regarding psvt and mild tr

[sachinkumar38]

i am a 25 year male.i have problems of high bulled pressure i.e.150/90.i am going to my family doctor.he take my ECG and ECHO test.doctor say that he found in my ECHO mild tr and psvt.Then doctor give me the tablate Amiodarone and cartinite enzyme.Now i am feeling the shortness of breath,heaviness in chest. Now i selected in Indian army.
My question is that can i do the heavy work in army after treatment and live a normal life. please tell me about the treatment of psvt. i am very scared about my future .please help me.
thank you

[tom_h]

Sorry, I'm fat fingering my Droid too!

[tom_h]

I was deed, deep into speed skating as a young adult.  Using a Polar Heart monitor, I would see rates as high asked 200bpm going all out, full smoke. If my SVT kicked in, the rate would jump another 25, but it was a hard aggressive beating, totally different feeling. I'd gwt that weight on the chest feeling and my breathing would become labored.  So I'd say if you get an SVT episode, you know it.

[hollowground]

and yes this is the first SVT for her..... as she says "I would have known if I had these before ....you can't miss this mom :) "
   Can you have them without symptoms?   like say only shortness of breath without the racing heartbeat?  

[hollowground]

Not to worry seems the hard part. He never mentioned WPW....just that he recommended ablation. Which I question now... did he see something more without telling us? To not want to worry us more? So in his opinion skipping the monitors and meds...just go for the procedure.
Even the primary Dr in her report from the cardio Dr could not see why his recommendation for ablation first....told me this morning ...she is setting up an EVENT/HOLTER moniter for my daughter to wear acouple days...and a new referral too.  I think I like this approach better for now.   If the new Dr says the same then we. have decision to make.  Bare with the misspelled or odd words my moble phone has a mind of its own sometimes. :)

[tom_h]

Thanks!  An accessory circuit could be WPW.  If it is, an EKG should show a shortened PR interval and a slurring and slow rise of the initial upstroke of the QRS complex (aka. delta wave).  Good news though is it's very treatable with ablation. But if your daughter has had only one event, I think it's too early to talk about that yet.  However, this could be the onset of more events.  It can lie dormant for years, perhaps never appearing.  Mine cropped up when I was 6 y/o and extremely ill with a high fever.  My hospital report says my heart rate was 312 bpm when I was admitted.  I had gone about 24 hrs like that and I wasn't in very good shape at that point.  Drugs converted it and I was in for a couple of days for observation; that was 1957.

Good luck and let us know how things progress......and DON'T WORRY!!

[hollowground]

And yes to your hopefully former WPW!!!  

[hollowground]

Thanks for responding.. Cardio DR never said whats is causing only said he felt it was an extra circuit in the upper vent...never really explained it to us just he recommended the amblation. Was really trying to listen well but was a bit overwhelming for both of us. Waiting now on primary care Dr for refferal for a second opinion. It just didn't set well with me. Thanks again!

[tom_h]

....one other thing. I'vs been on.meds for 5 years, and about the only thing it did for my SVT was to.make it easier to convert. I still got 3 to 5 episodes per month. I was on Metoprolol which an average beta blocker, easily tolerated by me.  I never delved into the more "exotic" drugs which could have been more effective with my particular and hopefully former condition, WPW.

[tom_h]

With only one event, I wouldn't consider ablation.....yet.  Did they, or do you know the source or what causes her SVT?  It's scary, it doesn't feel too good, but it's not dangerous if converted in a reasonable amount of time. She should be taught how to convert it herself and avoid a trip to the ER. I had it for 54 yeats and never once went to the hospital for mine.

[hollowground]

My daughter has had first time of svt last week with heart rate at 247.... paramedic charted this. Vaguled after IV placement.   Dr at ER said probably will never happpen again follow up with primary care Dr. who sent her to a cardio Dr yesterday ,Cardio Dr. recommended amblamtion. Nothing about a _monitor or meds. Said at her age of 20 would be bothersome and why deal with meds.  I am very scared for her and worried even though he said the svt is not life threatening. Is this the best approach after only one svt?  She has had shortness of breath episodes at times but primary care Dr put her meda for anxiety .. just confused here.

[tom_h]

Amiodarone is given for some forms of PSVT, WPW (Wolff-Parkinson-White syndrome) among them.  It's a powerful Class III anti-arrhythmic.  This drug also has numerous side effects, and you should examine the medication closely on line.  I can't question why your doctor prescribed this medication, but there are other alternatives you could try.  Perhaps your symptoms might be relieved by changing the dosage.  SVT is usually not a life threatening condition.  I had 54 years of it before having cardiac ablation performed.  I just completed my first month free of SVT for the first time in several years.  If you're going in the Army, they should be informed of your condition.