Non sustained VT

[BlondieCO]

Hi,
I wrote a while back before tests. PVCs started 11 days after gallbladder surgery.  Began during PMS, lasted 10 days thru my cycle and ended with it.  Went to ER they said they were benign, had couplets, sometimes 30-40 PVCS an hour for 5-7 hours straight and then none.  My GP sent me to have tests done. Echo normal (mild regurg); stress excellent; then holter.  I wore the holter during the start of my next cycle and had only one event of PVCs, this was the only event I have had since the run of 10 days.  I was at my computer and felt a big "thunk," scared me, I got dizzy for the first time.  My GP said the holter showed a run of 11 non sustained PVCs?  He told me it could have caused sudden death and scared me to death.  He has put me on 25 mg of Atenolol a day and I have a referral to a cardio.  I finally found a website that says women get frequent PVCs premenstrually and during early menopause.  There HAS to be a link, it's the ONLY time I get them.  My question is will the Atenolol keep the run from happening again, I am very scared, I have two kids and I don't know how I can get only one event out of the blue like that. I don't drink caffiene, good amount of stress, but I am scared to exercise now.  The stress test did not bring on PVCs.

[hankstar]

I'll try to remember all you asked as i did not print out the questions, I may miss some.

   Usually one can detect NSVT if you can feel your pulse in time , there is usually no pulse felt with NSVT, then again it happens so quickly it is hard to tell, usually it ends witha big thump such blondie described, but also can isolated PVCs.

NSVT can occur at a slower tempo , usually between 60-110 bpm is usually referred to as AIVR(accellerated idioventricular rhythm)although most would consider anything above 100 bpm a tachycardia, so in reality a "run" does not mean true tachycardia(AIVR) is also called slow VT.

I imagine once you feel it and it has been captured on a holter , one remember the feeling again, of course sometimes the same PVCs feel "different at time so it can be hard to really tell without a tracing.

Usually 3 beats in a row would be considered a run, some EP refused to recognized this as true NSVT and basically called it a run of PVCs, 5 or 6 is often referred to as a "salvo", anything above that is usually recognized as true NSVT.

Remember I am not a doctor this my understanding of NSVT and even opinions vary among EP and cardiologist, so who am I to make the final call.

Always trust what your cardiologist/EP tells you regarding NSVT, if in doubt get a second opinion.


Note: Sometimes Low junctional wide complex tachycardia is often confused with VT and can sometimes only be distinguished in an EP study.

  My understanding, not grounded in stone.

Kindest regards.

[VikingColumbus]

Greetings, cardio guru :)

Can you clarify to the best of your understanding
how one may detect that they are in NSVT?

I understand what's involved is a 'run' of PVCs.

OK, so is a run in the form of a tachycardia?

Or are PVCs 'countable' as they go by?

And, are there different tempos to an NSVT?

Appreciate you frequent perspectives. In lieu of
getting a shot at a question to a CCF Cardio.

VC

[pms_barbie]

I have documentation of 4 and 5 beat runs of nsvt.  Even after my ablation sometimes I feel like I still have some vt.

[wmac]

HELLO I JUST READ YOUR POST. IM SO SORRY THAT YOU HAD A RUN OF 11 NSVT BEAT. I CAN TOTALLY RELATE. I HAVE HAD A 3,5,6, AND 10 BEAT RUN OF NSVT. AND A FOUR BEAT RUN OF AIVR. ALL THE DOCTORS WHICH I HAVE SEEN THREE EP DOCS ALSO CARDIOS, AND MANY MANY OTHER DOCTORS THEY ALL HAVE SAID THAT ITS NOTHING TO WORRY ABOUT WITH A NORMAL AND STRONG HEART. HAHAHA. EASY FOR THEM TO SAY RIGHT. BUT THE PROBLEM I HAVE IS THE "FEAR" THAT IT WONT STOP OR GO INTO SUSTAINED VT. I HAVE MANY MANY TEST WAS EVEN SENT DOWN TO THE UNIVERSITY OF UTAH WHICH THEY TESTED ME FOR ARRTHYMOGENIC RIGHT VENTRICULAR DYSLASIA WHICH THANK GOD IT WASNT THAT WAS A BAD WEEK. I AM NOT ON ANY MEDS THEY JUST IMPLANTED TWO MONTHS AGO A LOOP RECORDER IN ME I ALSO HAVE A RACING HEART WHICH FEELS TOTALLY DIFFERENT THAN THE NSVT BUT WE CAUGHT IT AND IT WAS SVT. THANK GOD. ANY HOW IF YOU WOULD LIKE TO TALK I WOULD LOVE TO CHAT WITH YOU. YOU CAN EMAIL ME ANYTIME AT
***@****  THAT WOULD ALSO BE OF COMFORT TO ME AS WELL. GOOD LUCK AND ILL BE THINKING OF YOU.
wmac (Wendy)

[Cleveland Clinic]

Blondie,

Not all people with NSVT require an EP study, which is a invasive study mapping the electrical activity in the heart.  What they do require is a thorough evaluation looking for factors that associated with an increased risk of bad outcomes associated with the NSVT.  

If you have a normal cardiac evaluation there may no need for an EP study.

See your doctor discuss all of your questions with him or her and try not to get too worried by all of the comments you read in the responses to your questions.

good luck -- keep us updated

[hankstar]

I know how you feel , I had palps all my life I am now 40, and only within the last year or 2 have I learn to cope with them.

I know this sounds blunt but we are fighting a battle that one day we will all lose. Life is uncertain and death is for sure.

I know these arrhythmias are alarming and uncomfortable to those aware of them. Some person are incapacitated by minor insignifiacnt arrhythmias , while others with severe life threatening arrhythmias can be completely unaware of them.

If a Ep study is recommended, then get one for a peace of mind, but the chance  of something  going wrong with invasive testing , though I admit  it is sometimes necessary is much higher than anything happening to you from an 11 beat run of NSVT.

Good luck, best wishes and let us know what happens.