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Svt comming back
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Svt comming back

Hello, I am 35 yo female and i had an ablation about 4 years ago.
Lately I feel very strange pulsation in my heart
And it lasts for a min or so. Mostly happens at night.
Last night I had several episodes of this. Right now i feel a
Stubbing pain in the left side of my left chest. Is it normal?
I also have some problems with my stomach. Thank you!
4 Comments Post a Comment
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5342561_tn?1366668482
My first ablation was done 12yrs ago and for the most part, I did pretty well over those 12yrs. Earlier this year I started noticing more and more palpitations especially at night. I would just cough a little, they would go away and I would go back to sleep. Then in April, a co-worker and I joined a Zumba class. The first few classes went well although I was always out of breath by the end of class, but I just assumed it was from being out of shape! Then one day after class, my heart just took off and went into full blown SVT. EMS was called and I was given Adenosine to stop the SVT. I went back to the same EP who did my ablation 12yrs ago, and after looking at my EKG he recommended another EP Study with Ablation if problem was found. I just had my second ablation May 29th. Apparently the pathway reconnected which I was told is rare, but non the less, mine did and my heart was ablated once again. I did struggle with bouts of Anxiety which made me really sick to my stomach during this whole ordeal. I am in the recovery phase and I am trying to be patient as my heart heals. My advice would be to have your heart checked out by your EP. Hopefully it's nothing to worry about. I'll send good thoughts your way! Keep us posted.
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1423357_tn?1414258965
Firstly, "stabbing pain" that is associated with the arrhythmia is NOT normal.  This is something you have examined right away.

Now about the return of the episodes.  Think of your ablation as a "toll gate".  Traffic can't pass either way as long as the gate remains down.  You electrophysiologist mapped your heart, located trouble spots and created a barrier through a series of pin point burns  by placing the burns side by side.  The burns heal and create a barrier of non-conductive scar tissue.  The path remains, but the scar tissue barrier essentially closes the path.  Occasionally, the eletrophysiologist may leave a tiny thread of conductive heart muscle remaining.  Over time, this muscle may grow and change enough to support conduction.  Signals start slipping around or over the toll gate, and you begin to have the arrhythmia again.

Assuming the pain is unrelated to your arrhythmia, a second electrophysiology study may be necessary to locate the spot and close it once again.
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1807132_tn?1318747197
You aren't necessarily having svt episodes, it could be something more akin to sort of pattern of ectopic beats.  Stomach issues are a very big trigger to make them flare up.  You have likely had them for your whole life as they do kick off an svt episode because they disrupt the heart beat cycle but they are a different animal than svt and you may not always feel them.  They are harmless in a healthy heart especially if what you are feeling doesn't sustain or cause you to pass out.  Pvcs in particular can hurt depending on when in the beat cycle they jump in.  For me if they cause pain that usually lasts around 5-10 minutes.  That said, you should have any pain investigated.  I suspect you are dealing with ectopics but you do need to get evaluated to find out exactly what is going on but I suspect it isn't anything to be worried about.  Hang in there and keep us posted on how you are doing.
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Thanks to all your comments, it really helped me!
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