym and run and i never had something like this.Its been 10 months since i quit smoking and i never drink to get drunk just a glass of wine in dinner or when i go out but normal.Any way lets hope it never comes back but if it does i will go straight to the hospital,i will not wait to get better.May be i can get in time and measure it with EKG.


Any way Thank you for your answers

[is_something_wrong]

Most likely (almost certainly) this was an SVT as described above. A normal rhythm does not increase to 220 on the toilet, and if you had a more dangerous rhythm this rapid, you would have had other symptoms as well.

It depends from where in the world you are what doctors do about this. In my country, they typically give you some beta blockers and tell you to come back if it happens more frequently or if you have other symptoms as well. In the US, it seems the threshold is far lower for doing an EP study and possibly an ablation to cure the arrhythmia once and for all.

SVT in general, and the subtype AVNRT is fairly common in young healthy people. They are usually benign arrhythmias, with the exception of some subtypes of the so-called WPW syndrome, but that's usually seen on a resting EKG.

Too bad it stopped just when you got the EKG leads attached. If it happens more frequently, you'll have to see a cardiologist for an evaluation.

PS: Do NOT drive to the hospital yourself when you have an arrhythmia!

[john85]

Thank you for your answers.

[MichelleP_3811]

Tom is correct.  You need to get properly diagnosed by a cardiologist but since your arrhythmia happens so infrequently it is not likely you really need to do anything about it at this point in time.  I had the conditon my whole life.  I would get an episode like you just once every so often until I reached my middle 30s and then it started to kick in more.  At that point I was a good candidate for an ablation.  But if you are very infrequent then an ablation not be a good option at this point since inducing an episode is not always easy and it may not even be that easy to diagnose since you need to be having an episode to be able to record the episode.  If you have had all the tests that show your heart is structurally fine then you can feel pretty confident that your condition is not life threatening.  But as Tom said, if you have an episode that does not seem to stop after a certain amount of time then go to the ER but other than that try not to worry.

[tom_h]

Greetings, John.  We aren't doctors, so we have cannot accurately diagnose you. But if your symptoms started and stopped suddenly, and you were able to drive yourself to the hospital, then you stand a very good chance of having something called Supraventricular Tachycardia or SVT.  SVT is most often not life threatening, but should not be left untreated for hours on end.  This is a result of an electrical problem within your heart and not a structural problem.  An electrophysiologist can properly diagnose and treat your condition, but your definitely need to go to someone with steady hands!   Yes,
medicine can sometimes help, but a lot of people (like me) find it ineffective.  I had the procedure done which locates the area of the electrical problem, and effectively severs the short circuit so it never returns (usually).