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v-tach question
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v-tach question

i am really concerned about this so called ventricular tachycardia arrhythmia.

the reason i am asking is that i suspect i had a short run (3 PVC in a row in 1 sec while exercise). f

1. is v tach dangerous for someone who already had one "short" run and if so, can it recur again later, for example at rest?
2. what is the difference between sustained and non sustained? is the length of the beats that is important or the heart rate during these beats?
3. if you have an normal heart (no dease of any kind and the test show normal like ECHOcardiography, many ECG at rest showing normal, and some other test like treadmill, plus blood test all normal) the arrhythmia isn't dangerous?
4. if u had v tach does it mean that it will turn out into ventrial fibrillation or something?
5. do you need to take any kind of medication, or do any surgery or anything or should you just ignore it ?
6. if the tahycardia was exercise induced is there a risk for it to happen again during any kind of exercise (running, swimming, lifting)?
7. I heard that some people get an ICD (device that shocks the arrythmia back into normal) do you need to have heart desease to get this device if u hav v tach or can a person with healthy heart use this device.

THANKS SO MUCH
PLEASE... but i am getting Really anxious here.
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6 Comments Post a Comment
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990098_tn?1281433643
I would like to first adress your question or statement

"i am really concerned about this so called ventricular tachycardia arrhythmia.
the reason i am asking is that i suspect i had a short run (3 PVC in a row in 1 sec while exercise)."

From you statement I gather that you think you had vtach, not that you caught vtach on monitor or ecg. Also I want to clarify that vtach is an arrythmia where the hearts ventricles produce the contraction signal on thier own, not in sync with atrai. So until you know for sure you had vtach I wouldn't worry at all. and if you had a 3 beat run, this is the lowest amount of pvc's in a row to qualify as vtach, but then you converted back to normal sinus rythm NSR.
ok...on to the questions

1. is v tach dangerous for someone who already had one "short" run and if so, can it recur again later, for example at rest?

Answer: vtach can be dangerous, but wether you've had vtach before is unkown, as I understand it you "think you had vtach" but lets say you did for the sake of this answer and the answer is no...vtach is just as dangerous wether you've had it before or not. But I think the question you have is wether it's more likely to occur if you've already had a 3 beat run and the answer is no. The reason being it depends on what caused the first 3 beat run. There are many causes of vtach, from diet to structural heart problems, so again with out knowing the cause and whether you actually had vtach or some other racing palp like Sinus tachy. No point in worrying about it.

2. what is the difference between sustained and non sustained? is the length of the beats that is important or the heart rate during these beats?

Answer: The difference is how long the vtach goes on for, in your case less than a second. so it's nonsustained vtach. The lowest form of vtach by definition. vtach is defined as a ventricular tachycardia ( origin in ventricles)  is a pulse rate of more than 100 beats per minute, with at least three irregular heartbeats in a row. thus the 3 beat run.

3. if you have an normal heart (no dease of any kind and the test show normal like ECHOcardiography, many ECG at rest showing normal, and some other test like treadmill, plus blood test all normal) the arrhythmia isn't dangerous?

Answer: Persons with non-sustained VT, no symptoms, and no underlying heart disease do not need treatment. Treatment is needed for persons who have symptoms and underlying heart disease. by symptoms I mean short of breath, chest pain , syncope. which you don't have. a 3 beat run is common with someone who is anxious and has pvcs already.  

4. if u had v tach does it mean that it will turn out into ventrial fibrillation or something?

Answer: NO, the underlying condition of the heart detemines how the heart will tolerate the fast rate. refer to question 2

5. do you need to take any kind of medication, or do any surgery or anything or should you just ignore it ?

Answer: If your doc determines there is no need for meds then no, and because I'm assuming you had all these tests run and they were negative, then no you don't need meds. And because your not having any symptoms...again if this changes and you feel Short of breath, and dizzy then go to the er, if episodes last more than 30 seconds go to the er.

6. if the tahycardia was exercise induced is there a risk for it to happen again during any kind of exercise (running, swimming, lifting)?

Answer: tachycardia is a normal sinus rate above 100 not vtach, so excercise should cause tachycardia, that's why you burn more calories. If the vtach is feeling palp speeding heart is brought on by excercise, see your doctor, about the aformentioned tests, ie a treadmill stress test, or holter monitor. But an increase over 100 while working out is normal function of the heart.

7. I heard that some people get an ICD (device that shocks the arrythmia back into normal) do you need to have heart desease to get this device if u hav v tach or can a person with healthy heart use this device.

Answer: Yes and No.  Yes people get them to stop vtach, and yes sometimes that's the only heart problem they have, but many other interventions are tried first. It's a matter of what is causing your vtach, an electrical pathway, ablation may be tried, 3 beat runs all the time medication would be tried. The doc must figure out how symptomatic you are, are fainting, is your bp dropping suddently is there something structuraly wrong with your heart? all these q's determine how your treated.

Now with all that being said, 3 beat runs are can be caused by any number of things, dehydration, electrolyte imbalances, just plan old fatique anxiety, stimulants, smoking, coffee, cafeine choclate, too much alc, or other drugs. If your sympotoms become worse go to the er, but there is no point in getting worried, you think you had a 3 beat run, and if you know you had a 3 beat run...it doesn't matter if all your tests are normal, and seeing as how you converted on your own back NSR and all those test were normal, your fine your just really aware of your heart beat. I m sorry this has caused you so much worry. Maybe this will help...You were excercising and your heart rate lets say was 125bpm, which is low for working out but stay with me, you worked out for 20 minutes that's 2,500 beats of your heart, for that one work out, and you noticed 3 beats. that's less than 0.5% of the time. And if you look at the time less than a second and your heart fixed itself...on it's own...with no worry from you, or drugs, or interventions, you maintained cousincous and movement... I think your hearts great. But again if your really concerned make an apt. with your doc....take care  



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1124887_tn?1313758491
Hi,

I understand you are anxious about V-tach. I guess the anxiety is caused by over-reading cardiology and an extreme focus on the heart and heart rhythm.

First: Getting short "runs" or premature beats is extremely common during exercise. Our adrenaline levels increase, and if you maintain high anxiety levels during exercise, you are almost guaranteed you will get them. They usually pass unnoticed, except if they occur really frequently or develop into sustained runs.

And, this is more important, they are almost always runs of PACs, or two normal beats with a PAC in between. Ventricular arrhythmias (frequent PVCs or short NSVT)  during exercise occur in 1-2% of healthy men, they have a somewhat increased risk of heart disease (coronary artery disease), but still very low if you have a healthy lifestyle. PACs during exercise is much more common, and not associated with increased risk of heart diseases (I can link the sources if you want).

An important point in my posts, is that you shouldn't worry about PVCs or V-tach until you have evidence you have that, and not PACs and short events of atrial tachycardia. It is at least ten times more common.

Beta blockers usually works great to prevent ectopic beats that are adrenaline induced, like   during exercise. I had frequent PACs during exercise and short runs of atrial tachycardia, and just a small dosage of beta blockers wipe them completely away.
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Avatar_f_tn
people with abnormal hearts both structural and electrical are more at risk of developing v fib, they will have an icd fitted to convert it back.

if you have runs of ventricular ectopics you will have more tests done to see what is causing it, normally it is anxiety that causes ectopics, i get pvcs and can get a run of them if im very stressed or anxious, ive had runs of them and got sent home from a and e because they couldnt find anything wrong and just told me treat my anxiety with own gp help.

i dont worry about them anymore i ignore them if i dont i notice every beat :)
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Avatar_m_tn
is this something more I should be concerned about?

...i was drinking alot of soft drinks and coca cola before this happened to me.



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520292_tn?1232039450
I have had PVC's and NSVT for awhile.  The PVC's are not bad but the NSVT can be bothersome and panic inducing.  Sometimes when I get a a run of 15 - 20 beat NSVT I get light headed , dizzy , and short of breath.  I take beta blockers to help with it, but it does not cure it.  V-Tach can be bad news in an unhealthy heart or the un lucky individual that happens to get it and it degrades to VFIB.  I would watch your ectopic beats carefully and make sure you get a ECHO , blood work, and Holter testing.  This will tell you a lot about your situation.  You dont want to wait until the day you pass out from heart trouble to do something about it.  Good luck with your issues and let us know how it goes.
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Avatar_m_tn
hi again. did some test.  exercise test.blood.ekg.echo... holter 48 hours. came back ok.

i have a question .. 1. i heard there is some diseases like long qt, hcm, arvc, cpvt that will trigger vt... and that sometimes it is really hard to diagnoses these...

is it hard to diagnoses these?

2. can jumping into water after a sauna session  trigger a deadly arrhythmia ? into cold water? ...

3. if u get pvc at rest when at home and do nothing..they have been
coming every week for 6 months now and is it something i should worry about?

still worried.
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